Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms: A randomized controlled trial
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Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms : A randomized controlled trial. / Ebert, David Daniel; Berking, Matthias; Cuijpers, Pim et al.
In: Journal of Affective Disorders, Vol. 176, 01.05.2015, p. 9-17.Research output: Journal contributions › Journal articles › Research
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TY - JOUR
T1 - Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms
T2 - A randomized controlled trial
AU - Ebert, David Daniel
AU - Berking, Matthias
AU - Cuijpers, Pim
AU - Lehr, Dirk
AU - Baumeister, Harald
AU - Pörtner, M.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - BackgroundInternet-based interventions (IBI) are effective in treating depression. However, uptake rates in routine care are still limited. Hence, this study aimed to (1) assess the acceptance of IBIs in primary care patients with depressive symptoms and to (2) examine the effects of a brief acceptance facilitating intervention in the form of an informational video on patients׳ acceptance of IBIs.MethodsPrimary care patients (N=128) with Minor or Major Depression were randomly assigned to an intervention (IG) or control group (CG). Patients in the IG were shown a brief informational video about IBIs before receiving a questionnaire that assessed their acceptance of IBIs and other secondary outcomes. Patients of the CG filled out the questionnaire immediately.ResultsBaseline acceptance of IBIs in the CG was high for 6.3%, moderate for 53.1% and low for 40.6% of patients. Acceptance of IBIs was significantly higher in the IG when compared to the CG (d=.71, 95%–CI:.09–2.91). Except for social influence and the general attitude towards psychological treatment, all secondary outcomes were also significantly improved (e.g. effort- (d=.40) and performance-expectancy: d=.65; knowledge about Internet interventions d=.35).LimitationsDepression of the participants was only assessed using a self-report measure (PHQ-9).ConclusionPrimary care patients׳ acceptance of IBIs for depressive symptoms was low but could be increased significantly using a brief acceptance facilitating intervention on the basis of an informational video. Future studies should further examine the potential of acceptance facilitating interventions for patients and health care providers to exploit the public health impact of IBIs.
AB - BackgroundInternet-based interventions (IBI) are effective in treating depression. However, uptake rates in routine care are still limited. Hence, this study aimed to (1) assess the acceptance of IBIs in primary care patients with depressive symptoms and to (2) examine the effects of a brief acceptance facilitating intervention in the form of an informational video on patients׳ acceptance of IBIs.MethodsPrimary care patients (N=128) with Minor or Major Depression were randomly assigned to an intervention (IG) or control group (CG). Patients in the IG were shown a brief informational video about IBIs before receiving a questionnaire that assessed their acceptance of IBIs and other secondary outcomes. Patients of the CG filled out the questionnaire immediately.ResultsBaseline acceptance of IBIs in the CG was high for 6.3%, moderate for 53.1% and low for 40.6% of patients. Acceptance of IBIs was significantly higher in the IG when compared to the CG (d=.71, 95%–CI:.09–2.91). Except for social influence and the general attitude towards psychological treatment, all secondary outcomes were also significantly improved (e.g. effort- (d=.40) and performance-expectancy: d=.65; knowledge about Internet interventions d=.35).LimitationsDepression of the participants was only assessed using a self-report measure (PHQ-9).ConclusionPrimary care patients׳ acceptance of IBIs for depressive symptoms was low but could be increased significantly using a brief acceptance facilitating intervention on the basis of an informational video. Future studies should further examine the potential of acceptance facilitating interventions for patients and health care providers to exploit the public health impact of IBIs.
KW - Health sciences
KW - Depression
KW - Acceptance
KW - Randomized-controlled trial
KW - Internet-based intervention
KW - Implementation
KW - e-health
KW - Depression
KW - Acceptance
KW - Randomized-controlled trial
KW - Internet-based intervention
KW - Implementation
KW - e-health
UR - http://www.scopus.com/inward/record.url?scp=84922693863&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2015.01.056
DO - 10.1016/j.jad.2015.01.056
M3 - Journal articles
C2 - 25682378
VL - 176
SP - 9
EP - 17
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -