These CADTH Health Technology Expert Review Panel (HTERP) recommendations aim to address this policy question: Should Internet-delivered cognitive behavioural therapy (iCBT) be offered to people with mild to moderate major depressive disorder or anxiety disorders? iCBT is defined as structured cognitive behavioural therapy (CBT) delivered remotely over the Internet. iCBT can be guided (by a therapist or other practitioner trained in iCBT) or unguided.
The recommendations were developed following HTERP deliberations over multidisciplinary evidence including an overview of systematic reviews of clinical effectiveness and an economic analysis, conducted by Health Quality Ontario (HQO); and two rapid reviews of clinical effectiveness, an adaptation of the HQO economic analysis (in Appendix 2), and a review of patients’ perspectives and experiences, implementation issues, and ethical considerations related to the use of iCBT, conducted by CADTH. Details of the HTERP deliberative process are available in Appendix 1 and on the CADTH website.
Funding: CADTH receives funding from Canada’s federal, provincial, and territorial governments, with the exception of Quebec.
Suggested citation:
Internet-Delivered Cognitive Behavioural Therapy for Major Depressive Disorder and Anxiety Disorders: Recommendations. Ottawa (ON): CADTH; 2019 March. (CADTH Optimal Use Report; vol. 8, no. 2c).
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