Do guided internet-based interventions result in clinically relevant changes for patients with depression? An individual participant data meta-analysis

Publikation: Beiträge in ZeitschriftenÜbersichtsarbeitenForschung

Authors

  • Eirini Karyotaki
  • David Daniel Ebert
  • Liesje Donkin
  • Heleen Riper
  • Jos Twisk
  • Simone Burger
  • Alexander Rozental
  • Alfred Lange
  • Alishia D. Williams
  • Anna Carlotta Zarski
  • Anna Geraedts
  • Annemieke van Straten
  • Annet Kleiboer
  • Björn Meyer
  • Burçin B. Ünlü Ince
  • Claudia Buntrock
  • Frank J. Snoek
  • Gavin Andrews
  • Gerhard Andersson
  • Isabella Choi
  • Jeroen Ruwaard
  • Jan Philipp Klein
  • Jill M. Newby
  • Johanna Schröder
  • Johannes A.C. Laferton
  • Kim Van Bastelaar
  • Kotaro Imamura
  • Kristofer Vernmark
  • Lisa B. Sheeber
  • Marie Kivi
  • Matthias Berking
  • Nickolai Titov
  • Per Carlbring
  • Robert Johansson
  • Robin Kenter
  • Sarah Perini
  • Steffen Moritz
  • Stephanie Nobis
  • Thomas Berger
  • Viktor Kaldo
  • Yvonne Forsell
  • Nils Lindefors
  • Martin Kraepelien
  • Cecilia Björkelund
  • Norito Kawakami
  • Pim Cuijpers

Little is known about clinically relevant changes in guided Internet-based interventions for depression. Moreover, methodological and power limitations preclude the identification of patients’ groups that may benefit more from these interventions. This study aimed to investigate response rates, remission rates, and their moderators in randomized controlled trials (RCTs) comparing the effect of guided Internet-based interventions for adult depression to control groups using an individual patient data meta-analysis approach. Literature searches in PubMed, Embase, PsycINFO and Cochrane Library resulted in 13,384 abstracts from database inception to January 1, 2016. Twenty-four RCTs (4889 participants) comparing a guided Internet-based intervention with a control group contributed data to the analysis. Missing data were multiply imputed. To examine treatment outcome on response and remission, mixed-effects models with participants nested within studies were used. Response and remission rates were calculated using the Reliable Change Index. The intervention group obtained significantly higher response rates (OR = 2.49, 95% CI 2.17–2.85) and remission rates compared to controls (OR = 2.41, 95% CI 2.07–2.79). The moderator analysis indicated that older participants (OR = 1.01) and native-born participants (1.66) were more likely to respond to treatment compared to younger participants and ethnic minorities respectively. Age (OR = 1.01) and ethnicity (1.73) also moderated the effects of treatment on remission.Moreover, adults with more severe depressive symptoms at baseline were more likely to remit after receiving internet-based treatment (OR = 1.19). Guided Internet-based interventions lead to substantial positive treatment effects on treatment response and remission at post-treatment. Thus, such interventions may complement existing services for depression and potentially reduce the gap between the need and provision of evidence-based treatments.

OriginalspracheEnglisch
ZeitschriftClinical Psychology Review
Jahrgang63
Seiten (von - bis)80-92
Anzahl der Seiten13
ISSN0272-7358
DOIs
PublikationsstatusErschienen - 01.07.2018

DOI

Zuletzt angesehen

Aktivitäten

  1. Offizieller Auftakt des BISS-Programms
  2. Authenticity in modelling test items
  3. Building the 5-Dollar-Neuron. A Genealogy of the ›Biological Computer‹ as Research Program and Metaphor (Konferenz "Neural Initiatives: Neuropolitics, Technoscience, and the Dynamic Brain")
  4. The Imaginary Dimension of Fragile Statehood: Syria and the Struggle for the "Rightful" Polity
  5. Video or Text Cases in Problem-Oriented or Direct Instructional Settings for Preservice Teachers?
  6. Towards a sustainable use of indium – Relating technology options and governance interventions for dealing with indium criticality
  7. Automatic Detection and Classification of State Heads and Common People?
  8. Ja­son W. Moo­re in Con­ver­sa­ti­on with Erich Hörl
  9. Antitrust and Beyond - The Democratic Task of Antitrust Law in the Light of Heinrich Kronstein's Work
  10. CyberKant, a Timely Response to the Eclipse of Reason by Mechanical Rationality - 2020
  11. How is Research Creation as Other Knowledge?
  12. Die Dokumentarische Methode
  13. On the relation between perceived intensity and pleasantness of olfactory stimuli and brain activity observed using functional Magnetic Resonance Imaging (fMRI)
  14. GDCP Jahrestagung 2020
  15. Are Self-Employed Time and Money Poor? Dynamics of Interpendent Multidimensional Poverty with German Time Use Diary Data
  16. Universität Wien
  17. Control transfers and remediation across the Upper Rhine. Scientific and technical conference in the framework of the Science Week Upper Rhine 2012
  18. Affective polarization and the support for different forms of governance. Evidence from Germany
  19. Open-source Citizenship Research: Learning from Anti-corporate Campaigning Methodologies
  20. Guest lecture Carbon performance and disclosure: Governance-related determinants and their firms’ financial consequences
  21. Undoing the Demos?

Publikationen

  1. Optimal dynamic scale and structure of a multi-pollution economy
  2. Individual Scans Fusion in Virtual Knowledge Base for Navigation of Mobile Robotic Group with 3D TVS
  3. How do students and teachers deal with mathematical modelling problems?
  4. In situ synchrotron diffraction of the solidification of Mg4Y3Nd
  5. Hermann Stutte
  6. Different facets of tree sapling diversity influence browsing intensity by deer dependent on spatial scale
  7. An innovative efficiency of incubator to enhance organization supportive business using machine learning approach
  8. Explorations in social spaces
  9. Study of Single Filament Dielectric Barrier Discharge in Argon
  10. It is not what it is
  11. Estimation of minimal data sets sizes for machine learning predictions in digital mental health interventions
  12. Principled Interpolation in Normalizing Flows
  13. Comparison of Backpropagation and Kalman Filter-based Training for Neural Networks
  14. Evidence for singlet state β cleavage in the photoreaction of α-(2,6-dimethoxyphenoxy)-acetophenone inferred from time-resolved CIDNP spectroscopy
  15. Self-perception of the internal audit function within the corporate governance system - Empirical evidence for the European Union
  16. Cognitive load in reading a foreign language text with multimedia aids and the influence of verbal and spatial abilities
  17. Investigating Internal CSR Communication: Building a Theoretical Framework
  18. Horizontal, but not vertical canopy structure is related to stand functional diversity in a subtropical slope forest
  19. AUC Maximizing Support Vector Learning
  20. Digital Business Transformation and the Changing Role of the IT Function
  21. Reducing problematic alcohol use in employees: economic evaluation of guided and unguided web-based interventions alongside a three-arm randomized controlled trial
  22. A decoupling dynamic estimator for online parameters indentification of permanent magnet three-phase synchronous motors
  23. Analysis of the forming behaviour of in-situ drawn sandwich sheets

Presse / Medien

  1. Rezension zu "Papierboot"