Impact and change of attitudes toward Internet interventions within a randomized controlled trial on individuals with depression symptoms
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Impact and change of attitudes toward Internet interventions within a randomized controlled trial on individuals with depression symptoms. / Schröder, Johanna; Berger, Thomas; Meyer, Björn; Lutz, Wolfgang; Späth, Christina; Michel, Pia; Rose, Matthias; Hautzinger, Martin; Hohagen, Fritz; Klein, Jan Philipp; Moritz, Steffen.
in: DEPRESS ANXIETY, Jahrgang 35, Nr. 5, 05.2018, S. 421-430.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact and change of attitudes toward Internet interventions within a randomized controlled trial on individuals with depression symptoms
AU - Schröder, Johanna
AU - Berger, Thomas
AU - Meyer, Björn
AU - Lutz, Wolfgang
AU - Späth, Christina
AU - Michel, Pia
AU - Rose, Matthias
AU - Hautzinger, Martin
AU - Hohagen, Fritz
AU - Klein, Jan Philipp
AU - Moritz, Steffen
N1 - © 2018 Wiley Periodicals, Inc.
PY - 2018/5
Y1 - 2018/5
N2 - BACKGROUND: Most individuals with depression do not receive adequate treatment. Internet interventions may help to bridge this gap. Research on attitudes toward Internet interventions might facilitate the dissemination of such interventions by identifying factors that help or hinder uptake and implementation, and by clarifying who is likely to benefit. This study examined whether attitudes toward Internet interventions moderate the effects of a depression-focused Internet intervention, and how attitudes change over the course of treatment among those who do or do not benefit.METHODS: We recruited 1,004 adults with mild-to-moderate depression symptoms and investigated how attitudes toward Internet interventions are associated with the efficacy of the program deprexis, and how attitudes in the intervention group change from pre to post over a 3 months intervention period, compared to a control group (care as usual). This study consists of a subgroup analysis of the randomized controlled EVIDENT trial.RESULTS: Positive initial attitudes toward Internet interventions were associated with greater efficacy (η2p = .014) independent of usage time, whereas a negative attitude (perceived lack of personal contact) was associated with reduced efficacy (η2p = .012). Users' attitudes changed during the trial, and both the magnitude and direction of attitude change were associated with the efficacy of the program over time (η2p = .030).CONCLUSIONS: Internet interventions may be the most beneficial for individuals with positive attitudes toward them. Informing potential users about evidence-based Internet interventions might instill positive attitudes and thereby optimize the benefits such interventions can provide. Assessing attitudes prior to treatment might help identify suitable users.
AB - BACKGROUND: Most individuals with depression do not receive adequate treatment. Internet interventions may help to bridge this gap. Research on attitudes toward Internet interventions might facilitate the dissemination of such interventions by identifying factors that help or hinder uptake and implementation, and by clarifying who is likely to benefit. This study examined whether attitudes toward Internet interventions moderate the effects of a depression-focused Internet intervention, and how attitudes change over the course of treatment among those who do or do not benefit.METHODS: We recruited 1,004 adults with mild-to-moderate depression symptoms and investigated how attitudes toward Internet interventions are associated with the efficacy of the program deprexis, and how attitudes in the intervention group change from pre to post over a 3 months intervention period, compared to a control group (care as usual). This study consists of a subgroup analysis of the randomized controlled EVIDENT trial.RESULTS: Positive initial attitudes toward Internet interventions were associated with greater efficacy (η2p = .014) independent of usage time, whereas a negative attitude (perceived lack of personal contact) was associated with reduced efficacy (η2p = .012). Users' attitudes changed during the trial, and both the magnitude and direction of attitude change were associated with the efficacy of the program over time (η2p = .030).CONCLUSIONS: Internet interventions may be the most beneficial for individuals with positive attitudes toward them. Informing potential users about evidence-based Internet interventions might instill positive attitudes and thereby optimize the benefits such interventions can provide. Assessing attitudes prior to treatment might help identify suitable users.
KW - Adult
KW - Cognitive Behavioral Therapy
KW - Depression
KW - Depressive Disorder
KW - Female
KW - Follow-Up Studies
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Internet
KW - Male
KW - Middle Aged
KW - Patient Acceptance of Health Care
KW - Young Adult
KW - Journal Article
KW - Multicenter Study
KW - Randomized Controlled Trial
KW - Research Support, Non-U.S. Gov't
U2 - 10.1002/da.22727
DO - 10.1002/da.22727
M3 - SCORING: Journal article
C2 - 29489038
VL - 35
SP - 421
EP - 430
JO - DEPRESS ANXIETY
JF - DEPRESS ANXIETY
SN - 1091-4269
IS - 5
ER -