Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

{"title":"Exploring individual's public trust in the NHS Test and Trace System – A pragmatic reflexive thematic analysis","authors":"C.M. Babbage ,&nbsp;H. Wagner ,&nbsp;L. Dowthwaite ,&nbsp;V. Portillo ,&nbsp;E. Perez ,&nbsp;J. Fischer","doi":"10.1016/j.invent.2024.100740","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100740","url":null,"abstract":"<div><h3>Context</h3><p>Digital contact tracing uses automated systems and location technology embedded on smartphone software for efficient identification of individuals exposed to COVID-19. Such systems are only effective with high compliance, yet compliance is mediated by public trust in the system. This work explored the perception of individual's trust and expectation of the broader Test and Trace system in the United Kingdom (UK) with the upcoming release of the National Health Service's (NHS) COVID-19 app as a case example.</p></div><div><h3>Methods</h3><p>Twelve adults underwent online semi-structured interviews in August 2020, prior to public availability of the COVID-19 app. Pragmatic reflexive thematic analysis was applied inductively to explore common themes between participants, using an organic and recursive process (Braun &amp; Clarke, 2019).</p></div><div><h3>Results</h3><p>Themes highlighted features of the technology that would be perceived to be trustworthy (Theme 1), and concerns relating to i) whether users would comply with a T&amp;T system (Theme 2) and ii) how a T&amp;T system would handle user's personal data (Theme 3). Two further themes built on aspects of automation within a T&amp;T system and its impact on trust (Theme 4) and how the media altered perceptions of the T&amp;T system (Theme 5).</p></div><div><h3>Conclusions</h3><p>Participants outlined the need for different user requirements that could be built into the NHS COVID-19 app that would support increased adherence. Concurrently, participants raised questions surrounding personal data and privacy of their data, plus the level of automated versus manual tasks, which impacted perception of trust in the app and wider system. Additionally, themes highlighted that T&amp;T systems do not happen within a vacuum, but within a pre-existing environment influenced by variables such as the media and perception of other's compliance to T&amp;T.</p></div><div><h3>Implications</h3><p>Since it's roll-out, controversies surrounding the UK T&amp;T system include concerns about privacy, stigma and uptake. Considering the current piece of work, which anticipated similar concerns prior to public access to COVID-19 app, engaging with the public may have been an important step in improving the perception and compliance with the app. Principles fundamental to patient and public involvement (PPI) and Responsible Research and Innovation (RRI) such as the inclusion of the public in the early development of research and aligning the outcomes of research and innovation with broader societal values and expectations would have been well-applied to this system and should be applied to future autonomous systems requiring high public uptake.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100740"},"PeriodicalIF":4.3,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000332/pdfft?md5=fe9af7b76ca71d4fd33f765755b55791&pid=1-s2.0-S2214782924000332-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140551182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of effectiveness and acceptability of a psychological treatment for smoking cessation combined with a smartphone App: A pilot study","authors":"María Barroso-Hurtado,&nbsp;Ana López-Durán,&nbsp;Carmela Martínez-Vispo,&nbsp;Daniel Suárez-Castro,&nbsp;Elisardo Becoña","doi":"10.1016/j.invent.2024.100737","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100737","url":null,"abstract":"<div><p>Despite the increasing number of mobile-based interventions to quit smoking over the last years, few studies have investigated the efficacy of smoking cessation interventions blended with smartphone Apps. The present pilot study aims to examine the preliminary effectiveness and acceptability of a cognitive-behavioral treatment combined with a smartphone App, compared to the same psychological treatment without the App. The sample comprised 206 treatment-seeking smokers, who were assigned to: 1) an experimental group receiving a cognitive-behavioral intervention combined with the “Non Fumo” App (<em>n</em> = 102), and 2) a control group receiving only the cognitive-behavioral intervention to quit smoking (<em>n</em> = 104). Results concerning the primary outcomes showed no significant differences between conditions in point-prevalence abstinence rates at 12-month follow-up (35.30 % in the experimental group vs. 31.70 % in the control group) and in treatment acceptability. Regarding the secondary outcomes, both groups obtained similar point-prevalence abstinence rates at the end of treatment (61.80 % vs. 65.40 %), at 3-month (42.20 % vs. 45.20 %, respectively) and 6-month follow-ups (37.30 % vs. 37.50 %). No significant differences were found between conditions in prolonged abstinence rates at 6-month (35.3 % vs. 35.6 %) and 12-month follow-ups (30.4 % vs. 26.9 %). Overall, good abstinence rates and treatment acceptability were obtained, although there were no significant differences between conditions. More research is needed to establish clear conclusions about the efficacy of psychological smoking cessation treatments blended with smartphone Apps.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100737"},"PeriodicalIF":4.3,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000307/pdfft?md5=9eb951d3a2560280ea2053066da5b613&pid=1-s2.0-S2214782924000307-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140338782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of the my health too online cognitive behavioral therapy program for healthcare workers during the COVID-19 pandemic: A randomized controlled trial","authors":"Amaury C. Mengin ,&nbsp;Nathalie Nourry ,&nbsp;François Severac ,&nbsp;Fabrice Berna ,&nbsp;Doha Bemmouna ,&nbsp;Mădălina Elena Costache ,&nbsp;Aurélie Fritsch ,&nbsp;Isabelle Frey ,&nbsp;Fabienne Ligier ,&nbsp;Nadia Engel ,&nbsp;Philippe Greth ,&nbsp;Anastasia Khan ,&nbsp;Jean-Christophe Chauvet-Gelinier ,&nbsp;Guillaume Chabridon ,&nbsp;Emmanuel Haffen ,&nbsp;Magali Nicolier ,&nbsp;Anna Zinetti-Bertschy ,&nbsp;Pierre Vidailhet ,&nbsp;Luisa Weiner","doi":"10.1016/j.invent.2024.100736","DOIUrl":"10.1016/j.invent.2024.100736","url":null,"abstract":"<div><h3>Background</h3><p>Healthcare workers' mental health has been impacted by the COVID-19 pandemic, emphasizing the need for mental health interventions in this population. Online cognitive behavioral therapy (CBT) is efficient to reduce stress and may reach numerous professionals. We developed “MyHealthToo”, an online CBT program to help reduce stress among healthcare workers during the COVID-19 pandemic.</p></div><div><h3>Objective</h3><p>The aim of our study is to investigate the efficacy of an online CBT program on stress and mental health conditions among healthcare workers during a health crisis.</p></div><div><h3>Methods</h3><p>We performed a multicentric randomized controlled trial among 155 participants allocated either to the experimental or active control group (bibliotherapy). The primary outcome was the decrease of perceived stress scores (PSS-10) post-treatment. Secondary outcomes included depression, insomnia and PTSD symptoms along with self-reported resilience and ruminations. Assessments were scheduled pretreatment, mid-treatment (4 weeks), post-treatment (8 weeks), and at 1-month and 4-months follow-up.</p></div><div><h3>Results</h3><p>For both interventions, mean changes on the PSS-10 were significant post-therapy (W8), as at 1-month (W12) and 4-months (W24) follow-ups. The between-group comparison showed no difference at any time point (<em>p</em>s &gt; 0.88). Work-related ruminations significantly decreased in the experimental group with a significant between-group difference at W8 (Δ = −1.83 [−3.57; −0.09], <em>p</em> = 0.04). Posttraumatic stress symptoms significantly decreased in the experimental group with a significant between-group difference at W12 (Δ = −1.41 [−2.68; −0.14], <em>p</em> = 0.03). The decrease in work-related ruminations at W8 mediated the decrease in posttraumatic stress symptoms at W12 (<em>p</em> = 0.048).</p></div><div><h3>Conclusion</h3><p>The “MyHealthToo” online CBT intervention may help reduce ruminations about work and posttraumatic stress symptoms among healthcare workers during a major health crisis. Work-related ruminations may represent a relevant target of online interventions to improve mental health among healthcare workers.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100736"},"PeriodicalIF":4.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000290/pdfft?md5=a1a417b9bb5dcb0760bddeb9b4d18a44&pid=1-s2.0-S2214782924000290-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140170975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing impaired persons' experiences with the online Swedish Individualized Active Communication Education (I-ACE) program: A feasibility study","authors":"Louise Werther ,&nbsp;Elisabet Thorén ,&nbsp;Jonas Brännström ,&nbsp;Gerhard Andersson ,&nbsp;Marie Öberg","doi":"10.1016/j.invent.2024.100734","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100734","url":null,"abstract":"<div><p>Even with optimally fitted hearing aids, many individuals with hearing impairment struggle to hear in situations with difficult listening conditions. Active Communication Education (ACE) is an interactive group rehabilitation program aimed at helping people with hearing loss communicate more effectively using communication strategies to better cope with everyday life. To increase accessibility and allow more people to benefit from the ACE program, a modified individualized version was created. The purpose of this study was to examine the feasibility of providing the Swedish Individualized Active Communication Education (I-ACE) program via an online platform and to explore hearing impaired persons' experiences with the program. For five weeks, ten participants completed the Swedish I-ACE through an online platform. The participants were assigned a new chapter to complete each week and later received individual feedback on their work via the platform. The participants were asked to complete an evaluation form regarding the content and their experiences during and after completing the I-ACE. They were later interviewed to provide more detailed information on their experiences with the program. The program completion rate was 80 %. Participants found the I-ACE program to be informative and relevant but somewhat repetitive. However, only a few participants thought of the repetitiveness as negative. Few participants reported difficulties using the platform. This study indicated that it is feasible to provide the I-ACE program via an online platform and that the content of the program is informative, relevant, and comprehensible. Further research evaluating the effects of the I-ACE is warranted.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100734"},"PeriodicalIF":4.3,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000277/pdfft?md5=b2282fda9d6d8a56854210bc4c522234&pid=1-s2.0-S2214782924000277-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140142062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The conceptualisation and measurement of engagement in digital health","authors":"Madison Milne-Ives ,&nbsp;Sophie Homer ,&nbsp;Jackie Andrade ,&nbsp;Edward Meinert","doi":"10.1016/j.invent.2024.100735","DOIUrl":"10.1016/j.invent.2024.100735","url":null,"abstract":"<div><p>Digital tools are an increasingly important component of healthcare, but their potential impact is commonly limited by a lack of user engagement. Digital health evaluations of engagement are often restricted to system usage metrics, which cannot capture a full understanding of how and why users engage with an intervention. This study aimed to examine how theory-based, multifaceted measures of engagement with digital health interventions capture different components of engagement (affective, cognitive, behavioural, micro, and macro) and to consider areas that are unclear or missing in their measurement. We identified and compared two recently developed measures that met these criteria (the Digital Behaviour Change Intervention Engagement Scale and the TWente Engagement with Ehealth Technologies Scale). Despite having similar theoretical bases and being relatively strongly correlated, there are key differences in how these scales aim to capture engagement. We discuss the implications of our analysis for how affective, cognitive, and behavioural components of engagement can be conceptualised and whether there is value in distinguishing between them. We conclude with recommendations for the circumstances in which each scale may be most useful and for how future measure development could supplement existing scales.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100735"},"PeriodicalIF":4.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000289/pdfft?md5=ef290c7b08d7eaf72d6e2c38fb7583f3&pid=1-s2.0-S2214782924000289-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140106800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving mental health by improving the mental health literacy? Study protocol for a randomised controlled evaluation of an e-mental health application as a preventive intervention for adolescents and young adults","authors":"Olivia Krokos ,&nbsp;Isabel Brandhorst ,&nbsp;Lennart Seizer ,&nbsp;Caterina Gawrilow ,&nbsp;Johanna Löchner","doi":"10.1016/j.invent.2024.100733","DOIUrl":"10.1016/j.invent.2024.100733","url":null,"abstract":"<div><h3>Background</h3><p>From the age of 14, many adolescents enter a vulnerable developmental phase, with a sharp increase in mental illness at 16. The COVID19 pandemic has further exacerbated this issue. Hence, universal and easily accessible prevention in the young is needed. <em>E</em>-mental health interventions are on the rise due to numerous benefits such as potential low-costs, low-threshold and high scalability. However, effectiveness and acceptance of mobile health (mHealth) preventive interventions remain unresearched.</p></div><div><h3>Method</h3><p>In a two-armed, randomised controlled study design adolescents and young adults from 14 years old will be recruited. Following an initial baseline assessment, they will be randomised to a) the intervention group (IG, <em>n</em> = 75), which will receive a mHealth intervention (the application ‘Mental Health Guide’, co-developed by lived experience experts) or b) the waiting list control group (CG, <em>n</em> = 75). Both groups will be followed up after 3 and 6 months following post assessment. We hypothesize an increase in mental health literacy in the IG compared to the CG for post and follow-up assessment (primary outcome: Mental Health Literacy Scale). In addition, we expect an improvement in mental health and psychological well-being, improved emotion regulation, reduced psychological distress, as well as good quality ratings in usability and acceptance in the use of the ‘Mental Health Guide’ We performed multiple simulations of possible outcome scenarios, incorporating an array of factors, to generate realistic datasets and obtain accurate estimates of statistical power.</p></div><div><h3>Conclusion</h3><p>As a first-of-its-kind in this field, this study investigates whether a mHealth intervention based on mental health literacy may improve the mental health literacy and further aspects of psychological functioning of young people in a vulnerable phase. Furthermore, the results promise to provide important knowledge of how universal prevention may be implemented with low costs for diverse populations.</p></div><div><h3>Trial registration</h3><p>This trial was registered in the DRKS register (DRKS-ID: DRKS00031810) on 23 June 2023.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100733"},"PeriodicalIF":4.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000265/pdfft?md5=235b3854bbceeae42479f316ec151fc9&pid=1-s2.0-S2214782924000265-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140086579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An introduction to the ISRII conference, Limerick, Ireland, June 2–5, 2024","authors":"Nick Titov","doi":"10.1016/j.invent.2024.100727","DOIUrl":"10.1016/j.invent.2024.100727","url":null,"abstract":"","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"35 ","pages":"Article 100727"},"PeriodicalIF":4.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000204/pdfft?md5=24577d5898220e187dbf1d389827e96f&pid=1-s2.0-S2214782924000204-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How people with persistent pain experience in-person physiotherapy blended with biopsychosocial digital health - A qualitative study on participants' experiences with Back2Action","authors":"E.Y. Poolman ,&nbsp;L. Vorstermans ,&nbsp;M.H. Donker ,&nbsp;L. Bijker ,&nbsp;M.W. Coppieters ,&nbsp;P. Cuijpers ,&nbsp;G.G.M. Scholten-Peeters ,&nbsp;L.M. de Wit","doi":"10.1016/j.invent.2024.100731","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100731","url":null,"abstract":"<div><h3>Background</h3><p>A blended intervention consisting of in-person physiotherapy and psychologically-informed digital health, called Back2Action, was developed to optimise the management of people with persistent spinal pain who also have psychosocial risk factors associated with the development or maintenance of persistent pain. This study aimed to gain insights in how participants experienced this blended intervention.</p></div><div><h3>Methods</h3><p>A qualitative study using semi-structured interviews was conducted. Eleven people with persistent non-specific spinal pain who received the blended intervention within a randomised clinical trial were included. All interviews were recorded, transcribed verbatim and analysed independently by two researchers. Data were analysed using a thematic analysis.</p></div><div><h3>Results</h3><p>The analysis identified four themes: (1) Experiencing a better understanding of the relationship between own physical and mental health; (2) Importance of the physiotherapist's active involvement in biopsychosocial blended care, which describes the crucial role of physiotherapists in supporting participants in this; (3) Appreciation of digital health, to better understand persistent pain and make meaningful lifestyle changes; and (4) Trials and triumphs, revealing gains such as better coping, but also challenges with implementation of changes into long-term routines.</p></div><div><h3>Conclusion</h3><p>Participants of the blended intervention experienced positive changes in thoughts and behaviours, which highlights the feasibility and acceptability of the blended intervention as a more holistic treatment within pain management. The differences in personal preferences for receiving psychologically-informed digital health poses challenges for implementation of blended biopsychosocial care in evidence-based practice.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100731"},"PeriodicalIF":4.3,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000241/pdfft?md5=c53ab07cb64452cbcda6f7876e394267&pid=1-s2.0-S2214782924000241-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and usability testing of a technology-based intervention for promoting physical activity among post-treatment cancer survivors (WExercise) using the multi-process action control framework","authors":"Denise Shuk Ting Cheung ,&nbsp;Tiffany Wan Han Kwok ,&nbsp;Sam Liu ,&nbsp;Ryan E. Rhodes ,&nbsp;Chi-Leung Chiang ,&nbsp;Chia-Chin Lin","doi":"10.1016/j.invent.2024.100730","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100730","url":null,"abstract":"<div><h3>Background</h3><p>To promote physical activity in post-treatment cancer survivors, a mobile application WExercise was developed using the Multi-Process Action Control Framework. It contains 10 weekly online lesson to facilitate reflective, regulatory, and reflexive processes to help participants to form and sustain physical activity behavior.</p></div><div><h3>Objectives</h3><p>To test the usability and acceptability of WExercise in post-treatment cancer survivors.</p></div><div><h3>Methods</h3><p>This study involved four phases: (1) preparing application content, (2) expert panel review (comprising oncology healthcare workers, exercise specialists, and behavior change researchers), (3) developing the app, and (4) usability test. The usability test was conducted cross-sectionally using direct observation of application navigation tasks, a quantitative survey, and qualitative interviews among 10 post-treatment cancer survivors.</p></div><div><h3>Results</h3><p>In Phase 2, the expert panel rated the application highly on relevance, accuracy, comprehensiveness, meaningfulness, and easiness to understand (average score = 3.83 out of 4). The application was developed accordingly. In Phase 4, the System Usability Score was 75 %, greater than the cut-off point. Participants gave the items assessing acceptance of the application positive ratings (e.g., satisfaction = 4.30 out of 5). Based on the performance and feedback, the application was modified, including adjusting the font size and improving the visualization of buttons.</p></div><div><h3>Conclusion</h3><p>Overall, experts and potential users considered the application relevant, usable, and acceptable. It has the full potential for further testing in a larger trial for its effectiveness in promoting physical activity in cancer survivors.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"36 ","pages":"Article 100730"},"PeriodicalIF":4.3,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221478292400023X/pdfft?md5=9b9b20599c7e731bdad3da481b85a8d3&pid=1-s2.0-S221478292400023X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140041737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating comorbid insomnia in patients enrolled in therapist-assisted transdiagnostic internet-delivered cognitive behaviour therapy for anxiety and depression: A randomized controlled trial","authors":"M. Edmonds ,&nbsp;V. Peynenburg ,&nbsp;V. Kaldo ,&nbsp;S. Jernelöv ,&nbsp;N. Titov ,&nbsp;B.F. Dear ,&nbsp;H.D. Hadjistavropoulos","doi":"10.1016/j.invent.2024.100729","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100729","url":null,"abstract":"<div><p>Transdiagnostic Internet-delivered cognitive behaviour therapy (ICBT) for patients experiencing anxiety and depression can produce large improvements in symptoms. Comorbid insomnia is common among individuals seeking treatment for anxiety and depression, yet transdiagnostic ICBT rarely targets insomnia and many ICBT patients report that symptoms of insomnia remain after treatment. This trial explored the impact of including a brief intervention for insomnia alongside an existing transdiagnostic ICBT course that included brief weekly therapist assistance. Patients were randomly assigned to receive either the Standard transdiagnostic (<em>n =</em> 75) or a Sleep-Enhanced course (<em>n =</em> 142), which included information on sleep restriction and stimulus control. Intent-to-treat analyses using generalized estimating equation (GEE) showed significant, large reductions in all primary outcomes (insomnia: <em>d</em> = 0.96, 95 % CI [0.68, 1.24]; depression: <em>d</em> = 1.04, 95 % CI [0.76, 1.33]; and anxiety: <em>d</em> = 1.23, 95 % CI [0.94, 1.52]) from pre-treatment to post-treatment, with changes maintained at 3-months. Patients assigned to the Sleep-Enhanced course reported larger reductions in insomnia than patients in the Standard transdiagnostic course (Cohen's <em>d</em> = 0.31, 95 % CI [0.034, 0.60]) at post-treatment but no significant between-group differences in any of the primary outcomes were found at follow-up. Patient-reported adherence to sleep restriction guidelines (<em>p</em> = .03), but not stimulus control instructions (<em>p</em> = .84) was associated with greater reductions in insomnia symptoms during the course. Overall, patients who received the Sleep-Enhanced course were satisfied with the materials and most patients reported making sleep behaviour changes. The trial results demonstrate that including a brief intervention targeting insomnia can be beneficial for many patients who enroll in ICBT primarily for symptoms related to anxiety and depression.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"35 ","pages":"Article 100729"},"PeriodicalIF":4.3,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000228/pdfft?md5=420b1497523bcda0261bced81f82a4a5&pid=1-s2.0-S2214782924000228-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}