Study on Guided Internet-Based Therapy for Moderate Depression, Social Anxiety, and Panic Disorder Assessing Effectiveness and Cost-Effectiveness Across Multiple Clinics

What this Trial Is About

This research evaluates the effect and cost-effectiveness of guided internet-based cognitive behavioral therapy ICBT for people with moderate depression, social anxiety disorder, and panic disorder. It is an observational multicenter study conducted in routine healthcare settings to understand who benefits from this treatment, the predictors of drop-out, and how user experience affects adherence and outcomes. Participants receive the eMeistring program, which includes an initial face-to-face visit, followed by eight or nine guided internet-based therapy sessions depending on the condition, with therapist support at least once weekly via secure email. After completing the sessions, a final face-to-face visit with the therapist is offered. Licensed health personnel provide the guidance and the treatment is part of standard care at four hospitals. During the study, participants complete questionnaires on symptom severity, quality of life, work and social ability, satisfaction, and medication use at several points before treatment, up to 14 weeks after starting, six months later, and after two years. Researchers also collect administrative data on treatment implementation and analyze cost-effectiveness and treatment adherence. Safety is monitored through routine outpatient follow-up with alerts sent to therapists if suicidal behavior is reported.

Effects and Cost-effectiveness of e-Meistring - a Guided Internet-delivered Psychological Treatment