An Online Mental Health and Wellness Intervention Supplementing Standard Care of Depression and Anxiety

Ahmedani, Brian K.; Belville-Robertson, T. L.; Hirsch, Abigail; Jurayj, Anthony

doi:10.1016/j.apnu.2016.03.003

Cited by 7 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with previous research, internal consistency was acceptable for both PHQ-9 (α = .88) and GAD-7 (α = .90) (Löwe et al, 2008;Spitzer et al, 2006). These measures are both widely used in clinical settings to track symptom severity, and previous research has validated both in online formats (Ahmedani, Belville-Robertson, Hirsch, & Jurayj, 2016;Newby et al, 2017;Titov et al, 2013Titov et al, , 2015. They are known for their sensitivity to change from treatment, making them ideal for this study.…”

Section: Primary Outcomes: Symptoms Of Depression and Anxietysupporting

confidence: 71%

Testing a scalable web and smartphone based intervention to improve depression, anxiety, and resilience: A randomized controlled trial

Parks¹,

Williams²,

Tugade³

et al. 2018

Intnl. J. Wellbeing

View full text Add to dashboard Cite

Psychological interventions targeting wellbeing can reliably increase wellbeing and decrease depressive symptoms. However, only a handful of studies have implemented wellbeing interventions online, and those studies have largely done so in a way that prioritizes experimental control over realism and scalability. We sought to take existing wellbeing interventions with established efficacy and to evaluate their impact when translated into a format that is publicly accessible, scalable, and designed with the goal of engaging users. Participants in this fully online trial were first-time registrants of the Happify platform, a fully automated web and mobile wellbeing intervention grounded in positive psychology, cognitivebehavioral therapy, and mindfulness-based stress reduction, which has offered wellbeing programs to over 3 million registrants to date. Consenting participants were randomly assigned to access the full Happify platform or a psychoeducation comparison condition and further categorized by their usage during the study: recommended usage (a minimum of 2-3 activities per week) or low usage (usage less than the recommended level). Participants were assessed on depressive symptoms, anxiety symptoms, and a composite measure of resilience at baseline and 8 weeks later. Participants who used Happify at the recommended level reported fewer depressive and anxiety symptoms and greater resilience after 8 weeks than participants who used Happify at a low level or participants who used the psychoeducation condition at any level. The Happify group also experienced greater rates of reduction in depression and anxiety symptom severity category, and had a greater net benefit (% users who improved minus % users who deteriorated), compared to the other groups. The results of this study suggest a successful first attempt at implementing and scaling a comprehensive package of lab-tested wellbeing interventions without losing efficacy.

show abstract

Section: Primary Outcomes: Symptoms Of Depression and Anxietysupporting

confidence: 71%

Testing a scalable web and smartphone based intervention to improve depression, anxiety, and resilience: A randomized controlled trial

Parks¹,

Williams²,

Tugade³

et al. 2018

Intnl. J. Wellbeing

View full text Add to dashboard Cite

show abstract

“…The treatments were accessible through an online platform and lasted for 10 weeks. Using the internet to provide psychological treatment has been shown to be effective [ 32 ] and is well-accepted by healthcare providers [ 33 ]. Both treatment conditions were divided into successive steps that participants had to complete in order to gain access to the next.…”

Section: Methodsmentioning

confidence: 99%

Return on investment of internet delivered exposure therapy for irritable bowel syndrome: a randomized controlled trial

et al. 2021

View full text Add to dashboard Cite

Background Irritable bowel syndrome (IBS) is a debilitating and costly disorder. Cognitive behavior therapy (CBT) is effective in the treatment of IBS, both when delivered over the internet and in face-to-face settings. CBT consists of different components and little is known about their relative importance. We have in an earlier study showed that inclusion of exposure in the CBT for IBS makes it even more effective. In the present study we wanted to evaluate the economic effects for society of inclusion vs exclusion of exposure in an internet delivered CBT for IBS. Methods We used data from a previous study with 309 participants with IBS. Participants were randomized to internet delivered CBT with (ICBT) or without exposure (ICBT-WE). We compared direct and indirect costs at baseline, after treatment, and 6 months after treatment (primary endpoint; 6MFU). Data was also collected on symptom severity and time spent by therapists and participants. The relative Incremental Cost Effectiveness Ratio (ICER) was calculated for the two treatment conditions and the return on investment (ROI). Results Results showed that ICBT cost $213.5 (20%) more than ICBT-WE per participant. However, ICBT was associated with larger reductions regarding both costs and symptoms than ICBT-WE at 6MFU. The ICER was − 301.69, meaning that for every point improvement on the Gastrointestinal Symptom Rating Scale—IBS version in ICBT, societal costs would be reduced with approximately $300. At a willingness to pay for a case of clinically significant improvement in IBS symptoms of $0, there was an 84% probability of cost-effectiveness. ROI analysis showed that for every $1 invested in ICBT rather than ICBT-WE, the return would be $5.64 six months after treatment. Analyses of post-treatment data showed a similar pattern although cost-savings were smaller. Conclusions Including exposure in Cognitive Behavior Treatment for IBS is more cost-effective from a societal perspective than not including it, even though it may demand more therapist and patient time in the short term. Trial registration This study is reported in accordance with the CONSORT statement for non-pharmacological trials [1]. Clinicaltrials.gov registration ID: NCT01529567 (14/02/2013).

show abstract

“…In this context, different non-pharmaceutical interventions have tried to improve a decrease in anxiety and depression [14] or the perception of wellbeing in AD [15]. For example, physical exercise using information and communication technology (ICTs) and anaerobic physical exercise have demonstrated that they decrease levels of negative mood [16].…”

Section: Introductionmentioning

confidence: 99%

Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study

Ortí¹,

Pardo²,

Benllochi³

et al. 2019

Neuropsychiatry

View full text Add to dashboard Cite

Background Alzheimer's disease (AD) is an irreversible neuro-degenerative dementia that causes emotional disorders such as anxiety and depression associated with low well-being and changes of state of mind. The aim of the present study was to assess the impact of a music therapy protocol as a tool to improve basic emotions in AD. Methods It is an analytical, experimental and prospective study. 30 Alzheimer patients of a mild level with an average age of 76,28 ± 4,6 years, participated in the study. Participants were randomly assigned either to a Control Group (n=15) or an Intervention Group (n=15) that received music therapy twice a week during three months (24 sessions). Due to some limitations of the work, it is only a pilot study. Results The data showed that no significant differences exist between pre and post values in the control group (that did not receive music therapy) in any basic emotion measure (fear, happiness, anger and sadness). However, in the intervention group (that received music therapy for three months) a significant improvement can be observed in all the emotions comparing pre and post intervention (more happiness and less fear, anger and sadness). Moreover, the result comparing control and intervention group between them in post-session showed that the patients of the intervention groups had a significant improvement in happiness and sadness after the application of music therapy. Conclusions An intervention using music therapy increases the state of happiness and decreases sadness in mild Alzheimer sufferers.

show abstract

An Online Mental Health and Wellness Intervention Supplementing Standard Care of Depression and Anxiety

Cited by 7 publications

References 27 publications

Testing a scalable web and smartphone based intervention to improve depression, anxiety, and resilience: A randomized controlled trial

Testing a scalable web and smartphone based intervention to improve depression, anxiety, and resilience: A randomized controlled trial

Return on investment of internet delivered exposure therapy for irritable bowel syndrome: a randomized controlled trial

Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study

Contact Info

Product

Resources

About