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

{"title":"Cultural adaptation of a self-help app for grieving Syrian refugees in Switzerland. A feasibility and acceptability pilot-RCT","authors":"Anaïs Aeschlimann ,&nbsp;Eva Heim ,&nbsp;Clare Killikelly ,&nbsp;Nesrin Mahmoud ,&nbsp;Farhad Haji ,&nbsp;Rilana Tanja Stoeckli ,&nbsp;Monia Aebersold ,&nbsp;Myriam Thoma ,&nbsp;Andreas Maercker","doi":"10.1016/j.invent.2025.100800","DOIUrl":"10.1016/j.invent.2025.100800","url":null,"abstract":"<div><h3>Background</h3><div>The global refugee population has significantly increased, with Syrian refugees being one of the largest displaced groups. Bereavement represents a major challenge. However, access to mental health care is limited by structural and cultural barriers. Internet-based interventions (IBIs) offer a promising solution, but most are developed in Western contexts, limiting their cultural relevance. This study aimed to evaluate the acceptability, feasibility, and preliminary efficacy of a culturally adapted self-help IBI for bereaved Syrian refugees in Switzerland.</div></div><div><h3>Methods</h3><div>In a mixed-methods pilot randomized controlled trial (RCT), 30 bereaved Syrian refugees were randomly assigned to a 5-week app-based intervention or a waitlist control group. Semi-structured interviews with the intervention group provided qualitative insights on feasibility and acceptability and were analyzed with framework analysis. Quantitative data assessed treatment satisfaction, adherence, and preliminary efficacy on grief, depression, posttraumatic stress disorder (PTSD), anxiety, well-being, disability, post-migration difficulties, and social support. Descriptive statistics were used for feasibility and acceptability, while linear mixed-effects models assessed efficacy.</div></div><div><h3>Results</h3><div>High treatment satisfaction, a low dropout rate and adherence of 40 % were found. Qualitative interviews indicated the intervention was relevant and beneficial, further adaptations were suggested. No significant group differences were found on bereavement or secondary outcomes. However, trends indicated reduced grief, anxiety, PTSD, and depression, with improved well-being and social support in the intervention group.</div></div><div><h3>Conclusions</h3><div>The results suggest that this culturally adapted IBI is both feasible and acceptable for Syrian refugees. While trends are promising, a larger RCT is needed to investigate efficacy. This intervention shows potential as meaningful support for bereaved Syrian refugees.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100800"},"PeriodicalIF":3.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104957","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":"Clinical outcomes from blended care therapy for anxiety and depression in the year after treatment","authors":"Jennifer L. Lee ,&nbsp;Shih-Yin Chen ,&nbsp;Robert E. Wickham ,&nbsp;Pam Wang ,&nbsp;Monica S. Wu ,&nbsp;Alethea A. Varra ,&nbsp;Connie E. Chen ,&nbsp;Anita Lungu","doi":"10.1016/j.invent.2024.100798","DOIUrl":"10.1016/j.invent.2024.100798","url":null,"abstract":"<div><h3>Background</h3><div>Scalable evidence-based treatments for anxiety and depression, such as blended care therapy (BCT) that integrate digital tools are effective, but reporting on long-term outcomes is limited.</div></div><div><h3>Method</h3><div>This pragmatic observational study examined the symptom stability and trajectories of individuals in the year following engagement in a BCT program. Participants included adults with clinical anxiety and/or depression measured by the Generalized Anxiety Disorder-7 (GAD-7) or Patient Health Questionnaire-9 (PHQ-9). Assessments were sent during the initial episode of care and in the year following.</div></div><div><h3>Results</h3><div>Participants included 27,835 adults (depression: 17,686 and anxiety: 24,853). Of these, 11,465 (41 % of those who received initial care; depression: 7223; anxiety: 10,218) completed at least one follow-up assessment (FUA). Average age was 34 years, 68–69 % were female, and 48–49 % were White across subsamples. Among FUA respondents, rates of reliable improvement or recovery on the PHQ-9 or GAD-7 for those who did not receive additional therapy were above 81 % across follow-up periods. Growth curve analysis for those who did not return for additional therapy revealed that both depression and anxiety groups demonstrated a statistically significant yet small linear effect of time in the year following treatment, with a 1.6–2.1 point increase in scores over the 12-month period.</div></div><div><h3>Conclusions</h3><div>Among clients who completed FUAs and received no additional therapy, reliable improvement and recovery rates were high. Growth curve analysis demonstrated a small increase in symptoms over the 12-month interval, providing pragmatic evidence of long-term stability of treatment gains from BCT for anxiety and depression in a real-world setting.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100798"},"PeriodicalIF":3.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014493","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":"Participatory methods in designing digital health interventions for informal caregivers of people with dementia. A systematic review","authors":"Anna Messina,&nbsp;Anna Maria Annoni,&nbsp;Rebecca Amati,&nbsp;Beatrice Bano,&nbsp;Giovanni Franscella,&nbsp;Emiliano Albanese,&nbsp;Maddalena Fiordelli","doi":"10.1016/j.invent.2024.100799","DOIUrl":"10.1016/j.invent.2024.100799","url":null,"abstract":"<div><h3>Aims</h3><div>The growing use of technology in healthcare has contributed to the development of digital interventions for informal caregivers of people living with dementia. However, the marked heterogeneity of interventions poses challenges in evaluating their effectiveness. We conducted a review to delineate the distinctive features and development of the interventions, with focus on participatory methods.</div></div><div><h3>Methods</h3><div>We searched the following databases: Cochrane; Cinahl; Pubmed; Psychinfo; Scopus; Web of Knowledge, and IEEE, and screened and selected studies based on titles, abstracts and full texts. We used standardized procedure to abstract and synthetize relevant data of primary studies, and the Mixed Methods Appraisal Tool to assess their quality.</div></div><div><h3>Results</h3><div>Of 3136 records, 20 studies met the inclusion criteria. Most of the studies were web-based interventions, with multiple components and interactive features. The design and development of eight interventions employed participatory methods with large variations in the underlying framework and application.</div></div><div><h3>Conclusions</h3><div>This review sheds light on the design and development of digital interventions for dementia caregivers. The limited and heterogeneous use of participatory methods, along with inadequate reporting, hinders a clear understanding of intervention efficacy and implementation. Formal standardization of participatory action research methods is necessary to improve the design, development, and evaluation of digital interventions for caregivers of people with dementia.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100799"},"PeriodicalIF":3.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172555","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 “SES NXT” digital intervention for children of relationship dissolution: Study protocol for a randomized controlled trial study","authors":"Camilla S. Øverup ,&nbsp;Daniel B. Johnsen ,&nbsp;Martin Skriver ,&nbsp;Søren Sander ,&nbsp;Theis Lange ,&nbsp;Gert Martin Hald","doi":"10.1016/j.invent.2024.100797","DOIUrl":"10.1016/j.invent.2024.100797","url":null,"abstract":"<div><div>Parental relationship dissolution is among the most prevalent life crises for youths and is associated with both short- and long-term intra- and interpersonal struggles. Extant support programs tend to be in-person and in a group format. However, the structure and personnel needed for these programs make them costly to implement, less accessible, and difficult to scale. Digital interventions may present a suitable alternative. The current study examines the effectiveness of an online psycho-social intervention for children who have experienced parental relationship dissolution in Denmark, using a two-arm, parallel-group, randomized controlled trial study design. Families are recruited through Danish municipalities and the Danish Agency of Family Law and randomly assigned to the intervention group or wait-list control group. Individuals are assessed at baseline, 4 weeks, and 12 weeks post-baseline; parents complete questionnaires on behalf of their children aged 3–10, while youth aged 11–17 complete the questionnaires themselves. The primary study outcomes are 1) emotional problems symptoms, as measured by the Strength and Difficulty Questionnaire (SDQ), 2) mental well-being related difficulties, represented by the SDQ-Total scale score, and 3) impact of problems on daily life, as assessed by the SDQ-Impact scale score, at 12-weeks post-baseline. The data will be analyzed using a generalized estimating equation, accounting for non-independence of data (nesting of children within a family). The present study will contribute to the extant knowledge about the effectiveness of digital interventions for youths experiencing parental relationship dissolution and contribute to a cost-effective evidence-based scalable psychological help for a population who needs it.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100797"},"PeriodicalIF":3.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980260","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 DID-guide: A guide to developing digital mental health interventions","authors":"E.C.A. Mertens ,&nbsp;J.-L. Van Gelder","doi":"10.1016/j.invent.2024.100794","DOIUrl":"10.1016/j.invent.2024.100794","url":null,"abstract":"<div><div>The opportunities technology offers for improving mental health have led to a surge in digital interventions. A pivotal step in the development of such interventions involves translating theoretical intervention techniques into specific technological features. However, practical guidelines on how to approach this translation are currently underdeveloped. To support efforts to develop digital mental health interventions, from theoretical inception to an actual digital intervention, we present the Digital Intervention Development Guide (DID-Guide). The DID-Guide is structured into two distinct phases. Phase 1 establishes the intervention's theoretical foundation, outlining the steps for developing a theoretical intervention framework. Phase 2 translates this theoretical framework into actionable technological features, that make up the intervention. We break down the DID-Guide's two phases into a series of actionable steps, accompanied by concrete examples from a recent intervention that can be delivered through both a smartphone app and Virtual Reality. The DID-Guide serves as a comprehensive resource for creating impactful digital mental health interventions, while also facilitating collaboration and communication among a diverse range of stakeholders, including researchers, clinicians, and software developers.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100794"},"PeriodicalIF":3.6,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885772","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":"Internet-delivered cognitive behaviour therapy for university students: Preference trial for various course durations","authors":"V. Peynenburg ,&nbsp;R.P. Sapkota ,&nbsp;N. Titov ,&nbsp;B.F. Dear ,&nbsp;H.D. Hadjistavropoulos","doi":"10.1016/j.invent.2024.100796","DOIUrl":"10.1016/j.invent.2024.100796","url":null,"abstract":"<div><h3>Background</h3><div>Internet-delivered cognitive behaviour therapy (ICBT) is an accessible and effective treatment option for post-secondary students, but engagement and completion rates are less favourable than in non-student populations in routine care. Studies on students' treatment preferences suggest that a range of options should be offered. Examining students' engagement and outcomes associated with ICBT course options of varying durations can help inform how to optimally deliver ICBT to university students in routine care.</div></div><div><h3>Methods</h3><div>University students (<em>N</em> = 72) were offered a choice of a transdiagnostic ICBT course of three different durations (i.e., ultra-brief with no time locks, brief, or standard-length). The trial examined course preferences, predictors of preferences, treatment outcomes (depression, anxiety, and perceived academic functioning) at post-treatment and 4-month follow-up, as well as treatment engagement and satisfaction across course options.</div></div><div><h3>Results</h3><div>Of the 72 students who started treatment, 32 (44.4 %) chose the brief course, 36 (50.0 %) chose standard-length, and 4 (5.6 %) chose the ultra-brief course. Between-group comparisons focused on the brief and standard-length courses, as uptake was too low for the ultra-brief course. From pre-treatment to post-treatment, clients in both groups experienced large reductions in depression (brief: <em>d</em> = 1.26, 95 % CI [0.84, 1.69]; standard: <em>d</em> = 1.43, 95 % CI [0.88, 1.98]) and anxiety (brief: <em>d</em> = 1.40, 95 % CI [0.96, 1.84]; standard: <em>d</em> = 1.59, 95 % CI [1.03, 2.15]), and small but not significant improvements in perceived academic functioning (brief: <em>d</em> = 0.27, 95 % CI [−0.12, 0.67]; standard: <em>d</em> = 0.44, 95 % CI [−0.07, 0.95]). At 4-month follow-up, improvements in depression and anxiety were maintained and improvements in perceived academic functioning reached significance in both groups, with medium effects found. There were no pre-treatment between-group differences in demographic or clinical characteristics and treatment satisfaction was comparable between the groups. The percentage of clients who accessed all lessons was similar in the brief (59.4 %) and standard (55.6 %) courses.</div></div><div><h3>Conclusions</h3><div>As the brief and standard-length course options had similar uptake, outcomes, completion rates, and client satisfaction and similar costs in terms of therapist resources, clinics can confidently offer these options and accommodate student preferences. The low interest in an ultra-brief course prevented evaluation of the outcomes of this course but implies allocating time and resources to offering this option when offered alongside other options is not worthwhile in this particular clinic. Further research could explore whether offering ultra-brief ICBT under different circumstances is of interest and benefit to students.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100796"},"PeriodicalIF":3.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885646","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":"Artificial intelligence as a virtual coach in a cognitive behavioural intervention for perfectionism in young people: A randomised feasibility trial","authors":"Catherine Johnson ,&nbsp;Sarah J. Egan ,&nbsp;Per Carlbring ,&nbsp;Roz Shafran ,&nbsp;Tracey D. Wade","doi":"10.1016/j.invent.2024.100795","DOIUrl":"10.1016/j.invent.2024.100795","url":null,"abstract":"<div><h3>Background</h3><div>We examined the feasibility and outcomes of Artificial Intelligence (AI) as a virtual coach in guided self-help (GSH-AI) compared to pure self-help (PSH).</div></div><div><h3>Method</h3><div>Participants (<em>N</em> = 85 undergraduate university students; M age = 20.65 years [<em>SD</em> = 2.38]; 84 % female) were randomised to PSH (<em>N</em> = 42) or GSH-AI (<em>N</em> = 43). The intervention was a brief 11-module online cognitive behaviour therapy for perfectionism intervention completed over 4-weeks. GSH-AI participants were given suggested questions to ask AI for guidance in completing the intervention. Data were collected at baseline, 4- and 8-weeks post-randomisation.</div></div><div><h3>Results</h3><div>Engagement was good, only one person in each group did not use any modules; module completion was equivalent across conditions (6.67, <em>SD</em> = 3.22 and 6.18, <em>SD</em> = 3.42 respectively). Between baseline and post-intervention people in the GSH-AI condition showed an almost 3.5 times increase in preferring support to be received from AI versus other modes of support. Only 52 % and 22 % of participants completed 4- and 8-week post-randomisation surveys, with no differences in psychological outcomes between the PSH and GSH-AI groups. Main effects of time indicated moderate to large within-group effect size improvements for disordered eating, stress, anxiety, and perfectionism.</div></div><div><h3>Conclusions</h3><div>Qualitative feedback indicated that AI was initially acceptable as a guide and became even more acceptable after it had been experienced. Fully powered trials are required to determine the impact of AI guidance on outcomes, and whether type of AI platform (customised versus generic) and type of mental health disorder interact with its effects.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"38 ","pages":"Article 100795"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883503","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":"Assessing the feasibility, acceptability, and preliminary efficacy of the ‘TraumaRelief’ app for PTSD symptom management in Turkey: Study protocol for a pilot randomized controlled trial","authors":"Hasan Arslan,&nbsp;A. Esin Yilmaz","doi":"10.1016/j.invent.2024.100793","DOIUrl":"10.1016/j.invent.2024.100793","url":null,"abstract":"<div><div>The rate of exposure to traumatic events is high globally, and post-traumatic stress disorder (PTSD) is one of the most serious consequences. It was reported that approximately 14 million people were affected by earthquakes in Turkey in February 2023. Cognitive Behavioral Therapy (CBT) is a therapeutic approach to treating PTSD and has a proven efficacy. However, access to face-to-face therapies such as CBT is limited and there is a high dropout rate. Technology-based interventions can offer new solutions to make CBT more accessible and integrated into daily life. In this study, we will develop an application called TraumaRelief, which aims to relieve PTSD symptoms. We will test the feasibility, acceptability, and efficacy of this application through a pilot randomized controlled study conducted in Turkey, with 105 participants aged between 18 and 65 years who have experienced a traumatic event. Participants will be randomly assigned to the Application Plus Online Therapist Support Group (AT + OT Group), Application Only Group (Group A), and Waitlist Control Group (WLC Group). This study aims to evaluate symptoms of PTSD, depression, and anxiety, as well as their effects on quality of life. In addition, the feasibility and acceptability of the study; the attrition, consent, recruitment, and adherence rate to the application; fidelity of intervention delivery; system usability score; preferred and least preferred module components; app utilization frequency; and likelihood to recommend the application will be examined. Application efficacy will be monitored with follow-ups at one and three months. The results could provide important information on the integration of technology-based treatments with psychotherapy. In addition, it could allow the evaluation of potential mobile applications in the field of psychotherapy and represents an important step in the development and evaluation of a customized mobile application for a society with unique cultural and social dynamics, such as Turkey. It could also be an important resource for increasing the capacity to cope with the effects of traumatic events that have occurred in Turkey or future events.</div></div><div><h3>Clinical Trial Registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier <span><span>NCT06288594</span><svg><path></path></svg></span>. Unique Protocol ID: DEU-PSI-HA-001.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"38 ","pages":"Article 100793"},"PeriodicalIF":3.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721380","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":"Implementation trial II: Clinical outcomes and acceptability of an internet-delivered intervention for anxiety and depression delivered as part of routine care for university students in Australia","authors":"Blake F. Dear ,&nbsp;Andreea I. Heriseanu ,&nbsp;Bareena Johnson ,&nbsp;Letitia Norton ,&nbsp;Helen Nguyen ,&nbsp;Ali Richards ,&nbsp;Sheldon Pace ,&nbsp;Nickolai Titov","doi":"10.1016/j.invent.2024.100789","DOIUrl":"10.1016/j.invent.2024.100789","url":null,"abstract":"<div><h3>Background</h3><div>University students report high levels of psychological distress, which is a contributor to poorer academic, social and health outcomes. There is increasing interest in the use of internet-delivered psychological treatments in student counselling services as a strategy improving access to psychological care at scale. However, to date, few large-scale prospective effectiveness trials of internet-delivered psychological treatment have been conducted in “real world” settings with university student populations.</div></div><div><h3>Aim</h3><div>To investigate the effectiveness and acceptability of a brief transdiagnostic internet-delivered cognitive behavioural therapy (iCBT) intervention for anxiety and depression when delivered as part of routine care by the counselling service of an Australian university.</div></div><div><h3>Design</h3><div>A large, prospective, single-group Phase IV clinical trial.</div></div><div><h3>Method</h3><div>Students engaging with the university counselling service between 2018 and 2023 (<em>N</em> = 845; 8.5% of those presenting to the service) were given the option to receive the intervention based on their clinical 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 (<em>n</em> = 426) also completed the measures at 3-month follow-up.</div></div><div><h3>Results</h3><div>Over a 5-year period, 700 students participated in the intervention and 489 provided data at post-treatment. Significant reductions in depression symptoms (% reduction = 27%, Hedges' <em>g</em> = 0.35) and anxiety (% reduction = 37%, Hedges' <em>g</em> = 0.61) were observed, alongside high levels of satisfaction (&gt;70%) and adherence (68%). Over 50% of students had clinically significant improvements in symptom severity, and symptom deterioration was observed in &lt;15% of students.</div></div><div><h3>Conclusion</h3><div>The results of the current trial provide support for the effectiveness and acceptability of internet-delivered psychological interventions provided as part of routine care to university students with symptoms of anxiety and depression.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"38 ","pages":"Article 100789"},"PeriodicalIF":3.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704756","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":"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","authors":"Blake F. Dear ,&nbsp;Andreea I. Heriseanu ,&nbsp;Bareena Johnson ,&nbsp;David Sander ,&nbsp;Kimberly Farmer ,&nbsp;Nickolai Titov","doi":"10.1016/j.invent.2024.100791","DOIUrl":"10.1016/j.invent.2024.100791","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aim</h3><div>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.</div></div><div><h3>Design</h3><div>A large, prospective, single-group Phase IV clinical trial.</div></div><div><h3>Method</h3><div>Students (<em>N</em> = 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 (<em>n</em> = 405) also completed these at 3-month follow-up.</div></div><div><h3>Results</h3><div>Over a 5-year period, 839 students participated in the intervention. Significant reductions in symptoms of depression (% reduction = 35%, Hedges' <em>g</em> = 0.56) and anxiety (% reduction = 36%, Hedges' <em>g</em> = 0.73) were observed, alongside high levels of satisfaction (&gt; 60%). Symptom deterioration was observed in &lt;10% of students.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"38 ","pages":"Article 100791"},"PeriodicalIF":3.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704814","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}