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Scheduled telephone support improves adherence to and outcomes of internet cognitive behavioral therapy for depression in patients at risk for drop-out: a pragmatic randomized controlled trial

Pihlaja Satu, Lahti Jari, Lipsanen Jari Olavi, Ritola Ville, Gummerus Eero-Matti, Stenberg Jan-Henry, Joffe Grigori

Therapist-supported, internet-delivered cognitive behavioral therapy (iCBT) is efficient in the treatment of depression. However, the optimal mode and intensity of therapist support remain to be identified. Scheduled telephone support (STS) may improve adherence and outcomes but, as it is time- and resource-consuming, should be reserved for patients for whom the usual support may be insufficient.