D Lehr | Protect Lab

Akzeptanz und Nutzung von E-Mental-Health-Angeboten unter Studierenden

Sat, 01 Jan 2022 00:00:00 +0000

Reducing problematic alcohol use in employees- economic evaluation of guided and unguided web‐based interventions alongside a three‐arm randomized controlled trial

Sat, 01 Jan 2022 00:00:00 +0000

A three-armed randomised controlled trial investigating the comparative impact of guidance on the efficacy of a web-based stress management intervention and health impairing

Fri, 01 Jan 2021 00:00:00 +0000

Effect of an internet-and app-based stress intervention compared to online psychoeducation in university students with depressive symptoms- Results of a randomized controlled trial

Fri, 01 Jan 2021 00:00:00 +0000

Evaluating a hybrid web-based training program for panic disorder and agoraphobia- Randomized controlled trial

Fri, 01 Jan 2021 00:00:00 +0000

Guided internet-based cognitive behavioral therapy for insomnia- Health-economic evaluation from the societal and public health care perspective alongside a randomized

Fri, 01 Jan 2021 00:00:00 +0000

A mobile application for panic disorder and agoraphobia- Insights from a multi-methods feasibility study

Wed, 01 Jan 2020 00:00:00 +0000

A Web- and Mobile-Based Intervention for Comorbid, Recurrent Depression in Patients With Chronic Back Pain on Sick Leave (Get.Back): Pilot Randomized Controlled Trial on Feasibility, User Satisfaction, and Effectiveness

Wed, 01 Jan 2020 00:00:00 +0000

Abstract

Background: Chronic back pain (CBP) is linked to a higher prevalence and higher occurrence of major depressive disorder (MDD) and can lead to reduced quality of life. Unfortunately, individuals with both CBP and recurrent MDD are underidentified. Utilizing health care insurance data may provide a possibility to better identify this complex population. In addition, internet- and mobile-based interventions might enhance the availability of existing treatments and provide help to those highly burdened individuals.

Objective: This pilot randomized controlled trial investigated the feasibility of recruitment via the health records of a German health insurance company. The study also examined user satisfaction and effectiveness of a 9-week cognitive behavioral therapy and Web- and mobile-based guided self-help intervention Get.Back in CBP patients with recurrent MDD on sick leave compared with a waitlist control condition.

Methods: Health records from a German health insurance company were used to identify and recruit participants (N=76) via invitation letters. Study outcomes were measured using Web-based self-report assessments at baseline, posttreatment (9 weeks), and a 6-month follow-up. The primary outcome was depressive symptom severity (Center for Epidemiological Studies–Depression); secondary outcomes included anxiety (Hamilton Anxiety and Depression Scale), quality of life (Assessment of Quality of Life), pain-related variables (Oswestry Disability Index, Pain Self-Efficacy Questionnaire, and pain intensity), and negative effects (Inventory for the Assessment of Negative Effects of Psychotherapy).

Results: The total enrollment rate with the recruitment strategy used was 1.26% (76/6000). Participants completed 4.8 modules (SD 2.6, range 0-7) of Get.Back. The overall user satisfaction was favorable (mean Client Satisfaction Questionnaire score=24.5, SD 5.2). Covariance analyses showed a small but statistically significant reduction in depressive symptom severity in the intervention group (n=40) at posttreatment compared with the waitlist control group (n=36; F1,76=3.62, P=.03; d=0.28, 95% CI −0.17 to 0.74). Similar findings were noted for the reduction of anxiety symptoms (F1,76=10.45; P=.001; d=0.14, 95% CI −0.31 to 0.60) at posttreatment. Other secondary outcomes were nonsignificant (.06≤P≤.44). At the 6-month follow-up, the difference between the groups with regard to reduction in depressive symptom severity was no longer statistically significant (F1,76=1.50, P=.11; d=0.10, 95% CI −0.34 to 0.46). The between-group difference in anxiety at posttreatment was maintained to follow-up (F1,76=2.94, P=.04; d=0.38, 95% CI −0.07 to 0.83). There were no statistically significant differences across groups regarding other secondary outcomes at the 6-month follow-up (.08≤P≤.42).

Conclusions: These results suggest that participants with comorbid depression and CBP on sick leave may benefit from internet- and mobile-based interventions, as exemplified with the positive user satisfaction ratings. The recruitment strategy via health insurance letter invitations appeared feasible, but more research is needed to understand how response rates in untreated individuals with CBP and comorbid depression can be increased.

Efficacy of a Self-Help Web-Based Recovery Training in Improving Sleep in Workers- Randomized Controlled Trial in the General Working Population

Wed, 01 Jan 2020 00:00:00 +0000

Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial

Tue, 01 Jan 2019 00:00:00 +0000

E-Mental Health- Selbstmanagement beim Diabetes mellitus Typ 2–Möglichkeiten von internetbasierten Gesundheitsinterventionen

Tue, 01 Jan 2019 00:00:00 +0000

Economic evaluation of an internet-based stress management intervention alongside a randomized controlled trial

Tue, 01 Jan 2019 00:00:00 +0000

Efficacy of an internet and app-based gratitude intervention in reducing repetitive negative thinking and mechanisms of change in the interventions effect on anxiety and

Tue, 01 Jan 2019 00:00:00 +0000

The German version of the Perceived Stress Scale (PSS-10)- evaluation of dimensionality validity and measurement invariance with exploratory and confirmatory bifactor modeling

Tue, 01 Jan 2019 00:00:00 +0000

The more I got the less I need? Efficacy of Internet-based guided self-help compared to online psychoeducation for major depressive disorder

Tue, 01 Jan 2019 00:00:00 +0000

Does sms-support make a difference? effectiveness of a two-week online-training to overcome procrastination. a randomized controlled Trial

Mon, 01 Jan 2018 00:00:00 +0000

Effectiveness of web-and mobile-based treatment of subthreshold depression with adherence-focused guidance- a single-blind randomized controlled trial

Mon, 01 Jan 2018 00:00:00 +0000

Efficacy of a web‐based intervention with and without guidance for employees with risky drinking- results of a three‐arm randomized controlled trial

Mon, 01 Jan 2018 00:00:00 +0000

Patients experiences in a guided internet-and app-based stress intervention for college students- a qualitative study

Mon, 01 Jan 2018 00:00:00 +0000

Severely burdened individuals do not need to be excluded from internet-based and mobile-based stress management- effect modifiers of treatment outcomes from three randomized

Mon, 01 Jan 2018 00:00:00 +0000

Turning good intentions into actions by using the health action process approach to predict adherence to internet-based depression prevention- secondary analysis of a

Mon, 01 Jan 2018 00:00:00 +0000

Web-based intervention for depressive symptoms in adults with types 1 and 2 diabetes mellitus- a health economic evaluation

Mon, 01 Jan 2018 00:00:00 +0000

E-Mental-Health–am Beispiel von internetbasierten Gesundheitsinterventionen

Sun, 01 Jan 2017 00:00:00 +0000

Effectiveness of a web-based intervention in treating subthreshold depression and in preventing major depression

Sun, 01 Jan 2017 00:00:00 +0000

Health-economic evaluation alongside a pragmatic randomised controlled trial of a web-based intervention

Sun, 01 Jan 2017 00:00:00 +0000

Preventing depression in adults with subthreshold depression- health-economic evaluation alongside a pragmatic randomized controlled trial of a web-based intervention

Sun, 01 Jan 2017 00:00:00 +0000

The 6‐month effectiveness of Internet‐based guided self‐help for depression in adults with Type 1 and 2 diabetes mellitus

Sun, 01 Jan 2017 00:00:00 +0000

The benefit of web-and computer-based interventions for stress- a systematic review and meta-analysis

Sun, 01 Jan 2017 00:00:00 +0000

Adherence to internet-based mobile-supported stress management- a pooled analysis of individual participant data from three randomized controlled trials