Please use this identifier to cite or link to this item:
Authors: Becker, Jan
Kreis, Adina
Schorch, Theresa
Mayer, Anna
Tsiouris, Angeliki
Beutel, Manfred E.
Zwerenz, Rüdiger
Title: Adherence and effectiveness of an emotion-based psychodynamic online self-help during and after inpatient and day-care psychotherapy : results of a naturalistic study
Online publication date: 26-May-2023
Year of first publication: 2023
Language: english
Abstract: Background: Internet-based mental health interventions are considered effective in providing low-threshold support for people with mental health disorders. However, there is a lack of research investigating the transferability of such online programs into routine care settings. Low treatment adherence and problems with technical implementation often limit a successful transfer into clinical routines. This naturalistic study aims to identify influencing factors on program adherence in patients who participated in an online intervention during inpatient or day-clinic psychotherapeutic treatment. Methods and findings: In a naturalistic study, we investigated the transferability of the transdiagnostic psychodynamic online self-help program KEN-Online, which includes eight consecutive units. Between May 2017 and October 2018, patients who received inpatient or day-clinic psychotherapeutic treatment at the Department of Psychosomatic Medicine and Psychotherapy in the University Medical Center Mainz have been offered to use KEN-Online. Of the n = 749 patients who were admitted to the clinic, n = 239 patients (32%) registered for participation in KEN-Online. While 46.9% of the participants did not complete any unit (inactive participants), 53.1% completed at least the first unit (active participants). Age, number of diagnoses, and symptom severity were associated with (in)active participation. Adherence decreased over time resulting in only 17 participants (7.6%) who completed all units. None of the sociodemographic and medical characteristics proved to be significant predictors of adherence. Analyses of effectiveness showed a significant reduction of anxiety and depression in active participants in the course of participation, with higher improvements in participants that completed more than half of the units. Conclusion: Adherence to the online self-help program KEN-Online was lower in the naturalistic setting than in a previous clinical trial, but was still associated with greater program effectiveness. Adherence-promoting measures are crucial to increase the effectiveness of such interventions in clinical settings.
DDC: 610 Medizin
610 Medical sciences
Institution: Johannes Gutenberg-Universität Mainz
Department: FB 04 Medizin
Place: Mainz
Version: Published version
Publication type: Zeitschriftenaufsatz
Document type specification: Scientific article
License: CC BY
Information on rights of use:
Journal: Frontiers in psychiatry
Pages or article number: 1027118
Publisher: Frontiers Research Foundation
Publisher place: Lausanne
Issue date: 2023
ISSN: 1664-0640
Publisher URL:
Publisher DOI: 10.3389/fpsyt.2023.1027118
Appears in collections:DFG-491381577-G

Files in This Item:
  File Description SizeFormat
adherence_and_effectiveness_o-20230525142042070.pdf666.07 kBAdobe PDFView/Open