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Source: InCites
Abstract
COVID-19 dialectical behaviour therapy DBT borderline personality disorder Mental health services Mental health nursing Mental health services Telehealth
Dialectical Behaviour Therapy (DBT) programmes are often the only available treatment for people diagnosed with borderline personality disorder and were rapidly converted to online delivery during the COVID-19 pandemic. Limited research exists surrounding how the major elements of DBT are delivered in an online environment. This scoping review considered the operationalization of online delivery of DBT and its effectiveness. EBSCO host databases were searched using free text. Of 127 papers, 11 studies from 2010 to 2021 investigating online DBT for any clinical population were included in the review. A narrative synthesis of papers selected was undertaken. Seven articles reported results from five clinical trials (n = 437). Most adaptations mirrored face-to-face programmes although there was considerable variation in how therapy was facilitated. Attendance was reported to be greater online with comparable clinical improvements to face-to-face for those who remained in therapy. Additional challenges included managing risk, therapist preparedness and technology difficulties. Online delivery of DBT programmes is feasible and may be more accessible, acceptable and as safe and effective as face-to-face delivery. However, mirroring face to face delivery in an online environment may not be the most effective and efficient way to adapt DBT to online provision. Research is needed to identify areas which require further adaptation.
Details
Title
Towards online delivery of Dialectical Behaviour Therapy: A scoping review
Creators
Richard Lakeman - Southern Cross University
Peter King -
Australian DBT Institute, Southport, Queensland, Australia
John Hurley - Southern Cross University
Richard Tranter - Mid North Coast Local Health District
Andrew Leggett - Mid North Coast Local Health District
Katrina Campbell - Southern Cross University
Claudia Herrera -
Australian DBT Institute, Southport, Queensland, Australia
Publication Details
International Journal of Mental Health Nursing, Vol.31(4), pp.843-856
Publisher
Wiley-Blackwell Publishing Asia
Grant note
External funding was Council of Australian University Librarians for this study.
Identifiers
991012993398502368
Copyright
This is an open access article under the terms of the Creative Commons Attribution-Non Commercial-No Derivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Academic Unit
Nursing; Faculty of Health
Language
English
Resource Type
Journal article
Towards online delivery of Dialectical Behaviour Therapy: A scoping review