Effektivität eines telefonbasierten Coaching-Programms für Patienten mit einer depressiven Erkrankung

Schröder, Sandra; Fleckenstein, rer. pol. Julia; Wunderlich, rer. medic. Max

doi:10.24945/mvf.04.17.1866-0533.2022

Cited by 3 publications

(3 citation statements)

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“…Power calculation conducted with G * Power (Version 3.1.9.2) for a two-sided T-Test (α = 0.05, β = 0.80, d = 0.35) resulted in N = 260. In order to account for dropouts during the 18-month follow-up, we calculated an extra 20% of participants, taking into account reported dropout rates between 20 and 23% from studies with telephone coaching in different settings (27,163). Accounting for drop-outs resulted in the final N = 312.…”

Section: Sample Size/power Calculationmentioning

confidence: 99%

“…Additionally, some evidence suggests that tele-based coaching is, compared to treatment-as-usual, effective in reducing Abbreviations: AQoL-8D, Assessment of Quality of Life; AUDIT, Alcohol Use Disorder Identification Test-Consumption Questions; BDI-II, Beck Depression Inventory; CG, control group; CIDI, Composite International Diagnosis Interview; CSQ, Client Satisfaction Questionnaire; GAD, Generalized Anxiety Disorder; ICER, Incremental cost-effectiveness ratio; IG, intervention group; ISI, Insomnia Severity Index; MDD, Major depressive disorder; PHQ, Patient Health Questionnaire; QIDS-SR16, Quick Inventory Depressive Symptomology; SVLFG, Social Insurance for Agriculture, Forestry and Horticulture; TAU, Treatment as usual; TiC-P, Trimbos Institute and Institute of Medical Technology Questionnaire for Costs Associated with Psychiatric Illness; WAI, Working Alliance Inventory. depressive symptom severity in mildly to moderately depressed individuals with between-group effect sizes ranging from 0.60 at a 4-month follow-up in an intention-to-treat sample (26) to 0.44 at 12-month follow-up based on study completer-only data (27). However, the clinical and cost-effectiveness of tele-based coaching in the prevention of MDD remains understudied.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

et al. 2020

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Background: Farmers show high levels of depressive symptoms and mental health problems in various studies. This study is part of a nationwide prevention project carried out by a German social insurance company for farmers, foresters, and gardeners (SVLFG) to implement internet-and tele-based services among others to improve mental health in this population. The aim of the present study is to evaluate the (cost-)effectiveness of personalized tele-based coaching for reducing depressive symptom severity and preventing the onset of clinical depression, compared to enhanced treatment as usual.Methods: In a two-armed, pragmatic randomized controlled trial (N = 312) with follow-ups at post-treatment (6 months), 12 and 18 months, insured farmers, foresters, and gardeners, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) will be randomly allocated to personalized tele-based coaching or enhanced treatment as usual. The coaching is provided by psychologists and consists of up to 34 tele-based sessions for 25-50 min delivered over 6 months. Primary outcome is depressive symptom severity at post-treatment. Secondary outcomes include depression onset, anxiety, stress, and quality of life. A health-economic evaluation will be conducted from a societal perspective.Discussion: This study is the first pragmatic randomized controlled trial evaluating the (cost-)effectiveness of a nationwide tele-based preventive service for farmers. If proven effective, the implementation of personalized tele-based coaching has the potential to reduce disease burden and health care costs both at an individual and societal level.

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Section: Sample Size/power Calculationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

et al. 2020

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“…Additionally, some evidence suggests that tele-based coaching is, compared to treatment-as-usual, effective in reducing depressive symptom severity in mildly to moderately depressed individuals with between-group effect sizes ranging from 0.60 at a 4-month follow-up in an intention-to-treat sample (26) to 0.44 at 12-month follow-up based on study completer-only data (27). However, the clinical and cost-effectiveness of tele-based coaching in the prevention of MDD remains understudied.…”

Section: Introductionmentioning

confidence: 99%

Clinical and cost-effectiveness of personalized tele-based coaching for farmers, foresters and gardeners to prevent depression: Study protocol of an 18-month follow-up pragmatic randomized controlled trial (TEC-A)

Thielecke¹,

Buntrock²,

Titzler³

et al. 2019

Preprint

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Background: Farmers show high levels of depressive symptoms and mental health problems in various studies. This study is part of a nationwide prevention project carried out by a German social insurance company for farmers, foresters and gardeners (SVLFG ) to implement internet- and tele-based services among others to improve mental health in this population. The aim of the present study is to evaluate the (cost-)effectiveness of personalized tele-based coaching for reducing depressive symptom severity and preventing the onset of clinical depression, compared to enhanced treatment as usual (TAU+ ).Methods: In a two-armed, pragmatic randomized controlled trial (N=312) with follow-ups at post-treatment (6 months), 12 months and 18 months, insured farmers, foresters and gardeners, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) will be randomly allocated to personalized tele-based coaching or TAU+. The coaching is provided by psychologists and consists of up to 34 tele-based sessions for 25 to 50 minutes delivered over 6 months. Primary outcome is depressive symptom severity at post-treatment. Secondary outcomes include depression onset, anxiety, stress and quality of life. A health-economic evaluation will be conducted from a societal perspective. Discussion: This study is the first pragmatic randomized controlled trial evaluating the (cost-) effectiveness of a nationwide tele-based preventive service for farmers. If proven effective, the implementation of personalized tele-based coaching has the potential to reduce disease burden and health care costs both at an individual and societal level.

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Telephone coaching for the prevention of depression in farmers: Results from a pragmatic randomized controlled trial

et al. 2022

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Introduction Farmers have a high risk for depression (MDD). Preventive measures targeting this often remotely living population might reduce depression burden. The study aimed to evaluate the effectiveness of personalized telephone coaching in reducing depressive symptom severity and preventing MDD in farmers compared to enhanced treatment as usual (TAU + ). Methods In a two-armed, pragmatic randomized controlled trial ( N = 314) with post-treatment at 6 months, farming entrepreneurs, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) were randomized to personalized telephone coaching or TAU + . The coaching was provided by psychologists and consists on average of 13 (±7) sessions a 48 min (±15) over 6 months. The primary outcome was depressive symptom severity (QIDS-SR16). Results Coaching participants showed a significantly greater reduction in depressive symptom severity compared to TAU + ( d = 0.39). Whereas reliable symptom deterioration was significantly lower in the intervention group compared to TAU + , no significant group differences were found for reliable improvement and in depression onset. Further significant effects in favor of the intervention group were found for stress ( d = 0.34), anxiety ( d = 0.30), somatic symptoms ( d = 0.39), burnout risk ( d = 0.24–0.40) and quality of life ( d = 0.28). Discussion Limiting, we did not apply an upper cutoff score for depressive symptom severity or controlled for previous MDD episodes, leaving open whether the coaching was recurrence/relapse prevention or early treatment. Nevertheless, personalized telephone coaching can effectively improve mental health in farmers. It could play an important role in intervening at an early stage of mental health problems and reducing disease burden related to MDD. Trial registration number and trial register German Clinical Trial Registration: DRKS00015655

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Effektivität eines telefonbasierten Coaching-Programms für Patienten mit einer depressiven Erkrankung

Cited by 3 publications

References 0 publications

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

Clinical and cost-effectiveness of personalized tele-based coaching for farmers, foresters and gardeners to prevent depression: Study protocol of an 18-month follow-up pragmatic randomized controlled trial (TEC-A)

Telephone coaching for the prevention of depression in farmers: Results from a pragmatic randomized controlled trial

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