Adherence and effectiveness of an emotion-based psychodynamic online self-help during and after inpatient and day-care psychotherapy: Results of a naturalistic study

Publication type:
Journal article
Metadata:
Abstract
<jats:sec><jats:title>Background</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Methods and findings</jats:title><jats:p>In a naturalistic study, we investigated the transferability of the transdiagnostic psychodynamic online self-help program <jats:italic>KEN-Online</jats:italic>, 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 <jats:italic>KEN-Online</jats:italic>. Of the <jats:italic>n</jats:italic> = 749 patients who were admitted to the clinic, <jats:italic>n</jats:italic> = 239 patients (32%) registered for participation in <jats:italic>KEN-Online</jats:italic>. 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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Adherence to the online self-help program <jats:italic>KEN-Online</jats:italic> 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.</jats:p></jats:sec>
Autoren
  • Jan Becker
  • Adina Kreis
  • Theresa Schorch
  • Anna Mayer
  • Angeliki Tsiouris
  • Manfred E Beutel
  • Rüdiger Zwerenz
DOI
10.3389/fpsyt.2023.1027118
eISSN
1664-0640
Zeitschrift
Frontiers in Psychiatry
Online publication date
2023
Status
Published online
Herausgeber
Frontiers Media SA
Herausgeber URL
http://dx.doi.org/10.3389/fpsyt.2023.1027118
Datum der Datenerfassung
2023
Titel
Adherence and effectiveness of an emotion-based psychodynamic online self-help during and after inpatient and day-care psychotherapy: Results of a naturalistic study
Ausgabe der Zeitschrift
14

Data source: Crossref

Other metadata sources:
Author's licence
CC-BY
Autoren
  • Jan Becker
  • Adina Kreis
  • Theresa Schorch
  • Anna Mayer
  • Angeliki Tsiouris
  • Manfred E Beutel
  • Rüdiger Zwerenz
Hosting institution
Universitätsbibliothek Mainz
Sammlungen
  • DFG-491381577-G
Resource version
Published version
DOI
10.3389/fpsyt.2023.1027118
Funding acknowledgements
  • Deutsche Forschungsgemeinschaft (DFG)|491381577|Open-Access-Publikationskosten 2022–2024 Universität Mainz - Universitätsmedizin
File(s) embargoed
false
Open access
true
ISSN
1664-0640
Zeitschrift
Frontiers in psychiatry
Schlüsselwörter
  • 610 Medizin
  • 610 Medical sciences
Sprache
eng
Open access status
Open Access
Paginierung
1027118
Datum der Veröffentlichung
2023
Public URL
https://openscience.ub.uni-mainz.de/handle/20.500.12030/9145
Herausgeber
Frontiers Research Foundation
Herausgeber URL
https://doi.org/10.3389/fpsyt.2023.1027118
Datum der Datenerfassung
2023
Datum, an dem der Datensatz öffentlich gemacht wurde
2023
Zugang
Public
Titel
Adherence and effectiveness of an emotion-based psychodynamic online self-help during and after inpatient and day-care psychotherapy : results of a naturalistic study
Ausgabe der Zeitschrift
14

Files

adherence_and_effectiveness_o-20230525142042070.pdf

Data source: OPENSCIENCE.UB

Tools