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1 – 10 of over 1000

Abstract

Purpose

This study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach.

Design/methodology/approach

The review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD.

Findings

A total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries.

Research limitations/implications

Despite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD.

Practical implications

This paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD.

Social implications

CBT is a psychological intervention that has been recommended by the literature for the treatment of major depressive disorder (MDD). It is a widely recognized and accepted approach that combines cognitive and behavioral techniques to assist individuals overcome their depressive symptoms and improve their overall mental well-being. This would speculate that effectiveness associated with several aspects and combinations of different approaches in CBT interventions and the impact of different delivery models are essential for clinical practice and appropriate selection of the interventional combinations.

Originality/value

This systematic review focuses on the various studies that explore the effectiveness of face-to-face CBT and ICBT in reducing depressive symptoms among patients with major depressive disorder. These studies were conducted in different countries such as Iran, Australia, Pennsylvania and the USA.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Book part
Publication date: 22 January 2024

Puwanendram Gayathri, Baghya Erathna, Krishantha Ganeshan, Suranga DAC Silva and Himalee de Silva

This chapter considers the current situation of community-based tourism (CBT) in Sri Lanka, available potentials to promote this for the future tourism industry in Sri Lanka and…

Abstract

This chapter considers the current situation of community-based tourism (CBT) in Sri Lanka, available potentials to promote this for the future tourism industry in Sri Lanka and demand and global trends of CBT. This chapter consists of an introduction examining CBT in the global scenario. This chapter's second title discusses the potential of CBT in Sri Lanka. The third topic concerns the demand and trends of CBT in a changing economy. The fourth topic is discussing global best practices and policies for CBT development. Finally, it concludes with recommendations and suggestions for CBT development in Sri Lanka.

This case study was conducted through qualitative analysis, and data will be collected with primary and secondary data. Primary data will be collected through interviews with industry stakeholders, tourists and other relevant interviewees. In addition, it will be carried out observation on selected community-based destinations. Furthermore, the secondary data will be gathered through books, articles, research papers, websites and other materials. This chapter conducted an empirical study on CBT in Sri Lanka. It brings the values of CBT to a changing economy. Furthermore, this study identified problems, potentials, demands and trends for future tourism development by evaluating global best practices and policies.

Book part
Publication date: 4 August 2022

Olivene Burke and Shinique Walters

According to the UNWTO (2020), tourism is considered one of the world's major economic sectors and accounted for 7% of global trade in 2019. For countries like Jamaica, the…

Abstract

According to the UNWTO (2020), tourism is considered one of the world's major economic sectors and accounted for 7% of global trade in 2019. For countries like Jamaica, the tourism sector is a significant provider of jobs and services. The literature chronicles the transformation of the tourism landscape – moving beyond resorts, cruises, and tours to a more culture-centric landscape, embracing authentic and natural environments. Consequently, community-based tourism (CBT) has garnered considerable attention as a fast-growing industry that embraces the special interests of the “new tourists.” Furthermore, CBT has become a significant socioeconomic benefit for inner-city communities. However, the COVID-19 pandemic negatively impacted the sector, impacting the national economy and the livelihoods of informal and formal tourism workers. Additionally, CBT experienced a loss of its primary stakeholders – tourists. Preliminary engagements revealed that the loss of CBT during the pandemic had adverse effects on communities and highlighted the fragility of the current CBT framework to withstand future unknown shocks. Therefore, the sustainability of CBT requires a different approach. This study sought to explore the socioeconomic impact of COVID-19 on CBT in rural and urban communities to propose a “fit for purpose” model that can withstand adverse effects of shocks and be replicated across the Caribbean.

Book part
Publication date: 22 January 2024

Özcan Zorlu, Ali Avan and Ahmet Baytok

The objective of this study is to make a conceptual analysis of Community-based tourism (CBT). CBT, one of the tourism activities that internalised sustainability, has several…

Abstract

The objective of this study is to make a conceptual analysis of Community-based tourism (CBT). CBT, one of the tourism activities that internalised sustainability, has several common threads with nature-based tourism activities. However, these similarities/common elements must be more understandable between those relevant tourism activities. From this fact, this research aims to assign a theoretical framework for CBT and reveal the differences between CBT activities from other tourism types.

Tourism, unavoidably, is one of the critical sectors that require sustainable usage of resources. Because visiting natural, historical and cultural values/attractions constitute the primary reason for tourists' travel motivations, making those values/attractions sustainable for the future is essential. However, the sustainable usage of those values/attractions can be enabled with protection and maintenance balance. On the other hand, this philosophy will only come true if obtaining the locals support it. Therefore, CBT propounds that local people should make the most of tourism at all levels, especially the economic contribution. Within this context, the importance and necessity of these issues will be manifested in this chapter, presenting a conceptual framework. Additionally, this chapter will support other researchers in constituting the conceptual framework and will guide policymakers and other stakeholders to understand the importance of CBT.

Book part
Publication date: 12 June 2024

Md. Wasiul Islam, Shakil Ahmed and Raisa Tasnim Mahin

Community-based tourism (CBT) is known as a strong strategy and tool to promote community development and conservation of natural resources through its various virtues in both…

Abstract

Community-based tourism (CBT) is known as a strong strategy and tool to promote community development and conservation of natural resources through its various virtues in both developing and developed economies. Local people's active and functional participation is considered as the focal point in CBT practice and development. However, their functional participation doesn't always come instinctively; rather, it requires proper extrinsic and intrinsic motivation in the form of both tangible and intangible, which ultimately help them to influence their behavior and pursuit of goals that may ensure their participation in CBT and to receive various benefits. These benefits are linked to the sustainability of CBT development including community development. Therefore, strategic CBT planning and its implementation are essential to ensure sustainable CBT which can also safeguard the link between the local community people and their guests as well as other stakeholders including internationals to facilitate local community development. This chapter focuses on various theories and concepts of motivation from various fields of research, and efforts have been taken to apply those in the field of CBT development to explore its optimum potential for the sake of human welfare. Moreover, attempts have been taken to use various CBT initiatives in Bangladesh to relate these theories and concepts to evaluate these initiatives as well as to provide some suggestive measures to improve the performance of CBT and to facilitate more community development as a whole.

Details

Strategic Tourism Planning for Communities
Type: Book
ISBN: 978-1-83549-016-7

Keywords

Article
Publication date: 5 September 2023

Janepher Nsozi Sambaga

Women cross-border traders face impediments in their entrepreneurial work from time-to-time. To overcome these impediments, females need to take on self-concept (self-esteem…

Abstract

Purpose

Women cross-border traders face impediments in their entrepreneurial work from time-to-time. To overcome these impediments, females need to take on self-concept (self-esteem, self-confidence, social roles) mediated by self-organization (adaptability, interaction, team working) in order to thrive in cross-border trading (CBT), using evidence from Uganda. So, in this paper the authors explain the behavior of a female who succeeds in CBT with interest of scaling it up to empower more female entrepreneurs.

Design/methodology/approach

This study is a correlational and cross-sectional type. A questionnaire survey of 288 females was used. The data collected were analyzed through SPSS.

Findings

The results reveal that self-concept, mediated by self-organization, controlled by tenure in business and the age of a female in CBT significantly influences CBT behavior among females in Uganda.

Research limitations/implications

This study focused on females who are involved in CBT in Uganda. Therefore, it is likely that the results may not be generalized to other settings. The results show that for females to succeed in CBT, self-concept and self-organization affect CBT behavior once they are controlled by tenure in business and the age of a female in CBT at more than 30 years of age and longer than 5 years.

Originality/value

This study provides initial evidence that self-concept, mediated by self-organization, controlled by tenure in business and age of a CBT directly affects CBT behavior, using evidence from an African developing country – Uganda.

Article
Publication date: 15 July 2019

Elizabeth Koschmann, James L. Abelson, Amy M. Kilbourne, Shawna N. Smith, Kate Fitzgerald and Anna Pasternak

Mood and anxiety disorders affect 20–30 percent of school-age children, contributing to academic failure, substance abuse, and adult psychopathology, with immense social and…

Abstract

Purpose

Mood and anxiety disorders affect 20–30 percent of school-age children, contributing to academic failure, substance abuse, and adult psychopathology, with immense social and economic impact. These disorders are treatable, but only a fraction of students in need have access to evidence-based treatment practices (EBPs). Access could be substantially increased if school professionals were trained to identify students at risk and deliver EBPs in the context of school-based support services. However, current training for school professionals is largely ineffective because it lacks follow-up supported practice, an essential element for producing lasting behavioral change. The paper aims to discuss these issues.

Design/methodology/approach

In this pilot feasibility study, the authors explored whether a coaching-based implementation strategy could be used to integrate common elements of evidence-based cognitive behavioral therapy (CBT) into schools. The strategy incorporated didactic training in CBT for school professionals followed by coaching from an expert during co-facilitation of CBT groups offered to students.

Findings

In total, 17 school professionals in nine high schools with significant cultural and socioe-conomic diversity participated, serving 105 students. School professionals were assessed for changes in confidence in CBT delivery, frequency of generalized use of CBT skills and attitudes about the utility of CBT for the school setting. Students were assessed for symptom improvement. The school professionals showed increased confidence in, utilization of, and attitudes toward CBT. Student participants showed significant reductions in depression and anxiety symptoms pre- to post-group.

Originality/value

These findings support the feasibility and potential impact of a coaching-based implementation strategy for school settings, as well as student symptom improvement associated with receipt of school-delivered CBT.

Details

The Journal of Mental Health Training, Education and Practice, vol. 14 no. 4
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 9 November 2015

Vikneswaran Nair and Amran Hamzah

The purpose of this paper is to provide a better understanding of the long-term viability of community-based tourism (CBT) as a development tool in rural tourism, and how the best…

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Abstract

Purpose

The purpose of this paper is to provide a better understanding of the long-term viability of community-based tourism (CBT) as a development tool in rural tourism, and how the best practice from the Asia Pacific region can be used to strategize the nine-stage plan to develop and sustain it in the long term.

Design/methodology/approach

This paper is formulated using a case study approach based on the lessons learned and the best practices in ten member economies of the Asia Pacific Economic Cooperation (APEC) Forum, namely, Australia, Canada, China, Chinese Taipei, Indonesia, Korea, Malaysia, New Zealand, the Philippines and Vietnam.

Findings

Based on the analyses of the ten case studies, the paper recommends nine steps for developing and sustaining CBT. These nine steps are divided into two sections – developing CBT and sustaining CBT. The first four steps relate to starting and developing CBT initiatives, which are useful for projects and sites that are embarking on CBT. The subsequent five steps are meant to address the sustainability of CBT projects, which are more appropriate for mature CBT projects that are gradually moving up the value chain. The nine steps are presented in detail and supported by the models developed from the case studies. For each step, a list of actions is recommended to guide the development of CBT.

Research limitations/implications

This paper is limited by the ten case studies selected by the researcher. The conditions for these selected case studies may not be identical in other locations, and thus, the proposed nine-step framework can be used only as a guide. Each step outlined may vary from one nation to another.

Originality/value

The main output of this paper is designed to provide guidance for tourism/rural planners, non-government organizations (NGOs), industry players and CBT organizations in deciding whether tourism could work for a particular community and if it is feasible to be sustained over the long term.

Details

Worldwide Hospitality and Tourism Themes, vol. 7 no. 5
Type: Research Article
ISSN: 1755-4217

Keywords

Article
Publication date: 2 September 2014

Osamu Kobori, Michiko Nakazato, Naoki Yoshinaga, Tetsuya Shiraishi, Kota Takaoka, Akiko Nakagawa, Masaomi Iyo and Eiji Shimizu

The purpose of this paper is to discuss the implementation and evaluation of a cognitive behavioral therapy (CBT) training course for clinicians in Chiba, the sixth-largest…

Abstract

Purpose

The purpose of this paper is to discuss the implementation and evaluation of a cognitive behavioral therapy (CBT) training course for clinicians in Chiba, the sixth-largest province in Japan.

Design/methodology/approach

Individual CBT for obsessive-compulsive disorder, bulimia nervosa, or social anxiety disorder was delivered by trainees of the Chiba CBT training course in a single study design.

Findings

The results demonstrated that individual CBT delivered by trainees led to statistically significant reductions in symptom severity for all three disorders. Feedback from the trainees indicated that the training course achieved its aims.

Research limitations/implications

Barriers to the dissemination of CBT in Japan such as opportunities for training and possible solutions are discussed.

Originality/value

This paper evaluates the Chiba CBT training course, which is a Japanese adaptation of the UK Improving Access to Psychological Therapies Project and the first post-qualification CBT training course in Japan.

Details

The Journal of Mental Health Training, Education and Practice, vol. 9 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 1 May 1992

Richard Holden

Discusses Marks & Spencer′s application of computer‐basedtraining (CBT) in training its food supervisors. CBT is used to enhancethe transfer of learning following training input…

Abstract

Discusses Marks & Spencer′s application of computer‐based training (CBT) in training its food supervisors. CBT is used to enhance the transfer of learning following training input using workbooks. Argues that the particular application is a very powerful and effective use of CBT, illustrating the real potential of CBT when integrated with other training techniques. Reflects on how such an application may assist in the development of CBT more generally.

Details

Education + Training, vol. 34 no. 5
Type: Research Article
ISSN: 0040-0912

Keywords

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