TY  - BOOK
AU  - Sampson, Elizabeth
TI  - Implementing digital cognitive-behavioral theraphy for major depressive disorder in routine psychiatric appooitnments: A pilot project in a rural population 
SN  - 0279-3695
PY  - 2023///
CY  - Thorofare, New Jersey
PB  - Slack Incorporated
KW  - digital cognitive-behavioral therapy
KW  - major depressive disorder
KW  - psychotherapy
N1  - ABSTRACT

Psychotherapy is well-established as an effective treatment for major depressive disorder (MDD). However, many individuals with MDD in rural areas of the United States do not have access to psychotherapy. Self-management (SM) strategies are now the standard of care for chronic medical conditions and may be a viable alternative for individuals without access to psychotherapy. The current article describes the implementation of a 13-week pilot project to integrate digital cognitive-behavioral therapy (dCBT) SM programs into routine psychiatric advanced practice nurse (APN) telehealth appointments in the rural United States. Eight participants completed the project. The project did not meet the benchmark of 20 participants to improve access to treatment; however, one half (n = 4) of participants reported clinically significant improvement in MDD symptoms over 6 weeks. For clients without access to psychotherapy, dCBT SM programs can be effective in improving individual client outcomes when implemented by APNs in routine telehealth appointments
ER  -