Internetbasierte psychologische Interventionen

Ebert, David Daniel; Erbe, Doris

doi:10.1007/978-3-642-25523-6_12

Cited by 14 publications

(10 citation statements)

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“…The possibilities to use IMIs for the prevention of MHD range from mobile-based apps for the monitoring of health behavior and stand-alone self-help interventions to supplemental elements integrated in conventional on-site psychological interventions (blended concepts). One common element of such interventions is that emotional, cognitive, and behavioral processes are modified and their generalizations to users’ daily lives promoted using established psychological techniques ( 26 ). IMIs can be categorized in regard to their use of technology, the extent of human support, the theoretical basis, and with respect to their areas of applications and indications (Figure 1 ).…”

Section: Characterizing Imismentioning

confidence: 99%

“…Due to their distinctive structured nature, standardization, and focus on the training of strategies and specific behavior, IMIs are particularly suited for techniques that target changes in thoughts and behaviors ( 26 ). These include well-researched cognitive, behavioral, and interpersonal interventions.…”

Section: Characterizing Imismentioning

confidence: 99%

“…In the combination of IMIs and personal FTF interventions, the so-called Blended-Concept , IMIs take over areas that need not necessarily be mediated by a prevention worker, allowing more time during the sessions for FTF psychological process work ( 26 ). Prevention workers could, for example, delegate time-consuming routine aspects of the intervention, such as the delivery of psychoeducation to digital tools.…”

Section: Characterizing Imismentioning

confidence: 99%

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Prevention of Mental Health Disorders Using Internet- and Mobile-Based Interventions: A Narrative Review and Recommendations for Future Research

et al. 2017

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Although psychological interventions might have a tremendous potential for the prevention of mental health disorders (MHD), their current impact on the reduction of disease burden is questionable. Possible reasons include that it is not practical to deliver those interventions to the community en masse due to limited health care resources and the limited availability of evidence-based interventions and clinicians in routine practice, especially in rural areas. Therefore, new approaches are needed to maximize the impact of psychological preventive interventions. Limitations of traditional prevention programs could potentially be overcome by providing Internet- and mobile-based interventions (IMIs). This relatively new medium for promoting mental health and preventing MHD introduces a fresh array of possibilities, including the provision of evidence-based psychological interventions that are free from the restraints of travel and time and allow reaching participants for whom traditional opportunities are not an option. This article provides an introduction to the subject and narratively reviews the available evidence for the effectiveness of IMIs with regard to the prevention of MHD onsets. The number of randomized controlled trials that have been conducted to date is very limited and so far it is not possible to draw definite conclusions about the potential of IMIs for the prevention of MHD for specific disorders. Only for the indicated prevention of depression there is consistent evidence across four different randomized trial trials. The only trial on the prevention of general anxiety did not result in positive findings in terms of eating disorders (EDs), effects were only found in post hoc subgroup analyses, indicating that it might be possible to prevent ED onset for subpopulations of people at risk of developing EDs. Future studies need to identify those subpopulations likely to profit from preventive. Disorders not examined so far include substance use disorders, bipolar disorders, stress-related disorders, phobic disorders and panic disorder, obsessive–compulsive disorder, impulse-control disorders, somatic symptom disorder, and insomnia. In summary, there is a need for more rigorously conducted large scale randomized controlled trials using standard clinical diagnostic instruments for the selection of participants without MHD at baseline and the assessment of MHD onset. Subsequently, we discuss future directions for the field in order to fully exploit the potential of IMI for the prevention of MHD.

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Section: Characterizing Imismentioning

confidence: 99%

Section: Characterizing Imismentioning

confidence: 99%

Section: Characterizing Imismentioning

confidence: 99%

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Prevention of Mental Health Disorders Using Internet- and Mobile-Based Interventions: A Narrative Review and Recommendations for Future Research

et al. 2017

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“…According to this definition, the term e-mental health can be interpreted as the use of ICT technologies in the field of mental health. E-mental health interventions are often relatively short, involve self-help psychological treatments, and based on established psychotherapy approaches such as cognitive behavioral theory; in addition, in recent years, they have been delivered via ICT, mostly through online platforms accessible via personal computers, tablets, or smartphones (8,9). One of the key components of an e-mental health intervention is the use of personal guidance through human contact and interaction expressed in a variety of forms such as e-mail or SMS reminders, feedback from a personal/online therapist or a coach, and peer/discussion support groups (10).…”

mentioning

confidence: 99%

Effectiveness of occupational e-mental health interventions: a systematic review and meta-analysis of randomized controlled trials

Phillips¹,

Gordeev²,

Schreyögg³

2019

Scand J Work Environ Health

123

102

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Objective This systematic review and meta-analysis investigated the effectiveness of occupational e-mental health interventions aimed at stress, depression, anxiety, burnout, insomnia, mindfulness, well-being, and alcohol misuse and their potential treatment moderators. Methods We systematically reviewed randomized control trials published in English using three electronic databases (MEDLINE, PsycINFO, CINAHL) and three register trials. A pooled effect size for each mental health area was calculated using random-effects modelling. For each meta-analysis, we conducted an analysis of potential moderators (ie, type of recruitment, age, gender, initial psychological symptoms, guidance, therapy type, and study quality). Results In total, 50 studies were included in the systematic review, and 34 studies were included in the metaanalyses. We noted moderate treatment effects on stress (Hedges'g=0.54), insomnia (g=0.70), and burnout (g=0.51) and small treatment effects on depression (g=0.30), anxiety (g=0.34), well-being (g=0.35), and mindfulness (g=0.42). The pooled effect on alcohol intake was small and nonsignificant. Conclusions Our results suggest that occupational e-mental health interventions are associated with significant health improvements. However, more research is required to understand which factors contribute to the variation in effectiveness of particular interventions depending on the mental health area and characteristics of participants and interventions.

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“…This globally documented treatment gap in the management of mental illnesses may be counteracted by internet based self-help interventions. This form of intervention is particularly relevant as a treatment of mild to moderate depression [14, 15]. Employed in a stepped-care model, low intensity online-based interventions may bridge the treatment gap as an appropriate first option for patients with mild to moderate depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Health economic evaluation of a web-based intervention for depression: the EVIDENT-trial, a randomized controlled study

et al. 2019

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BackgroundDepression often remains undiagnosed or treated inadequately. Web-based interventions for depression may improve accessibility of treatment and reduce disease-related costs. This study aimed to examine the potential of the web-based cognitive behavioral intervention “deprexis” in reducing disease-related costs.MethodsParticipants with mild to moderate depressive symptoms were recruited and randomized to either a 12-week web-based intervention (deprexis) in addition to care as usual (intervention group) or care as usual (control group). Outcome measures were health-related resource use, use of medication and incapacity to work as well as relating direct health care costs. Outcomes were assessed on patients’ self-report at baseline, three months and six months.ResultsA total of 1013 participants were randomized. In both groups total direct health care costs decreased during the study period, but changes from baseline did not significantly differ between study groups. Numeric differences between study groups existed in outpatient treatment costs. They could be attributed to differences in changes of costs for psychotherapeutic treatment from baseline. Whereas costs for psychotherapeutic treatment decreased in the intervention group, costs increased in the control group (− 16.8% (€80) vs. + 14.7% (€60)) (tdf = 685 = 2.57; p = 0.008).ConclusionThe study indicates the health economic potential of innovative e-mental-health programs. There is evidence to suggest that the use of deprexis over a period of 12 weeks leads to a decrease in outpatient treatment cost, especially in those related to different types of psychotherapeutic treatment.

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Internetbasierte psychologische Interventionen

Cited by 14 publications

References 2 publications

Prevention of Mental Health Disorders Using Internet- and Mobile-Based Interventions: A Narrative Review and Recommendations for Future Research

Prevention of Mental Health Disorders Using Internet- and Mobile-Based Interventions: A Narrative Review and Recommendations for Future Research

Effectiveness of occupational e-mental health interventions: a systematic review and meta-analysis of randomized controlled trials

Health economic evaluation of a web-based intervention for depression: the EVIDENT-trial, a randomized controlled study

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