Pragmatic evaluation of the viability of CCBT self‐help for depression in higher education

This study explores the potential of a computerised cognitive behavioural therapy (CCBT) self‐help programme for depression within the context of a Higher Education Counselling Service. It seems timely to consider the place of evidence‐based alternatives to the face‐to‐face counselling traditionally provided in higher education with user choice in mind. There is also a need to cater for increasing numbers of students experiencing a wide range and severity of emotional difficulties, sometimes resulting in long waiting periods for help. In the study twelve depressed students used the CCBT programme ‘Beating the Blues’?. Ten (83.3%) participants completed the programme. Initial credibility of and expectancy‐for‐improvement from the intervention was high. Significant reductions in depression scores were found following completion, whilst anxiety scores changes were not significant. Feedback on the programme was largely positive. CCBT was clearly preferred to face‐to‐face counselling by some participants, supporting the need for a choice of interventions for students. These results suggest that CCBT may be an acceptable and effective intervention for a number of depressed students. It is argued that CCBT may be a viable addition to current provision in Higher Education Counselling Services and that further studies are required to investigate this further.     

Step-down approach to behavioural weight loss treatment: a pilot of a randomised clinical trial

Background: In a stepped-down approach, patients begin with a more intensive treatment and are stepped down to a less intensive treatment based on achieving treatment goals. This study compared a standard behavioural weight loss programme (BWLP) to a stepped-down approach to treatment.

Methods: Fifty-two overweight/obese adults (Age: M?=?47?years, SD?=?13.5; female?=?67%) participated in an 18-week BWLP. Half of them were randomly assigned to be stepped down from weekly group meetings based on completion of weight loss goals (3%) every 6?weeks, while the other half remained in their groups regardless of weight loss.

Results: There was a significant difference favouring the BWLP in the proportion of participants who met or exceeded their 3% weight loss goal during the first six weeks. While not statistically significant by the end of treatment, the BWLP participants lost nearly 3% more body weight than stepped-down participants (SC?=?4.9% vs. BWLP?=?7.8%; p?=?.10). Greater self-monitoring was associated with increased likelihood of stepped-care eligibility and higher percent weight loss at the end of treatment (p?<?.01).

Conclusion: There was little evidence to support the efficacy of the stepped-down approach for behavioural weight loss treatment employed in this investigation.