Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-9128
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 |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-9128 |
Version: | Published version |
Publication type: | Zeitschriftenaufsatz |
Document type specification: | Scientific article |
License: | CC BY |
Information on rights of use: | https://creativecommons.org/licenses/by/4.0/ |
Journal: | Frontiers in psychiatry 14 |
Pages or article number: | 1027118 |
Publisher: | Frontiers Research Foundation |
Publisher place: | Lausanne |
Issue date: | 2023 |
ISSN: | 1664-0640 |
Publisher URL: | https://doi.org/10.3389/fpsyt.2023.1027118 |
Publisher DOI: | 10.3389/fpsyt.2023.1027118 |
Appears in collections: | DFG-491381577-G |
Files in This Item:
File | Description | Size | Format | ||
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adherence_and_effectiveness_o-20230525142042070.pdf | 666.07 kB | Adobe PDF | View/Open |