Computerised CBT self‐help for depression in Higher Education: Reflections on a pilot

Aims: This study comprised the second phase of a small‐scale exploration of the viability of a computerised CBT intervention for depression within the context of a Higher Education counselling service. Method: The program ‘Beating the Blues’? (BtB) was offered to students experiencing depression, with measurement of uptake, attrition, satisfaction and effectiveness of the program. Results: Outcomes were calculated alone and in combination with those found in Phase One (previously presented in this journal), to enable a whole study report. In Phase Two, 15 students commenced BtB. The low completion rate in the intended academic year of the study led to extension over a further term. Seven participants completed the programme in Phase Two, a rate of 46.7%; 27 students used the programme over the entire study, with 63% completion. In both phases depression scores fell significantly following completion of the programme; anxiety scores fell significantly for Phase Two completers. User feedback was mixed. Clinical implications and conclusions: Many students have a comparatively short wait for a psychological service which may reduce interest in a computerised self‐help intervention and may help explain the low uptake. It is suggested that whilst CCBT is acceptable and effective for some depressed students, the number of sufficiently interested students, together with reported satisfaction from the intervention, was too small to warrant current inclusion of BtB within our service, particularly given its cost implications. Suggestions for further CCBT‐related investigations within this setting are made.