Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression: A randomized controlled trial
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression : A randomized controlled trial. / Baumeister, Harald; Nowoczin, Lisa; Lin, J. et al.
in: Diabetes Research and Clinical Practice, Jahrgang 105, Nr. 1, 07.2014, S. 30-39.Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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TY - JOUR
T1 - Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression
T2 - A randomized controlled trial
AU - Baumeister, Harald
AU - Nowoczin, Lisa
AU - Lin, J.
AU - Seifferth, Holger
AU - Seufert, Jochen
AU - Laubner, Katharina
AU - Ebert, D. D.
PY - 2014/7
Y1 - 2014/7
N2 - Aims: To (1) determine diabetes patients' acceptance of Internet-based interventions (IBIs) for depression, to (2) examine the effectiveness of an acceptance facilitating intervention (AFI) and to (3) explore subgroup specific effects. Methods: 141 diabetes patients from two inpatient rehabilitation units and one outpatient clinic in Germany were randomly allocated to an intervention (IG) and a no-intervention control group (CG). The IG received an AFI consisting of a personal information session before filling-out a questionnaire on patients' acceptance of IBIs, predictors of acceptance (performance expectancy, effort expectancy, social influence, facilitating conditions, and Internet anxiety) as well as sociodemographic, depression-related and diabetes-related variables. The CG filled out the questionnaire immediately. Patients' acceptance of IBIs was measured with a four-item scale (sum-score ranging from 4 to 20). Results: The CG showed a low (50.7%) to medium (40.8%) acceptance with only 8.5% of all diabetes patients reporting a high acceptance of IBIs for depression. The AFI had no significant effect on acceptance (IG: M = 10.55, SD = 4.69, n = 70; KG: M = 9.65, SD = 4.27, n = 71; d = 0.20 [95%-CI: -0.13;0.53]) and the predictors of acceptance. Yet, subgroup analyses yielded a trend for depressed, diabetes-related distressed, female and younger (<59) participants and for those who do not frequently use the Internet to profit from the AFI. Conclusion: Diabetes patients show a rather low acceptance toward IBIs for depression. Findings indicate that the AFI is likely to be effective in the subgroup of depressed, diabetes-related distressed, female or younger diabetes patients, but not in the whole target population. Hence, AFIs might need to be tailored to the specific needs of subpopulations.
AB - Aims: To (1) determine diabetes patients' acceptance of Internet-based interventions (IBIs) for depression, to (2) examine the effectiveness of an acceptance facilitating intervention (AFI) and to (3) explore subgroup specific effects. Methods: 141 diabetes patients from two inpatient rehabilitation units and one outpatient clinic in Germany were randomly allocated to an intervention (IG) and a no-intervention control group (CG). The IG received an AFI consisting of a personal information session before filling-out a questionnaire on patients' acceptance of IBIs, predictors of acceptance (performance expectancy, effort expectancy, social influence, facilitating conditions, and Internet anxiety) as well as sociodemographic, depression-related and diabetes-related variables. The CG filled out the questionnaire immediately. Patients' acceptance of IBIs was measured with a four-item scale (sum-score ranging from 4 to 20). Results: The CG showed a low (50.7%) to medium (40.8%) acceptance with only 8.5% of all diabetes patients reporting a high acceptance of IBIs for depression. The AFI had no significant effect on acceptance (IG: M = 10.55, SD = 4.69, n = 70; KG: M = 9.65, SD = 4.27, n = 71; d = 0.20 [95%-CI: -0.13;0.53]) and the predictors of acceptance. Yet, subgroup analyses yielded a trend for depressed, diabetes-related distressed, female and younger (<59) participants and for those who do not frequently use the Internet to profit from the AFI. Conclusion: Diabetes patients show a rather low acceptance toward IBIs for depression. Findings indicate that the AFI is likely to be effective in the subgroup of depressed, diabetes-related distressed, female or younger diabetes patients, but not in the whole target population. Hence, AFIs might need to be tailored to the specific needs of subpopulations.
KW - Health sciences
KW - Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression: A randomized controlled trial
KW - depression
KW - Diabetes
KW - E-health No items selected
KW - Psychotherapy
KW - Acceptance
KW - Psychology
KW - Depression
KW - E-health
KW - Psychotherapy
UR - http://www.scopus.com/inward/record.url?scp=84900899262&partnerID=8YFLogxK
U2 - 10.1016/j.diabres.2014.04.031
DO - 10.1016/j.diabres.2014.04.031
M3 - Journal articles
C2 - 24862240
AN - SCOPUS:84902546080
VL - 105
SP - 30
EP - 39
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
SN - 0168-8227
IS - 1
ER -