Internetbasierte Psychotherapie und E-Mental-Health

Caspar, Franz; Berger, Thomas; Lotz-Rambaldi, Winfried; Hohagen, Fritz

doi:10.1159/000355118

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…Both factors could have resulted in selection bias ( Choi et al, 2017 ). Since patients' preferences depend on the degree of awareness of services ( Caspar et al, 2013 ), prior knowledge of Internet therapies could have influenced their acceptance. Future studies should assess participants' prior knowledge about e-mental health services more detailed.…”

Section: Discussionmentioning

confidence: 99%

Improving attitudes toward e-mental health services in the general population via psychoeducational information material: A randomized controlled trial

Apolinário-Hagen

Fritsche

Bierhals

et al. 2018

Internet Interventions

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IntroductionIn recent years, effective Internet-delivered electronic (e-) mental health services have been developed to overcome the limited resources in face-to-face health care. For the successful dissemination of e-mental health services, individual predictors for their uptake and utilization need to be explored. For instance, little is known about the role of different information sources in attitudes toward Internet therapies. On the basis of technology acceptance framework, this pilot study aimed to identify differences in both attitudes and intentions to use e-mental health treatment services after providing psychoeducational information.Methods439 participants (mean age 33 years, SD = 10.6 years; 72% female) were randomly assigned to one of three text-based information groups (neutral text: n = 111; expert evaluation: n = 108; user evaluation: n = 112) or a control condition (no information: n = 108). We assessed attitudes toward e-mental health treatments using a 15-item German e-therapy attitudes measure.ResultsDescriptive analyses revealed overall neutral attitudes toward Internet therapies. Ambivalent perceptions were found in terms of Perceived Usefulness (positive attitude) and Relative Advantage (negative attitude). The awareness of Internet therapies was rather low. Most participants evaluated self-help books, health websites and face-to-face counselling as more useful than web-based counselling and therapies and reported higher intentions to use conventional services in case of emotional problems. As hypothesized, variance analyses demonstrated that text-based information, especially expert evaluations, were associated with significantly more positive attitudes toward e-mental health treatment services compared to the control condition.ConclusionsTaken together, this pilot study suggested a positive connection between the provision of general facts about e-mental health treatment services and attitudes as well as behavioral intentions to future use such services. However, a limitation was the omission of baseline attitudes assessment. Thus, further research is needed to gain deeper insights into the impact of information on attitudes.

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Section: Discussionmentioning

confidence: 99%

Improving attitudes toward e-mental health services in the general population via psychoeducational information material: A randomized controlled trial

Apolinário-Hagen

Fritsche

Bierhals

et al. 2018

Internet Interventions

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“…Attitudes towards novel technological developments appear to be strongly polarized in some countries, with fervent supporters but also vocal opponents (Caspar et al 2013), but few studies have actually systematically examined attitudes towards Internet interventions among different stakeholder groups. Some studies have investigated the acceptance of computer-based cognitive behavioural interventions (cCBT), rather than specifically Internetbased interventions.…”

Section: Introductionmentioning

confidence: 99%

Attitudes Towards Internet Interventions Among Psychotherapists and Individuals with Mild to Moderate Depression Symptoms

et al. 2017

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symptoms, and to explore variables that predict these attitudes. Individuals with depression symptoms reported more positive attitudes towards Internet interventions than psychotherapists (large group difference; η p 2 = 0.384). Recruitment in clinical settings was associated with more negative attitudes compared to recruitment via the media. Among therapists, endorsing a psychodynamic rather than another theoretical orientation was associated with more pronounced negative attitudes. Results elucidate possible reasons for the slow dissemination of Internet interventions and suggest pathways for appropriate implementation into healthcare services.

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“…In our view, this type of collaborative arrangement seems ethically responsible and scientifically viable. Along with others [ 19 , 97 , 98 ], we feel confident that evidence-based Internet interventions will increasingly be regarded as legitimate, valuable additions to the armamentarium of professional medical care, particularly if their value can be demonstrated repeatedly in rigorously designed trials.…”

Section: Discussionmentioning

confidence: 94%

Protocol for the ENCODE trial: evaluating a novel online depression intervention for persons with epilepsy

Meyer

Weiss²,

Holtkamp

et al. 2017

BMC Psychiatry

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BackgroundDepression is common among persons with epilepsy (PwE), affecting roughly one in three individuals, and its presence is associated with personal suffering, impaired quality of life, and worse prognosis. Despite the availability of effective treatments, depression is often overlooked and treated inadequately in PwE, in part because of assumed concerns over drug interactions or proconvulsant effects of antidepressants. Internet-administered psychological interventions might complement antidepressant medication or psychotherapy, and preliminary evidence suggests that they can be effective. However, no trial has yet examined whether an Internet intervention designed to meet the needs of PwE can achieve sustained reductions in depression and related symptoms, such as anxiety, when offered as adjunct to treatment as usual.Methods/DesignThis randomized controlled trial will include 200 participants with epilepsy and a current depressive disorder, along with currently at least moderately elevated depression (Patient Health Questionnaire (PHQ-9) sum score of at least 10). Patients will be recruited via epilepsy treatment centers and other sources, including Internet forums, newspaper articles, flyers, posters, and media articles or advertisements, in German-speaking countries. Main inclusion criteria are: self-reported diagnosis of epilepsy and a depressive disorder, as assessed with a phone-administered structured diagnostic interview, none or stable antidepressant medication, no current psychotherapy, no other major psychiatric disorder, no acute suicidality. Participants will be randomly assigned to either (1) a care-as-usual/waitlist (CAU/WL) control group, in which they receive CAU and are given access to the Internet intervention after 3 months (that is, a CAU/WL control group), or (2) a treatment group that may also use CAU and in addition immediately receives six-month access to the novel, Internet-administered intervention. The primary outcome measure is the PHQ-9, collected at three months post-baseline; secondary measures include self-reported anxiety, work and social adjustment, epilepsy symptoms (including seizure frequency and severity), medication adherence, potential negative treatment effects and health-related quality of life. Measurements are collected online at pre-treatment (T0), three months (T1), six months (T2), and nine months (T3).DiscussionResults of this trial are expected to extend the body of knowledge with regard to effective and efficient treatment options for PwE who experience elevated depression and anxiety.Trial registrationClinicalTrials.gov: NCT02791724. Registered 01 June 2016.

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Internetbasierte Psychotherapie und E-Mental-Health

Cited by 8 publications

References 10 publications

Improving attitudes toward e-mental health services in the general population via psychoeducational information material: A randomized controlled trial

Improving attitudes toward e-mental health services in the general population via psychoeducational information material: A randomized controlled trial

Attitudes Towards Internet Interventions Among Psychotherapists and Individuals with Mild to Moderate Depression Symptoms

Protocol for the ENCODE trial: evaluating a novel online depression intervention for persons with epilepsy

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