Understanding the Trial Results
This trial compared two types of online therapy for depression: Message-Based Psychotherapy (MBP) and Video-Based Psychotherapy (VBP). Here’s what we learned:
What Worked?
- Both MBP and VBP were effective for treating depression, with no major differences in how much they helped participants.
- MBP had fewer participants dropping out of treatment compared to VBP.
What Didn’t Work?
- Participants in both groups showed similar levels of improvement in depression and social functioning.
- Even though VBP had a stronger connection with participants early on, it didn’t lead to better long-term results.
How Does This Help Patients and Clinics?
- MBP is a good alternative for patients who may not prefer video calls or who may struggle with them.
- Clinics can offer both options to better meet the needs of their patients.
Real-World Opportunities
- Hospitals and clinics can start offering MBP alongside VBP to provide more choices for patients.
- Insurance companies could cover MBP to help more people access therapy.
Measurable Outcomes
- Clinics should track rates of patient dropout from therapy.
- Monitor patient improvement using simple surveys like the PHQ-9 to measure depression levels.
- Assess patient satisfaction with both types of therapy.
AI Tools to Consider
- AI chatbots can assist in providing MBP by facilitating message exchanges and checking in with patients.
- AI tools can help analyze patient feedback to improve therapy options.
Step-by-Step Plan for Clinics
- Start Small: Begin by offering MBP as an option alongside VBP for a small group of patients.
- Gather Feedback: Use surveys to understand patient experiences with both therapies.
- Analyze Results: Track dropout rates and improvement scores to see what works best.
- Expand Gradually: If MBP proves effective, consider offering it to more patients and integrating AI tools to enhance the experience.
For More Information
To read the full research, visit JAMA Network Open.
