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Delivery and Support

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The evidence base regarding ways to improve access through the provision of choice regarding cCBT, iCBT (Ritterband et al., 2010), telephone-based (T-CBT; Mohr et al., 2012), video teleconferencing (Varger et al., 2019) or email to support LICBT (Hadjistavropoulos, 2018) is encouraging. A systematic review comparing face-to-face with iCBT demonstrated no difference in effectiveness (Carlbring et al., 2018). Additionally, no differences emerged regarding drop-out that has previously been identified to be a challenge for internet-based interventions (Christensen et al., 2009). Evidence has also demonstrated the utility of T-CBT (Bee et al., 2008). In a randomised controlled trial comparing high-intensity face-to-face with T-CBT there was little difference in effectiveness post treatment with lower attrition with T-CBT (Mohr et al., 2012). However, caution should be exercised given that treatment gains were better maintained with face-to-face CBT following the end of treatment.

Low-intensity CBT Skills and Interventions

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