000			01823nam a22002057a 4500
005			20240124133215.0
008			240124b ph ||||| |||| 00| 0 eng d
022			_a0279-3695
040			_cOCT
100			_aSampson, Elizabeth
240			_aJournal of psychosocial nursing / _hOctober 2023
245			_aImplementing digital cognitive-behavioral theraphy for major depressive disorder in routine psychiatric appooitnments : _bA pilot project in a rural population / _cElizabeth Sampson
260			_aThorofare, New Jersey ; _bSlack Incorporated , _c2023
300			_avol.61(10) : pages 44-51
500			_aABSTRACT 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.
653			_adigital cognitive-behavioral therapy
653			_amajor depressive disorder
653			_apsychotherapy
942			_2ddc _cCR _n0
999			_c9467 _d9467