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Title: Patients Stay With Phone-Based Psychotherapy Longer Than Office Visits
URL: http://www.pslgroup.com/dg/22D3CA.htm
Doctor's Guide
September 22, 2008

CHICAGO -- September 22, 2008 -- A new meta-analysis has found that when patients receive psychotherapy for depression over the phone, most of them continue with the therapy. The study is published in the September issue of Clinical Psychology: Science and Practice.

Researchers from Northwestern University's Feinberg School of Medicine, Chicago, Illinois, have taken the first "snapshot" of telephone-administered therapy studies around the country.

The new study found that the average attrition rate in the telephone therapy was only 7.6% compared with nearly 50% in face-to-face therapy. The telephone therapy also was effective in reducing depressive symptoms with results that appear to be similar to face-to-face treatment.

"The problem with face-to-face treatment has always been very few people who can benefit from it actually receive it because of emotional and structural barriers," said lead author David Mohr, Northwestern University's Feinberg School of Medicine.

"The telephone is a tool that allows the therapists to reach out to patients, rather than requiring that patients reach out to therapists."

Mohr said that of the patients who said they wanted psychotherapy, only 20% actually showed up for a referral and half later dropped out of treatment.

"One of the symptoms of depression is people lose motivation," he said. "It's hard for them to do the things they are supposed to do. Showing up for appointments is one of those things."

Patients also may not have the transportation or time to travel back and forth to a therapist's office, and it may be hard to schedule time for an appointment when one's day is busy with work, caring for kids or elderly parents, and/or other family obligations.

Telephone therapy seems to transcend all these barriers. Mohr began using telephone-administered therapy because he was working with patients who had multiple sclerosis who could not get to a therapist's office.

Mohr said what's needed is a definitive study with a randomly selected population of patients that directly compares therapy delivered in the traditional face-to-face manner to therapy delivered over the phone. He has already launched such a study in subjects who receive their primary care from Northwestern's Medical Faculty Foundation. He expects to have results in 2 to 3 years.


SOURCE: Northwesten University

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