Implementation trial I: Clinical outcomes and acceptability of an internet-delivered intervention for anxiety and depression delivered as part of routine care for university students in New Zealand

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-11-21 DOI:10.1016/j.invent.2024.100791

Blake F. Dear , Andreea I. Heriseanu , Bareena Johnson , David Sander , Kimberly Farmer , Nickolai Titov

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引用次数: 0

Abstract

Background

Psychological distress is highly prevalent among university students and can contribute to poor academic performance and drop-out. Help-seeking has increased in recent years, contributing to growing interest in employing internet-delivered psychological treatments to support the mental health of university students. However, few large-scale “real-world” effectiveness trials have been conducted in routine care settings for this population.

Aim

The aim of the current study was to examine the acceptability and effectiveness of a brief, five-week internet-delivered cognitive behavioural therapy (iCBT) intervention for anxiety and depression when delivered as part of routine care by a university counselling service in New Zealand.

Design

A large, prospective, single-group Phase IV clinical trial.

Method

Students (N = 1044) engaging with the university counselling service between 2018 and 2023 were provided the option to receive the intervention based on their needs and preferences. Students completed standardised measures of depression and anxiety severity at pre-treatment, each week of the intervention, and post-treatment. A subsample (n = 405) also completed these at 3-month follow-up.

Results

Over a 5-year period, 839 students participated in the intervention. Significant reductions in symptoms of depression (% reduction = 35%, Hedges' g = 0.56) and anxiety (% reduction = 36%, Hedges' g = 0.73) were observed, alongside high levels of satisfaction (> 60%). Symptom deterioration was observed in <10% of students.

Conclusion

The current results provide further support for the provision of internet-delivered psychological interventions as routine care to university students with symptoms of anxiety and depression.

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实施试验 I：作为新西兰大学生常规护理的一部分，通过互联网提供焦虑和抑郁干预的临床结果和可接受性

背景心理困扰在大学生中非常普遍，可导致学习成绩差和辍学。近年来，大学生寻求帮助的人数不断增加，这促使人们越来越关注采用互联网提供的心理治疗方法来帮助大学生获得心理健康。本研究的目的是考察新西兰一所大学的咨询服务机构在提供常规服务时，采用为期五周的简短网络认知行为疗法（iCBT）干预焦虑症和抑郁症的可接受性和有效性。方法在2018年至2023年期间接受大学咨询服务的学生（N = 1044）可根据自己的需求和偏好选择接受干预。学生在治疗前、干预期间的每周和治疗后完成了抑郁和焦虑严重程度的标准化测量。结果在 5 年的时间里，共有 839 名学生参与了干预。抑郁症状明显减轻（减轻率 = 35%，赫奇斯 g = 0.56），焦虑症状明显减轻（减轻率 = 36%，赫奇斯 g = 0.73），满意度也很高（60%）。结论目前的研究结果进一步支持将互联网提供的心理干预作为对有焦虑和抑郁症状的大学生的常规护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions