Limits...
Enhancing inpatient psychotherapeutic treatment with online self-help: study protocol for a randomized controlled trial.

Zwerenz R, Becker J, Knickenberg RJ, Hagen K, Dreier M, Wölfling K, Beutel ME - Trials (2015)

Bottom Line: Depressed patients (n = 240) with private internet access aged between 18 and 65 are recruited during psychosomatic inpatient treatment.The intervention group (n = 120) is offered an online self-help program with 12 weekly tasks, beginning during the inpatient treatment.Secondary outcome measures include anxiety, self-esteem, quality of life, dysfunctional cognitions and work ability.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg-University, Untere Zahlbacher Str. 8, 55131, Mainz, Germany. ruediger.zwerenz@unimedizin-mainz.de.

ABSTRACT

Background: Depression is one of the most debilitating and costly mental disorders. There is increasing evidence for the efficacy of online self-help in alleviating depression. Knowledge regarding the options of combining online self-help with inpatient psychotherapy is still limited. Therefore, we plan to evaluate an evidence-based self-help program (deprexis®; Gaia AG, Hamburg, Germany) to improve the efficacy of inpatient psychotherapy and to maintain treatment effects in the aftercare period.

Methods/design: Depressed patients (n = 240) with private internet access aged between 18 and 65 are recruited during psychosomatic inpatient treatment. Participants are randomized to an intervention or control group at the beginning of inpatient treatment. The intervention group (n = 120) is offered an online self-help program with 12 weekly tasks, beginning during the inpatient treatment. The control group (n = 120) obtains access to an online platform with weekly updated information on depression for the same duration. Assessments are conducted at the beginning (T0) and the end of inpatient treatment (T1), at the end of intervention (T2) and 6 months after randomization (T3). The primary outcome is the depression score measured by the Beck Depression Inventory-II at T2. Secondary outcome measures include anxiety, self-esteem, quality of life, dysfunctional cognitions and work ability.

Discussion: We expect the intervention group to benefit from additional online self-help during inpatient psychotherapy and to maintain the benefits during follow-up. This could be an important approach to develop future concepts of inpatient psychotherapy.

Trial registration: ClinicalTrials.gov Identifier: NCT02196896 (registered on 16 July 2014).

Show MeSH

Related in: MedlinePlus

Study design and time points of assessment. TAU, treatment as usual.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4376072&req=5

Fig1: Study design and time points of assessment. TAU, treatment as usual.

Mentions: Assessments are conducted at the beginning (T0) and the end (T1) of inpatient treatment, at the end (T2) of intervention and 6 months after randomization (T3; Figure 1). Screening is based on the BDI-II [19], a reliable and valid 21-item self-report scale of depression, during the past 2 weeks, together with ICD-10 diagnoses made by the individual therapist. At T0 patient characteristics (for example, education, employment, family status) will be taken from the basic documentation of the clinic. In addition to the BDI-II, the reliable and valid Patient Health Questionnaire (PHQ-9) is used to assess depression [22] along with the Generalized Anxiety Screener (GAD-7) [23]. Other self-report questionnaires assess self-esteem (Rosenberg Self-Esteem Scale, RSE) [24], quality of life (European Health Interview Survey Quality of Life 8 Item Index, EUROHIS-QOL 8) [25] and dysfunctional depression-related cognitions (Dysfunctional Attitude Scale, DAS) [26]. We further assess childhood trauma with the Childhood Trauma Questionnaire (CTQ) [27]. The Work Ability Index (WAI) [28] questions current work ability in relation to physical and mental job demands, and prognosis for the forthcoming 2 years. Structural psychological deficits are assessed by the short form of the OPD Structure Questionnaire (OPD-SQ) [29], and the therapeutic alliance by the Helping Alliance Questionnaire (HAQ) [30], with a patient as well as a therapist rating.Figure 1


Enhancing inpatient psychotherapeutic treatment with online self-help: study protocol for a randomized controlled trial.

Zwerenz R, Becker J, Knickenberg RJ, Hagen K, Dreier M, Wölfling K, Beutel ME - Trials (2015)

Study design and time points of assessment. TAU, treatment as usual.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4376072&req=5

Fig1: Study design and time points of assessment. TAU, treatment as usual.
Mentions: Assessments are conducted at the beginning (T0) and the end (T1) of inpatient treatment, at the end (T2) of intervention and 6 months after randomization (T3; Figure 1). Screening is based on the BDI-II [19], a reliable and valid 21-item self-report scale of depression, during the past 2 weeks, together with ICD-10 diagnoses made by the individual therapist. At T0 patient characteristics (for example, education, employment, family status) will be taken from the basic documentation of the clinic. In addition to the BDI-II, the reliable and valid Patient Health Questionnaire (PHQ-9) is used to assess depression [22] along with the Generalized Anxiety Screener (GAD-7) [23]. Other self-report questionnaires assess self-esteem (Rosenberg Self-Esteem Scale, RSE) [24], quality of life (European Health Interview Survey Quality of Life 8 Item Index, EUROHIS-QOL 8) [25] and dysfunctional depression-related cognitions (Dysfunctional Attitude Scale, DAS) [26]. We further assess childhood trauma with the Childhood Trauma Questionnaire (CTQ) [27]. The Work Ability Index (WAI) [28] questions current work ability in relation to physical and mental job demands, and prognosis for the forthcoming 2 years. Structural psychological deficits are assessed by the short form of the OPD Structure Questionnaire (OPD-SQ) [29], and the therapeutic alliance by the Helping Alliance Questionnaire (HAQ) [30], with a patient as well as a therapist rating.Figure 1

Bottom Line: Depressed patients (n = 240) with private internet access aged between 18 and 65 are recruited during psychosomatic inpatient treatment.The intervention group (n = 120) is offered an online self-help program with 12 weekly tasks, beginning during the inpatient treatment.Secondary outcome measures include anxiety, self-esteem, quality of life, dysfunctional cognitions and work ability.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg-University, Untere Zahlbacher Str. 8, 55131, Mainz, Germany. ruediger.zwerenz@unimedizin-mainz.de.

ABSTRACT

Background: Depression is one of the most debilitating and costly mental disorders. There is increasing evidence for the efficacy of online self-help in alleviating depression. Knowledge regarding the options of combining online self-help with inpatient psychotherapy is still limited. Therefore, we plan to evaluate an evidence-based self-help program (deprexis®; Gaia AG, Hamburg, Germany) to improve the efficacy of inpatient psychotherapy and to maintain treatment effects in the aftercare period.

Methods/design: Depressed patients (n = 240) with private internet access aged between 18 and 65 are recruited during psychosomatic inpatient treatment. Participants are randomized to an intervention or control group at the beginning of inpatient treatment. The intervention group (n = 120) is offered an online self-help program with 12 weekly tasks, beginning during the inpatient treatment. The control group (n = 120) obtains access to an online platform with weekly updated information on depression for the same duration. Assessments are conducted at the beginning (T0) and the end of inpatient treatment (T1), at the end of intervention (T2) and 6 months after randomization (T3). The primary outcome is the depression score measured by the Beck Depression Inventory-II at T2. Secondary outcome measures include anxiety, self-esteem, quality of life, dysfunctional cognitions and work ability.

Discussion: We expect the intervention group to benefit from additional online self-help during inpatient psychotherapy and to maintain the benefits during follow-up. This could be an important approach to develop future concepts of inpatient psychotherapy.

Trial registration: ClinicalTrials.gov Identifier: NCT02196896 (registered on 16 July 2014).

Show MeSH
Related in: MedlinePlus