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Engagement and outcomes of a Chinese-language online cognitive behaviour therapy program for depression in routine care

Bibliographic Data

ID21294076
AuthorsIsabella Choi (0000-0001-6033-1563, St Vincent's Hospital Sydney), Alison Mahoney (0000-0003-1118-4055, St Vincent's Hospital Sydney), Alison E J Mahoney (UNSW Sydney), Christine T Shiner (0000-0001-9891-3307, St Vincent's Hospital Sydney, corresponding author)
Year2026
Volume61
Issue3
Pages234-246
Publication date2026-05-04
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAustralian Psychologist (JOURNAL)
Journal identifiersISSN: 0005-0067 • E-ISSN: 1742-9544
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00050067.2026.2666418
OpenAlexW7160316572
LanguageEN
References cited66

Objective Internet-delivered cognitive behaviour therapy (iCBT) has the potential to increase treatment accessibility for culturally and linguistically diverse (CALD) groups. In Australia, only one non-English iCBT program is offered in routine care. This study examined the use and outcomes of a Chinese-language iCBT depression program in the general Australian community.Method Routine data collected from users of the THIS WAY UP iCBT Chinese Depression program were analysed. Measures of depression symptom severity and psychological distress were administered at three timepoints and treatment effects were assessed via intention-to-treat linear mixed models.Results N = 297 adults registered to undertake the program, and 238 (80.1%) commenced treatment. Medium and large effect size reductions in depression symptom severity (Hedge’s g = 0.72, 95%CI: 0.54–0.91) and psychological distress (g = 0.90, 95%CI: 0.71–1.09) were observed pre- to post-treatment. Program adherence was modest with approximately 36% of program commencers completing all six program lessons.Conclusions There was modest engagement with a Chinese-language iCBT depression program by Chinese Australians in the community through organic channels. This study supports the effectiveness of the Chinese iCBT depression program in a routine care setting and the demand for language- and culturally appropriate digital mental health interventions for CALD communities

Behaviour change · Behaviour therapy · Cognition · Cognitive behavioral therapy · Cognitive behaviour therapy · Cognitive therapy · Depression (economics) · Digital Mental Health Interventions · Mental Health Treatment and Access · Telemedicine and Telehealth Implementation

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