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http://doi.org/10.25358/openscience-9128Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Becker, Jan | - |
| dc.contributor.author | Kreis, Adina | - |
| dc.contributor.author | Schorch, Theresa | - |
| dc.contributor.author | Mayer, Anna | - |
| dc.contributor.author | Tsiouris, Angeliki | - |
| dc.contributor.author | Beutel, Manfred E. | - |
| dc.contributor.author | Zwerenz, Rüdiger | - |
| dc.date.accessioned | 2023-05-26T08:19:13Z | - |
| dc.date.available | 2023-05-26T08:19:13Z | - |
| dc.date.issued | 2023 | - |
| dc.identifier.uri | https://openscience.ub.uni-mainz.de/handle/20.500.12030/9145 | - |
| dc.description.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. | en_GB |
| dc.description.sponsorship | Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - Projektnummer 491381577 | de |
| dc.language.iso | eng | de |
| dc.rights | CC BY | * |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
| dc.subject.ddc | 610 Medizin | de_DE |
| dc.subject.ddc | 610 Medical sciences | en_GB |
| dc.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 | en_GB |
| dc.type | Zeitschriftenaufsatz | de |
| dc.identifier.doi | http://doi.org/10.25358/openscience-9128 | - |
| jgu.type.contenttype | Scientific article | de |
| jgu.type.dinitype | article | en_GB |
| jgu.type.version | Published version | de |
| jgu.type.resource | Text | de |
| jgu.organisation.department | FB 04 Medizin | de |
| jgu.organisation.number | 2700 | - |
| jgu.organisation.name | Johannes Gutenberg-Universität Mainz | - |
| jgu.rights.accessrights | openAccess | - |
| jgu.journal.title | Frontiers in psychiatry | de |
| jgu.journal.volume | 14 | de |
| jgu.pages.alternative | 1027118 | de |
| jgu.publisher.year | 2023 | - |
| jgu.publisher.name | Frontiers Research Foundation | de |
| jgu.publisher.place | Lausanne | de |
| jgu.publisher.uri | https://doi.org/10.3389/fpsyt.2023.1027118 | de |
| jgu.publisher.issn | 1664-0640 | de |
| jgu.organisation.place | Mainz | - |
| jgu.subject.ddccode | 610 | de |
| jgu.publisher.doi | 10.3389/fpsyt.2023.1027118 | de |
| jgu.organisation.ror | https://ror.org/023b0x485 | - |
| jgu.subject.dfg | Geistes- und Sozialwissenschaften | de |
| Appears in collections: | DFG-491381577-G | |
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| File | Description | Size | Format | ||
|---|---|---|---|---|---|
 | adherence_and_effectiveness_o-20230525142042070.pdf | 666.07 kB | Adobe PDF | View/Open |