Internet Interventions for Mental Health: Current State of Research, Lessons Learned and Future Directions

Berger, Thomas

doi:10.17759/cpp.2020280305

Cited by 9 publications

(14 citation statements)

References 87 publications

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“… 4 Digital solutions for mental illness prevention may include unguided programmes mainly providing information or guided/moderated programmes (e.g. with psychoeducational and interactive elements and synchronous or asynchronous contact) 5 which are theory-based (e.g. cognitive behavioural approach) and which are usually delivered via interactive websites or mobile applications.…”

Section: Introductionmentioning

confidence: 99%

Stakeholders’ views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe

Kuso

Nitsch

Zeiler

et al. 2021

European Journal of Public Health

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Background Online preventive interventions can help to reduce the incidence of mental disorders. Whereas knowledge on stakeholders’ attitudes and factors relevant for successfully integrating online treatment into existing healthcare systems is available, knowledge is scarce for online prevention. Methods Stakeholders from Germany, Switzerland, Austria and Spain were surveyed. Potential facilitators/delivery staff (e.g. psychologists, psychotherapists) completed an online questionnaire (n = 183), policy makers (i.e. from the governing sector or health insurance providers) participated in semi-structured interviews (n = 16) and target groups/potential users of mental illness prevention (n = 49) participated in ten focus groups. Thematic analysis was used to identify their experiences with and attitudes and needs regarding online programmes to prevent mental disorders. Additionally, it was examined which groups they consider underserved and which factors they consider as fostering and hindering for reach, adoption, implementation and maintenance (cf. RE-AIM model) when integrating online prevention into existing healthcare systems. Results Main advantages of online mental illness prevention are perceived in low structural and psychological barriers. Lack of personal contact, security, privacy and trust concerns were discussed as disadvantages. Relevant needs are high usability and target group appropriateness, evidence for effectiveness and the use of motivational tools. Conclusions Positive attitudes among stakeholders are the key for successful integration of online mental illness prevention into existing healthcare systems. Potential facilitators/delivery staff must receive training and support to implement these programmes; the programmes must be attractive and continuously evaluated, updated and promoted to ensure ongoing reach; and existing infrastructure and contextual factors must be considered.

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Section: Introductionmentioning

confidence: 99%

Stakeholders’ views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe

Kuso

Nitsch

Zeiler

et al. 2021

European Journal of Public Health

View full text Add to dashboard Cite

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“…Starting a psychotherapy during participation will be controlled in the study and the analyses. Whether such a combination of web-based interventions and psychotherapy not coordinated with the web-based interventions is regarded as BT or not is a matter of debate in the field [ 9 ]. This debate will be addressed in the study publications.…”

Section: Discussionmentioning

confidence: 99%

“…Among web-based interventions, stand-alone web-based programs can be differentiated from blended treatment (BT)—the combination of face-to-face psychotherapy and a web-based intervention [ 9 ]. Although BT can take on many different forms [ 10 ], a differentiation can be made between integrated blends (eg, conceptual coordination between web-based intervention elements and face-to-face psychotherapy sessions via a specified protocol) and add-on blends (eg, a web-based intervention provided in parallel before or after face-to-face psychotherapy without conceptual coordination or integration between the two).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Two Web-Based Interventions (Res-Up! and REMOTION) in Routine Outpatient Psychotherapy (Therapy Online Plus—TOP): Protocol for a Randomized Controlled Trial

Trimpop¹,

Berger²,

Willutzki³

2023

JMIR Res Protoc

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Background Only 11%-40% of those with a mental disorder in Germany receive treatment. In many cases, face-to-face psychotherapy is not available because of limited resources, such as an insufficient number of therapists in the area. New approaches to improve the German health care system are needed to counter chronification. Web-based interventions have been shown to be effective as stand-alone and add-on treatments to routine practice. Interventions designed for a wide range of mental disorders such as transdiagnostic interventions are needed to make treatment for mental disorders more accessible and thus shorten waiting times and mitigate the chronification of mental health problems. In general, interventions can be differentiated as having either a capitalization (CAP) focus—thus drawing on already existing strengths—or a compensation (COMP) focus—trying to compensate for deficits. Up to now, the effectiveness of transdiagnostic web-based interventions with either a CAP or a COMP focus has not yet been evaluated. Objective This study is the first to examine the effectiveness of two transdiagnostic web-based interventions: (1) the activation of resilience and drawing on existing strengths (CAP: Res-Up!) and (2) the improvement of emotion regulation (COMP: REMOTION), compared with care as usual (CAU) in routine outpatient psychotherapy. Methods Adults with at least 1 mental health disorder will be recruited at 4 outpatient centers in Germany. Participants will then be randomized equally into 1 of the 2 intervention groups Res-Up! (CAP) and REMOTION (COMP) or into the control group (CAU). Assessments will be made at baseline (T0), at 6 weeks after treatment start (T1), and at 12 weeks after treatment start (T2). A primary outcome will be symptom severity (Brief Symptom Inventory-18). Secondary outcomes will focus on emotion regulation and resilience. Results Participant recruitment and data collection started in April 2020 and were ongoing as of July 2022. We expect participants to benefit more from the interventions than from the CAU control on the dimensions of symptom severity, resilience, and emotion regulation. Furthermore, we expect to find possible differences between CAP and COMP. The results of the study are expected in 2023. Conclusions This randomized controlled trial will compare CAU with the transdiagnostic web-based interventions Res-Up! and REMOTION, and will thus inform future studies concerning the effectiveness of transdiagnostic web-based interventions in routine outpatient psychotherapy. Trial Registration ClinicalTrials.gov NCT04352010; https://clinicaltrials.gov/ct2/show/NCT04352010 International Registered Report Identifier (IRRID) DERR1-10.2196/41413

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“…4 Among internet-based interventions, stand-alone online programs can be differentiated from blended treatment (BT) -the combination of face-to-face psychotherapy and an online intervention. 9 While BT can take on many different forms, 10 a differentiation can be made between integrated blends (for example conceptual coordination between online intervention elements and face-to-face psychotherapy sessions via a specified protocol) and add-on blends (for example, an online intervention provided in parallel, prior to and/or after face-to-face psychotherapy without conceptual coordination or integration between the two). BT, where an online intervention was provided as an add-on to face-to-face psychotherapy, has been shown to be more effective than psychotherapy alone.…”

Section: Internet-based Interventionsmentioning

confidence: 99%

Evaluation of Two Web-Based Interventions (Res-Up! and REMOTION) in Routine Outpatient Psychotherapy (Therapy Online Plus—TOP): Protocol for a Randomized Controlled Trial (Preprint)

Trimpop¹,

Berger²,

Willutzki³

2022

Preprint

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BACKGROUND Only 11-40% of those affected by a mental disorder in Germany receive treatment. New approaches to improve the German health care system are needed in order to counter chronification. Online-interventions have been shown to be effective as stand-alone as well as add-ons to routine practice. Interventions designed for a wide range of mental disorders such as transdiagnostic interventions are needed to make treatment for mental disorders more accessible and thus shorten waiting times. In general, interventions can be differentiated as having either a capitalization focus - thus drawing on already existing strengths (CAP) - or a compensation focus - trying to compensate for deficits (COMP). Up to now, the effectiveness of transdiagnostic online-interventions with either a CAP- or a COMP-focus has not yet been evaluated. OBJECTIVE This study is the first to examine the effectiveness of two online-interventions focusing on (1) the activation of resilience and drawing on existing strengths (CAP: Res-Up!) and (2) the improvement of emotion regulation (COMP: REMOTION), compared to care as usual in routine outpatient psychotherapy. METHODS Adults with at least one mental health disorder will be recruited at four outpatient centers in Germany. Assessments will be made at baseline (T0), at 6-weeks-posttreatment (T1) and at 12-weeks follow-up (T2). Primary outcome will be symptom severity (BSI-18). Secondary outcomes will focus on emotion regulation and resilience. RESULTS Participant recruitment and data collection started in April 2020 and are ongoing as of July 2022. Results of the study are expected in 2023. CONCLUSIONS This randomized controlled trial will compare care as usual with the transdiagnostic internet-interventions Res-Up! and REMOTION and will thus inform future studies concerning the effectiveness of transdiagnostic online interventions in routine outpatient psychotherapy. CLINICALTRIAL ClinicalTrials.gov NCT04352010, International Registered Report Identifier (IRRID)

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Internet Interventions for Mental Health: Current State of Research, Lessons Learned and Future Directions

Cited by 9 publications

References 87 publications

Stakeholders’ views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe

Stakeholders’ views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe

Evaluation of Two Web-Based Interventions (Res-Up! and REMOTION) in Routine Outpatient Psychotherapy (Therapy Online Plus—TOP): Protocol for a Randomized Controlled Trial

Evaluation of Two Web-Based Interventions (Res-Up! and REMOTION) in Routine Outpatient Psychotherapy (Therapy Online Plus—TOP): Protocol for a Randomized Controlled Trial (Preprint)

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