The Science behind Big White Wall
Research has shown that Big White Wall offers digital services that work. These include:
- Peer support: Davidson et al (2012) reviewed the evidence for peer support in severe mental illness and found evidence of improved engagement, reduced emergency admissions, and improved feelings of hope and control for people supported by their peers.
- Self-management approaches: Straten et al (2008), a Dutch group, conducted an RCT of the effectiveness of web-based self-help for depression, anxiety and stress. 213 people participated in the study and the programme was found to be effective.
- Professionally guided support:Hedman (2014) wrote an editorial in the BMJ about the effectiveness of therapist-led guided support for, in particular, depression, social anxiety disorder, and panic disorder, and described the Swedish ICBT clinic that has treated over 3000 patients.
- LiveTherapy. Barak et al (2008), an Israeli group, conducted a meta-analysis of internet-based psychotherapy. They found 64 papers, relating to 92 studies, with a total of 9764 patients. Internet-based therapy was as effective as face to face with a medium effect size of 0.53.
Our evidence supports this.
In a survey of BWW members, 46% reported sharing an issue or feelings on BWW for the first time and 70% of members from local health contracts reported that using Big White Wall improved their wellbeing in at least one way
- People taking BWW GuidedSupport courses for anxiety experienced an average reduction of 3.5 points on the GAD7 (anxiety) scale
- For people taking depression courses, the average reduction in the PHQ9 (depression) scale was 3.5 points
- Big White Wall’s LiveTherapy service has consistently shown recovery rates above the average achieved by IAPT provision. Of people referred into LiveTherapy by their GP, 57% were moving to recovery. The national average recovery rate is 45%, according to NHS statistics.
- Equally, the convenience of LiveTherapy allows people to access sessions from home, with no need to travel or take time off work. They can pick their own therapist and choose session times to suit them. 70% of LiveTherapy sessions take places outside office hours, including evenings and weekends. These factors reduce DNAs and push up patient satisfaction.
- 96% reported that they were satisfied or very satisfied with their therapist, and 87% were satisfied or very satisfied with LiveTherapy overall.
BWW is passionate about making a difference
In order to research its impact and usefulness further BWW is undertaking a range of independent studies, with respected academic experts including UCL Partners and Robertson Cooper, the workplace wellbeing experts, which will assess the effectiveness of BWW in a number of different settings and contexts. In addition, BWW is about to take part in a broad study of efficacy with a large and renowned US academic research centre.