TY - JOUR

T1 - Development and reach of a web-based cognitive behavioural therapy programme to reduce symptoms of depression and diabetes-specific distress

AU - Van Bastelaar, K.M.P.

AU - Cuijpers, Pim

AU - Pouwer, F.

AU - Riper, Heleen

AU - Snoek, F.J.

PY - 2011/7

Y1 - 2011/7

N2 - Objectives: There is an urgent need for more effective and efficient depression treatments in diabetes. We developed a diabetes-specific version of the Dutch web-based ‘Coping with Depression’ (CWD) course. Here, we report on the development, reach, patients’ reasons for choosing our intervention and their characteristics. Methods: The CWD programme was amended for use in diabetes patients with co-morbid depression. Data were collected using a telephone interview, self-report questionnaires, and medical records. Results: Adding diabetes-specific topics to an effective web-based depression programme resulted in an 8-lesson intervention (“www.diabetergestemd.nl”), with minimal guidance by coaches. In the framework of a randomised trial, the intervention attracted serious interest of 540 patients. After screening, 255 depressed diabetes patients were enrolled. Less than half had a history of depression treatment; 80% reported the diabetes-specific approach to be an important reason for signing up. Conclusion: We successfully developed a diabetes-specific version of the web-based CWD course, which attracted a large group of patients. Our results affirm the importance of addressing diabetes-specific issues in the context of depression treatment. Practice implications: Our intervention could be implemented on a large scale at low costs, and may serve as a model on how to develop other illness-specific online self-help interventions.

AB - Objectives: There is an urgent need for more effective and efficient depression treatments in diabetes. We developed a diabetes-specific version of the Dutch web-based ‘Coping with Depression’ (CWD) course. Here, we report on the development, reach, patients’ reasons for choosing our intervention and their characteristics. Methods: The CWD programme was amended for use in diabetes patients with co-morbid depression. Data were collected using a telephone interview, self-report questionnaires, and medical records. Results: Adding diabetes-specific topics to an effective web-based depression programme resulted in an 8-lesson intervention (“www.diabetergestemd.nl”), with minimal guidance by coaches. In the framework of a randomised trial, the intervention attracted serious interest of 540 patients. After screening, 255 depressed diabetes patients were enrolled. Less than half had a history of depression treatment; 80% reported the diabetes-specific approach to be an important reason for signing up. Conclusion: We successfully developed a diabetes-specific version of the web-based CWD course, which attracted a large group of patients. Our results affirm the importance of addressing diabetes-specific issues in the context of depression treatment. Practice implications: Our intervention could be implemented on a large scale at low costs, and may serve as a model on how to develop other illness-specific online self-help interventions.

KW - Psychology

KW - Health sciences

KW - Depression

KW - Diabetes

KW - Intervention development

UR - http://www.scopus.com/inward/record.url?scp=79958706170&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2010.06.013

DO - 10.1016/j.pec.2010.06.013

M3 - Journal articles

C2 - 20619577

VL - 84

SP - 49

EP - 55

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 1

ER -