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  • 1
    In: European Psychologist, Hogrefe Publishing Group, Vol. 24, No. 1 ( 2019-01), p. 49-67
    Abstract: Abstract. Chronic illnesses cause considerable burden in quality of life, often leading to physical, psychological, and social dysfunctioning of the sufferers and their family. There is a growing need for flexible provision of home-based psychological services to increase reach even for traditionally underserved chronic illness sufferer populations. Digital interventions can fulfill this role and provide a range of psychological services to improve functioning. Despite the potential of digital interventions, concerns remain regarding users’ engagement, as low engagement is associated with low adherence rates, high attrition, and suboptimal exposure to the intervention. Human–computer interaction (e.g., theoretical models of persuasive system design, gamification, tailoring, and supportive accountability) and user characteristics (e.g., gender, age, computer literacy) are the main identified culprits contributing to engagement and adherence difficulties. To date, there have not been any clear and concise recommendations for improved utilization and engagement in digital interventions. This paper provides an overview of user engagement factors and proposes research informed recommendations for engagement and adherence planning in digital intervention development. The recommendations were derived from the literature and consensualized by expert members of the European Federation of Psychology Associations, Psychology and Health Standing Committee, and e-Health Task Force. These recommendations serve as a starting point for researchers and clinicians interested in the digitalized health field and promote effective planning for engagement when developing digital interventions with the potential to maximize adherence and optimal exposure in the treatment of chronic health conditions.
    Type of Medium: Online Resource
    ISSN: 1016-9040 , 1878-531X
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    Language: English
    Publisher: Hogrefe Publishing Group
    Publication Date: 2019
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    SSG: 5,2
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  • 2
    In: Verhaltenstherapie, S. Karger AG, Vol. 29, No. 3 ( 2019), p. 205-219
    Abstract: 〈 b 〉 〈 i 〉 Hintergrund: 〈 /i 〉 〈 /b 〉 Blended Psychotherapy (bPT) ist ein Behandlungskonzept zur Integration von Internet-/Mobil-basierten Interventionen in die ambulante/stationäre Psychotherapie. Es kann den Therapieprozess bereichern, indem Online-basierte Behandlungselemente als verlängerter therapeutischer Arm genutzt und zwischen den Therapiesitzungen von PatientInnen zeit- und ortsunabhängig bearbeitet werden. Dadurch könnten die Effektivität von Psychotherapie potenziell verbessert oder mehr Therapieplätze durch die eingesparte Therapeutenzeit angeboten werden. Der Fallbericht soll ein Verständnis der Verzahnung der Behandlungselemente ermöglichen. 〈 b 〉 〈 i 〉 Fallbericht: 〈 /i 〉 〈 /b 〉 Die viermonatige Kurzzeit-Depressionsbehandlung einer 48-jährigen Patientin mit sechs Face-to-Face-Therapiesitzungen, sechs Online-Lektionen und App-Ratings wird nach den CARE-Richtlinien und auf Basis quantitativer und qualitativer Daten (Behandlungsdokumentation) dargestellt. Die depressive Sympto­matik reduzierte sich im Behandlungsverlauf klinisch signifikant (Patient Health Questionnaire [PHQ-9], 0–27: T0 = 17; T1 = 7) von einer mittel-schwergradigen zu einer subklinisch-milden Ausprägung und erfüllte im 12-Monats-Diagnostikinterview keine klinischen Diagnosekriterien. Die Patientin zeigte eine maximale Behandlungszufriedenheit (Fragebogen zur Patientenzufriedenheit [ZUF-8] , 8–32: T1 = 32) sowie Adhärenz und bewertete die therapeutische Bezie­hung sehr positiv (Working Alliance Inventory [WAI], 12–60: T1 = 57). 〈 b 〉 〈 i 〉 Schlussfolgerung: 〈 /i 〉 〈 /b 〉 bPT war bei dieser Patientin ge­eignet, um depressive Symptome zu reduzieren. Stärken der Behandlung waren die gute Integrierbarkeit der Online-Behandlung in die Berufstätigkeit der Patientin und die Individualisierung in den Therapiegesprächen durch die Therapeutin. Die Vorgabe von sechs Therapiesitzungen schränkte den Behandlungserfolg insofern ein, dass nicht alle Behandlungsthemen therapeutisch bearbeitet und keine Rezidiv­prophylaxe durchgeführt werden konnten.
    Type of Medium: Online Resource
    ISSN: 1016-6262 , 1423-0402
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2019
    detail.hit.zdb_id: 1483583-6
    SSG: 5,2
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  • 3
    In: The British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 212, No. 4 ( 2018-04), p. 199-206
    Abstract: Web-based interventions are effective in reducing depression. However, the evidence for the cost-effectiveness of these interventions is scarce. Aims The aim is to assess the cost-effectiveness of a web-based intervention (GET.ON M.E.D.) for individuals with diabetes and comorbid depression compared with an active control group receiving web-based psychoeducation. Method We conducted a cost-effectiveness analysis with treatment response as the outcome and a cost-utility analysis with quality-adjusted life-years (QALYs) alongside a randomised controlled trial with 260 participants. Results At a willingness-to-pay ceiling of €5000 for a treatment response, the intervention has a 97% probability of being regarded as cost-effective compared with the active control group. If society is willing to pay €14 000 for an additional QALY, the intervention has a 51% probability of being cost-effective. Conclusions This web-based intervention for individuals with diabetes and comorbid depression demonstrated a high probability of being cost-effective compared with an active control group. Declaration of interest S.N., D.D.E., D.L., M.B. and B.F. are stakeholders of the Institute for Online Health Trainings, which aims to transfer scientific knowledge related to this research into routine healthcare.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
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    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2018
    detail.hit.zdb_id: 2021500-9
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  • 4
    In: Psychotherapy and Psychosomatics, S. Karger AG, Vol. 90, No. 4 ( 2021), p. 233-242
    Abstract: 〈 b 〉 〈 i 〉 Introduction: 〈 /i 〉 〈 /b 〉 Psychotherapy is a first-line treatment for depression. However, capacities are limited, leading to long waiting times for outpatient psychotherapy in health care systems. Web-based interventions (WBI) could help to bridge this treatment gap. 〈 b 〉 〈 i 〉 Objective: 〈 /i 〉 〈 /b 〉 This study investigates the effectiveness of a guided cognitive-behavioral WBI in depressive patients seeking face-to-face psychotherapy. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A 2-arm randomized controlled trial was conducted. Depressive patients ( 〈 i 〉 n 〈 /i 〉 = 136) recruited from the waiting lists of outpatient clinics were randomly assigned to an intervention group (IG; treatment as usual [TAU] + immediate access to WBI) or a control group (CG; TAU + access to WBI after follow-up). Depressive symptoms and secondary outcomes were assessed at baseline, 7 weeks, and 5 months after randomization. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Mixed-model analyses revealed a significant group × time interaction effect on depressive symptoms ( 〈 i 〉 F 〈 /i 〉 〈 sub 〉 2, 121.5 〈 /sub 〉 = 3.91; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.05). Between-group effect sizes were 〈 i 〉 d 〈 /i 〉 = 0.55 at 7 weeks and 〈 i 〉 d 〈 /i 〉 = 0.52 at 5 months. The IG was superior regarding psychological symptoms and mental health quality of life but not on physical health quality of life, attitudes, motivation for psychotherapy, or subjective need and uptake of psychotherapy. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Patients waiting for face-to-face psychotherapy can benefit from a WBI when compared to TAU. Despite the reduction of depressive symptoms in the IG, the uptake of subsequent psychotherapy was still high in both groups. The effects remained stable at the 5-month follow-up. However, this study could not determine the proportion of specific intervention effects vs. nonspecific effects, such as positive outcome expectations or attention. Future research should focus on the long-term effects and cost-effectiveness of WBI before psychotherapy.
    Type of Medium: Online Resource
    ISSN: 0033-3190 , 1423-0348
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    Language: English
    Publisher: S. Karger AG
    Publication Date: 2021
    detail.hit.zdb_id: 1472321-9
    SSG: 5,2
    SSG: 15,3
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  • 5
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2019-12)
    Abstract: People in green professions are exposed to a variety of risk factors, which could possibly enhance the development of depression. Amongst possible prevention approaches, internet- and mobile-based interventions (IMIs) have been shown to be effective and scalable. However, little is known about the effectiveness in green professions. The aim of the present study is to examine the (cost-)effectiveness of a tailored IMI program for reducing depressive symptoms and preventing the onset of clinical depression compared to enhanced treatment as usual (TAU+). Methods A pragmatic randomized controlled trial (RCT) will be conducted to evaluate a tailored and therapeutically guided preventive IMI program in comparison to TAU+ with follow-ups at post-treatment (9 weeks), 6-, 12-, 24-, and 36-months. Entrepreneurs in green professions, collaborating spouses, family members and pensioners ( N  = 360) with sufficient insurance status and at least subthreshold depression (PHQ-9 ≥ 5) are eligible for inclusion. Primary outcome is depressive symptom severity (QIDS-SR16). Secondary outcomes include incidence of depression (QIDS-SR16), quality of life (AQoL-8D) and negative treatment effects (INEP). A health-economic evaluation will be conducted from a societal perspective. The IMI program is provided by psychologists of an external service company and consists of six guided IMIs (6–8 modules, duration: 6–8 weeks) targeting different symptoms (depressive mood, depressive mood with comorbid diabetes, perceived stress, insomnia, panic and agoraphobic symptoms or harmful alcohol use). Intervention choice depends on a screening of participants’ symptoms and individual preferences. The intervention phase is followed by a 12-months consolidating phase with monthly contact to the e-coach. Discussion This is the first pragmatic RCT investigating long-term effectiveness of a tailored guided IMI program for depression prevention in green professions. The present trial builds on a large-scale strategy for depression prevention in green professions. The intended implementation of the IMI program with a nationwide rollout has the potential to reduce overall depression burden and associated health care costs in case of given effectiveness. Trial registration German Clinical Trial Registration: DRKS00014000 . Registered on 09 April 2018.
    Type of Medium: Online Resource
    ISSN: 1471-244X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2050438-X
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  • 6
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: Farmers are a vulnerable population for developing depression or other mental health disorders due to a variety of risk factors in their work context. Beyond face-to-face resources, preventive internet- and tele-based interventions could extend available treatment options to overcome barriers to care. The German Social Insurance Company for Agriculture, Forestry and Horticulture (SVLFG) implements several guided internet- and mobile-based interventions and personalised tele-based coaching for this specific target group provided by external companies within a nation-wide prevention project for their insured members. The current study aims to evaluate the implementation process and to identify determinants of successful implementation on various individual and organisational levels. Methods The current study includes two groups of participants: 1) insured persons with an observable need for prevention services, and 2) staff-participants who are involved in the implementation process. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework and the Consolidated Framework for Implementation Research (CFIR) will be used to track and evaluate the implementation process. A mixed-method approach will provide insights on individual and organizational level (e.g. degree of normalization, readiness for change) and helps to identify determinants of successful implementation. In-depth insights on experiences of the participants (e.g. acceptance, satisfaction, barriers and facilitating factors of intervention use) will be yielded through qualitative interviews. Focus groups with field workers provide insights into barriers and facilitators perceived during their consultations. Furthermore, intervention as well as implementation costs will be evaluated. According to the stepwise, national rollout, data collection will occur at baseline and continuously across 24 months. Discussion The results will show to what extent the implementation of the internet- and tele-based services as a preventive offer will be accepted by the participants and involved employees and which critical implementation aspects will occur within the process. If the implementation of the internet- and tele-based services succeeds, these services may be feasible in the long-term. Trial registration German Clinical Trial Registration: DRKS00017078 . Registered on 18.04.2019.
    Type of Medium: Online Resource
    ISSN: 1471-244X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2050438-X
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  • 7
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2013-12)
    Type of Medium: Online Resource
    ISSN: 1471-244X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
    detail.hit.zdb_id: 2050438-X
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  • 8
    Online Resource
    Online Resource
    Hogrefe Publishing Group ; 2013
    In:  Diagnostica Vol. 59, No. 1 ( 2013-01), p. 17-32
    In: Diagnostica, Hogrefe Publishing Group, Vol. 59, No. 1 ( 2013-01), p. 17-32
    Abstract: Zahlreiche Studien belegen die Relevanz von Emotionsregulationskompetenzen für die psychische Gesundheit. Problematisch ist jedoch, dass viele dieser Studien Selbsteinschätzungsmaße verwenden, die Kompetenzen im Umgang mit Emotionen oder Stimmungen im Allgemeinen zu erfassen suchen. Dadurch bleibt unklar, auf welche Emotionen sich die Probanden beim Ausfüllen beziehen und inwieweit Bewältigungskompetenzen über verschiedene Emotionen hinweg differieren. Ziel der Studie ist daher die Entwicklung und Validierung eines Fragebogens zur ökonomischen Selbsteinschätzung von sowohl emotionsübergreifenden als auch emotionsspezifischen Bewältigungskompetenzen. Auf Basis des emotionsunspezifischen SEK-27 ( Berking & Znoj, 2008 ) wurde ein Fragebogen zur emotionsspezifischen Selbsteinschätzung des konstruktiven Umgangs mit Stress, Angst, Ärger, Traurigkeit und depressiver Stimmung entwickelt (SEK-ES). Mit Hilfe einer nicht-klinischen (N = 358) und einer klinischen Stichprobe (N = 579) wurden Itemkennwerte, Reliabilität, Validität sowie Veränderungssensitivität des SEK-ES bestimmt. Die Befunde sprechen für gute bis sehr gute psychometrische Eigenschaften des Instrumentes und für die Notwendigkeit, emotionale Kompetenzen emotionsspezifisch zu erfassen.
    Type of Medium: Online Resource
    ISSN: 0012-1924 , 2190-622X
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    Language: German
    Publisher: Hogrefe Publishing Group
    Publication Date: 2013
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    detail.hit.zdb_id: 2083917-0
    SSG: 2,1
    SSG: 5,2
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  • 9
    In: Obstetrical & Gynecological Survey, Ovid Technologies (Wolters Kluwer Health), Vol. 71, No. 9 ( 2016-09), p. 526-527
    Type of Medium: Online Resource
    ISSN: 0029-7828
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2016
    detail.hit.zdb_id: 2043471-6
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  • 10
    In: European Journal of Psychotraumatology, Informa UK Limited, Vol. 11, No. 1 ( 2020-12-31)
    Type of Medium: Online Resource
    ISSN: 2000-8066
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2020
    detail.hit.zdb_id: 2586642-4
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