Work-focused therapy in an internet-based CBT format – A mixed methods feasibility study

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 : 2025-07-01 DOI:10.1016/j.invent.2025.100855

Henning Monsen , Jon Vøllestad , Peter Prescott , Audun Røren , Kristin Bruvik , Torkil Berge , Pål W. Wallace , Tine Nordgreen , Nick Titov , Anders Hovland

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引用次数: 0

Abstract

Background

Common mental disorders (CMD) are one of the main causes for work absenteeism. While traditional cognitive behavioural therapy is effective for symptom reduction, its impact on return to work is less pronounced. Work-focused therapy for those with CMD has shown positive results on return to work, but availability of such treatment is scarce.

Objective

To investigate a transdiagnostic work-focused Internet Delivered Cognitive Behavioural Therapy (W-ICBT) intervention. Further, to investigate its feasibility in terms of use and adherence, including the participants experience of perceived effects, for outpatients on sick leave with diagnoses of depression and/or anxiety.

Method

We conducted a naturalistic feasibility study using a convergent, mixed-methods pre-post design. Outcomes included adherence and use of the treatment, return to work, work related self-efficacy, symptoms of depression and anxiety, quality of life and the experience of participants through qualitative interviews.

Results

19 patients were screened, 15 included and 11 completed the 12-week treatment. Degree of sick leave was reduced from 79 % to 32 % for the completer sample (g = 0.95, p = .003), with statistically significant results on self-efficacy (g = 1.05 p = .005), depression (g = 0.81, p = .024), quality of life (g = 1.20, p = .002). No significant changes were observed on measures of anxiety and impairment of daily living. These results were supported by the findings from the qualitative interviews.

Conclusion

W-ICBT appears to be a promising approach to reducing work absenteeism and warrants further research.

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以工作为中心的基于网络的CBT形式的治疗——混合方法可行性研究

常见精神障碍（CMD）是导致旷工的主要原因之一。虽然传统的认知行为疗法对减轻症状有效，但对重返工作岗位的影响不太明显。针对CMD患者的以工作为中心的治疗在重返工作岗位后显示出积极的效果，但这种治疗的可用性很少。目的探讨以跨诊断工作为中心的网络认知行为治疗（W-ICBT）干预方法。进一步，探讨其在抑郁症和/或焦虑症门诊病人的使用和依从性方面的可行性，包括参与者对感知效果的体验。方法采用会聚、混合方法进行自然可行性研究。结果包括坚持和使用治疗、重返工作岗位、与工作相关的自我效能、抑郁和焦虑症状、生活质量和参与者通过定性访谈的体验。结果筛选19例，纳入15例，完成12周治疗11例。完成者的病假率从79%降至32% (g = 0.95, p = 0.003)，在自我效能（g = 1.05 p = 0.005）、抑郁（g = 0.81, p = 0.024）、生活质量（g = 1.20, p = 0.002）方面均有统计学意义。在焦虑和日常生活障碍方面没有观察到明显的变化。这些结果得到了定性访谈结果的支持。结论w - icbt是减少旷工的有效方法，值得进一步研究。

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