The Effectiveness of an Electronic-Mail Campaign to Modify Stress Levels, Mood States, and Coping Techniques Among Employed Adults Page: 32
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behavioral treatment. The effects of the treatment were equivalent to a therapist-administered
cognitive-behavioral treatment, and produced more change than a waiting- list control group.
Similarly, Agras, Taylor, Feldman, Losch, & Burnett (1990) compared samples of mild to
moderately overweight women who participated computer therapy, computer therapy with group
support, or group behavior therapy. The researchers found that computer therapy was
comparable to group or individual therapy in terms of education and outcome.
Thus, the literature demonstrates that Internet-based treatments are an effective method of
evoking cognitive and behavioral changes among individuals who are motivated to pursue these
changes. After all, participants in Internet programs must log-onto a website and follow a certain
number of steps to learn new information.
A question remains whether individuals who need some reminding or prompting might also be
amenable to behavior change with the assistance of computer technology as an MCT. E-mail
might be one way to circumvent the drawback intrinsic in other Internet-based treatments which
require motivation.
E-mail as an Intervention
Research on the field of e-mail as an intervention or adjunct to therapy has been even
slower to evolve than Internet research. Critics argue that the lack of non- verbal cues and
difficulty in establishing the therapist's concern, personality, or warmth would impede the
therapeutic relationship and process (Barak, 1999; Finfgeld, 1999). Additionally, e-mail therapy
is not entirely secure. On-line therapies are also characterized by "elitism" because they are only
accessible to individuals with the resources and education necessary to participate. Some of the
hesitation in pursuing the exploration of the effectiveness of e-mail may be due to these obvious
drawbacks.32
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Hoke, Cassandra N. The Effectiveness of an Electronic-Mail Campaign to Modify Stress Levels, Mood States, and Coping Techniques Among Employed Adults, dissertation, August 2003; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc4262/m1/37/: accessed July 17, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .