Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms: A randomized controlled trial

David Daniel Ebert; Matthias Berking; Pim Cuijpers; Dirk Lehr; Harald Baumeister; M. Pörtner

doi:10.1016/j.jad.2015.01.056

Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms: A randomized controlled trial

Research output: Journal contributions › Journal articles › Research

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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

Bibtex

@article{56bde487034d43339a6fbc84d1e63ac5,

title = "Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms: A randomized controlled trial",

abstract = "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.",

keywords = "Health sciences, Depression, Acceptance, Randomized-controlled trial, Internet-based intervention, Implementation, e-health, Depression, Acceptance, Randomized-controlled trial, Internet-based intervention, Implementation, e-health",

author = "Ebert, {David Daniel} and Matthias Berking and Pim Cuijpers and Dirk Lehr and Harald Baumeister and M. P{\"o}rtner",

year = "2015",

month = may,

day = "1",

doi = "10.1016/j.jad.2015.01.056",

language = "English",

volume = "176",

pages = "9--17",

journal = "Journal of Affective Disorders",

issn = "0165-0327",

publisher = "Elsevier B.V.",

}

RIS

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 -