Enhancing inpatient psychotherapeutic treatment with online self-help: study protocol for a randomized controlled trial

Zwerenz, Rüdiger; Becker, Jan; Knickenberg, Rudolf J.; Hagen, Karin; Dreier, Michael; Wölfling, Klaus; Beutel, Manfred E.

doi:10.1186/s13063-015-0620-6

Cited by 12 publications

(18 citation statements)

References 36 publications

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“…Five of the six sequential blended interventions that started with the face-to-face intervention were designed as aftercare programs aiming at maintaining therapeutic benefits of face-to-faceresidential or inpatient psychotherapy through subsequent iCBT [ 22 , 41 , 44 , 56 , 76 ]. Another study aimed to monitor patient progress beyond the acute phase of face-to-face treatment for a long time and to maintain the therapeutic relationship in the absence of face-to-face contacts in a remote setting [ 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…Among the eight study protocols, two studies compared the blended intervention with TAU without controlling for the number of sessions [ 46 , 51 , 59 ], whereas four studies compared the blended intervention-group with a nonblended face-to-face intervention with an equal number or more sessions [ 15 , 53 , 60 , 69 ]. One study compared the blended intervention (in that case, aftercare after inpatient treatment) with a placebo (inpatient treatment plus access after discharge to an Internet platform with information on depression [ 76 ]), and one study compared it with no treatment [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study with an empirical correlational design and without a control group showed a significant relationship between the number of iCBT modules accessed and substance abuse reduction in the year following inpatient treatment when controlling for motivation, self-efficacy, and pretreatment substance abuse [ 56 ]. One study was a study protocol [ 76 ].…”

Section: Resultsmentioning

confidence: 99%

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Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

Erbe¹,

Eichert²,

Riper³

et al. 2017

J Med Internet Res

428

377

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BackgroundMany studies have provided evidence for the effectiveness of Internet-based stand-alone interventions for mental disorders. A newer form of intervention combines the strengths of face-to-face (f2f) and Internet approaches (blended interventions).ObjectiveThe aim of this review was to provide an overview of (1) the different formats of blended treatments for adults, (2) the stage of treatment in which these are applied, (3) their objective in combining face-to-face and Internet-based approaches, and (4) their effectiveness.MethodsStudies on blended concepts were identified through systematic searches in the MEDLINE, PsycINFO, Cochrane, and PubMed databases. Keywords included terms indicating face-to-face interventions (“inpatient,” “outpatient,” “face-to-face,” or “residential treatment”), which were combined with terms indicating Internet treatment (“internet,” “online,” or “web”) and terms indicating mental disorders (“mental health,” “depression,” “anxiety,” or “substance abuse”). We focused on three of the most common mental disorders (depression, anxiety, and substance abuse).ResultsWe identified 64 publications describing 44 studies, 27 of which were randomized controlled trials (RCTs). Results suggest that, compared with stand-alone face-to-face therapy, blended therapy may save clinician time, lead to lower dropout rates and greater abstinence rates of patients with substance abuse, or help maintain initially achieved changes within psychotherapy in the long-term effects of inpatient therapy. However, there is a lack of comparative outcome studies investigating the superiority of the outcomes of blended treatments in comparison with classic face-to-face or Internet-based treatments, as well as of studies identifying the optimal ratio of face-to-face and Internet sessions.ConclusionsSeveral studies have shown that, for common mental health disorders, blended interventions are feasible and can be more effective compared with no treatment controls. However, more RCTs on effectiveness and cost-effectiveness of blended treatments, especially compared with nonblended treatments are necessary.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

Erbe¹,

Eichert²,

Riper³

et al. 2017

J Med Internet Res

428

377

View full text Add to dashboard Cite

show abstract

“…Based on the sample size of n = 230, the study had a power of 0.97 to detect an effect size of d = 0.50 or higher. A more detailed description of power calculation is described elsewhere [32]. …”

Section: Methodsmentioning

confidence: 99%

“…All procedures involved in this study follow the ICH-GCP guidelines. The trial was registered at Clinicaltrials.gov (identifier: NCT02196896), and the trial protocol was published elsewhere [32]. …”

Section: Methodsmentioning

confidence: 99%

Online Self-Help as an Add-On to Inpatient Psychotherapy: Efficacy of a New Blended Treatment Approach

Zwerenz¹,

Becker²,

Knickenberg³

et al. 2017

Psychother Psychosom

Self Cite

103

107

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Background: Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we evaluated whether an evidence-based online self-help program improves the efficacy of inpatient psychotherapy. Methods: A total of 229 depressed patients were randomly allocated either to an online self-help program (intervention group [IG]; Deprexis) or an active control group (CG; weekly online information on depression) in addition to inpatient psychodynamic psychotherapy. Both groups had access to their respective experimental intervention for 12 weeks, regardless of inpatient treatment duration. Reduction of depressive symptoms, as measured with the Beck Depression Inventory-II, was the primary outcome at the end of the intervention (T2). Results: Depressive symptoms were statistically significantly lower in the IG compared to the active CG at T2 with a moderate between-group effect size of d = 0.44. The same applied to anxiety (d = 0.33), quality of life (d = 0.34), and self-esteem (d = 0.38) at discharge from inpatient treatment (T1). No statistically significant differences were found regarding dysfunctional attitudes (d = 0.14) and work ability (d = 0.08) at T1. Conclusions: This is the first evidence for blended treatment combining online self-help with inpatient psychotherapy. The study opens new and promising avenues for increasing the efficacy of inpatient psychotherapy. Future studies should determine how integration of online self-help into the therapeutic process can be developed further.

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Interventions to improve return to work in depressed people

Nieuwenhuijsen

Verbeek

Neumeyer‐Gromen

et al. 2020

Cochrane Database of Systematic Reviews

127

156

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Enhancing inpatient psychotherapeutic treatment with online self-help: study protocol for a randomized controlled trial

Cited by 12 publications

References 36 publications

Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

Online Self-Help as an Add-On to Inpatient Psychotherapy: Efficacy of a New Blended Treatment Approach

Interventions to improve return to work in depressed people

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