In this paper, we compare the mental health outcomes of public registrants and trial participants using the MoodGYM website, a cognitive behaviour therapy website. These aspects of the intervention may be responsible for the efficacy of these sites, either directly through personal support provided to the participant, or indirectly through the greater adherence that results from this support. They are tracked and monitored over the trial period, and may be called to complete questionnaires over the phone or on the Internet. For example, RCT participants are encouraged by trial managers, either in person or by phone. The experience of a user of an open website is less structured than the experience of a participant in a randomized controlled trial (RCT). ![]() As yet, however, there has been no assessment of whether these evaluated websites are as useful for public users as for trial participants. To date, there have been 6 published trials evaluating the delivery of cognitive behavior therapy (CBT) using the Internet for anxiety and depression, of which 4 reported positive outcomes. ![]() ![]() The Internet is increasingly seen as a resource to disseminate self-help and clinician-based mental health interventions.
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