Several care providers in Spain, Scotland, Denmark, Wales, the Netherlands, Italy, Turkey, Germany, Norway, Estonia, Greenland implemented 'computerised cognitive behaviour therapy' (cCBT) and/or collaborative care via video conference as part of the EU-funded MasterMind project. "The project reached many more people than expected", says project coordinator Claus Duedal Pedersen (Region South Denmark). "Our target was 5,000 patients but the enthusiasm was so great that in the end we reached nearly 12,000 patients all over Europe."

According to the experts involved, the EU-funded MasterMind project was a success. In a recent webinar they analysed what they learned. What are the barriers and success factors to implementing these services on a large scale?

Advantages

There doesn't seem to be a major difference when it comes to percentages of patients getting better after regular cognitive behaviour therapy or telemedicine treatment. But when you use telemedicine, you can make high quality treatment for depression more widely available. Other advantages: You can reduce the amount of consultations in the clinic, increase the amount of information health professionals collect about patients, you can reduce travels, and improve care quality in terms of better follow-up possibilities.

"In Aragón (Spain) the mental health professionals experience a high workload and we have a long waiting list for mental health resources", local coordinator Modesto Sierra Callau said. "MasterMind helped us to manage this."

Scotland coordinator Chris Wright: "MasterMind was an important part of the long-term strategy to implement cCBT in Scotland". He noticed that communication and marketing towards healthcare professionals are crucial: "This way the service gets more referrals, and when done correctly, you can have a great impact, as these services becomes more efficient and cost effective with increased use."

Large scale

A major cause of morbidity worldwide, depression is characterised by its high incidence, social cost and proven clinical effectiveness of ICT in its treatment. MasterMind's goal was to assess through implementation at scale (more than 5.000 patients overall) the impact of cCBT (computerised Cognitive Behavioural Therapy) and video conference for collaborative care and treatment for depression across 10 EU and Associated Countries.

They identified barriers and success factors to implementing the two services on a large scale in different political, social, economic and technical healthcare contexts and from the perspective of different stakeholders such as patients, professionals and health insurances. The project aimed to provide recommendations for successful strategies for implementing cCBT and video conference for depression in these different settings.

The project ran from the 1st of March 2014 to the 28th of February 2017 and had a total budget of €14 million co-funded by the CIP ICT PSP programme.

Watch the webinar

Project video