Recommendation ID
CG185/5
Question
Cognitive behavioural therapy for the long-term management of bipolar disorder:- What is the clinical and cost effectiveness of face-to-face cognitive behavioural therapy (CBT) compared with internet-facilitated CBT in the long-term management of bipolar disorder?
Any explanatory notes
(if applicable)
The Guideline Development Group found that individual structured psychological interventions are clinically effective. Studies support the efficacy of individual CBT but evidence for long-term benefits of internet-based interventions is less conclusive. Internet-facilitated CBT has the potential to deliver the key components of face-to-face CBT in a more cost-effective and accessible format. If this proves to be the case then increased access to cost-effective psychological care could be rapidly achieved.
The proposed research programme would have 2 phases: (1) software development of internet-facilitated CBT including alpha, beta and feasibility and acceptability testing to confirm that the intervention is safe, acceptable and used by potential patients; (2) a 2-arm non-inferiority RCT comparing internet-facilitated CBT with individual face-to-face CBT designed for bipolar disorder. Participants should be aged 16 years and over and be in a state of euthymia when recruited. The primary outcomes should be personal recovery and quality of life at 12-month follow-up. Secondary outcomes should be time to relapse, social and occupational functioning, and cost effectiveness.

Source guidance details

Comes from guidance
Bipolar disorder: assessment and management
Number
CG185
Date issued
September 2014

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 15/10/2014