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

{"title":"Effects of a digital intervention on physical activity in adults: A randomized controlled trial in a large-scale sample","authors":"Urs Alexander Fichtner , Iris Tinsel , Matthias Sehlbrede , Phillip Maiwald , Martina Bischoff , Gloria Metzner , Christian Schlett , Judith Brame , Jan Kohl , Daniel König , Rainer Bredenkamp , Ramona Wurst , Erik Farin-Glattacker","doi":"10.1016/j.invent.2024.100762","DOIUrl":"10.1016/j.invent.2024.100762","url":null,"abstract":"<div><h3>Background</h3><p>Physical inactivity is associated with health risks, contributing to various diseases and all-cause mortality. Despite recommendations for regular physical activity (PA), many adults remain inactive, influenced by socioeconomic and environmental factors. Digital interventions, particularly web-based PA programs, offer promising possibilities to promote PA across populations. These programs vary in their effectiveness, reflecting differences in design, user engagement, and behavior change techniques employed.</p></div><div><h3>Objective</h3><p>This study evaluates the effectiveness of the 12-week multimodal web-based TKFitnessCoach. The PA online program is part of the TK-HealthCoach. This study investigates the program's impact on self-reported PA levels, goal attainment, healthrelated quality of life, body weight, and eating behavior, comparing an interactive personalized web-based intervention and non-interactive web-based health information.</p></div><div><h3>Methods</h3><p>In a randomized controlled trial (RCT), participants were allocated to either the intervention group (IG), receiving access to the interactive TK-FitnessCoach, or the control group (CG) that was provided a static website with evidence-based information on PA. The study targeted a German-speaking adult population interested in improving health behavior. Data was assessed at T0 (beginning of the study), T1 (postintervention), T2, 6 months, and T3, 12 months follow-ups, focusing on self-reported PA at T3 and on various secondary outcomes.</p></div><div><h3>Results</h3><p>We achieved equally distributed sociodemographics in both the IG and the CG with a mean age of 42.8 (IG), resp. 43.1 years (CG), and female participants of 76.1 % (IG), resp. 74.7 % (CG). PA at baseline was 277.9 min/week in the IG and 273.3 min/week in the CG. Both, the IG (<em>n</em> = 1153 in the Intention-to-treat (ITT) dataset) and CG (<em>n</em> = 1177 in the ITT dataset) exhibited significant increases in PA over time (IG(T3-T0) = 72.92 min/week; CG(T3-T0) = 74.12 min/week).</p><p>However, the study did not find significant differences in the effectiveness of the interactive TK-FitnessCoach compared to the non-interactive control in terms of improving PA and related health outcomes. The intensity of using the TK-FitnessCoach was not associated with PA.</p></div><div><h3>Conclusions</h3><p>Both programs were effective in promoting PA among adults, with no significant differences observed between the two RCT groups. This highlights the potential of digital interventions in addressing physical inactivity, suggesting that the effectiveness of such programs may not solely depend on their interactivity but also on the quality and relevance of the information provided. Further research is needed to explore optimization strategies for such interventions, especially for persons with low PA, including user engagement, behavior change techniques, and the integration of objective PA track","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100762"},"PeriodicalIF":3.6,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000551/pdfft?md5=7767d12241cf01f2f7bba16f85835bf3&pid=1-s2.0-S2214782924000551-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141948137","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":"Effectiveness of a blended group transdiagnostic treatment for emotional disorders: Study protocol for a randomized controlled trial","authors":"Noelia Jiménez-Orenga ,&nbsp;Amanda Díaz-García ,&nbsp;Azucena García-Palacios ,&nbsp;Juani Bretón-López","doi":"10.1016/j.invent.2024.100761","DOIUrl":"10.1016/j.invent.2024.100761","url":null,"abstract":"<div><h3>Introduction</h3><p>Emotional disorders (ED) (mood and anxiety disorders) are very prevalent and disabling, and often appear in comorbid presentations. Although there are effective treatments for these disorders, there is still a large gap between the number of people who need them and those who actually receive them. The combination of three strategies may help in this regard, facilitating the dissemination and accessibility of treatment: the transdiagnostic perspective of ED, the group format, and the use of technologies in a blended format (i.e., the combination of online and face-to-face therapy elements). This study intends to compare the efficacy of a new ED intervention, a transdiagnostic group treatment protocol administered in a blended format, with that of a face-to-face treatment. This article describes the study protocol for the randomized controlled trial.</p></div><div><h3>Method and analyses</h3><p>A two-arm, parallel-group, randomized controlled clinical trial (RCT) will be conducted. Participants (<em>N</em> = 144) will be adult volunteers suffering from DSM-5 anxiety and/or depressive disorders and will be randomly assigned to one of two conditions: Face-to-face Group Transdiagnostic Protocol or Blended Group Transdiagnostic Protocol. The face-to-face condition will consist of a total of 16 weekly face-to-face group sessions, while the blended condition will consist of 8 biweekly face-to-face group sessions in combination with self-applied work through a web platform. Clinical and acceptability measures will be included in both groups. Assessments will be performed at baseline, during the treatment, at post-treatment, and at 3-, 6- and 12-month follow-ups. This study received the approval of the Ethics Committee of Universitat Jaume I in October 2021 (CD/91/2021). Intention-to-treat analyses will be performed. Statistical analyses will be carried out using SPSS version 28.0. The results will be reported in accordance with CONSORT recommendations.</p></div><div><h3>Discussion</h3><p>This is the first RCT to compare the effectiveness of an ED treatment protocol based on the transdiagnostic perspective and applied in group and blended format. It will offer relevant data to continue moving forward towards treatment alternatives that are cost-effective and more accessible, so that all patients with ED who require them can benefit.</p></div><div><h3>Trial registration</h3><p><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier: <span><span>NCT05569018</span><svg><path></path></svg></span>. Registered 06 October 2022, <span><span>https://clinicaltrials.gov/study/NCT05569018</span><svg><path></path></svg></span></p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100761"},"PeriodicalIF":3.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221478292400054X/pdfft?md5=c90cbbeac5b5b7dc0b81cb5d35cf67e1&pid=1-s2.0-S221478292400054X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141948133","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":"A systematic review of predictors and moderators of treatment outcomes in internet- and mobile-based interventions for depression","authors":"Theresa Sextl-Plötz ,&nbsp;Maria Steinhoff ,&nbsp;Harald Baumeister ,&nbsp;Pim Cuijpers ,&nbsp;David D. Ebert ,&nbsp;Anna-Carlotta Zarski","doi":"10.1016/j.invent.2024.100760","DOIUrl":"10.1016/j.invent.2024.100760","url":null,"abstract":"<div><p>This systematic review aimed to synthesize evidence on predictors and moderators of treatment outcomes in internet- and mobile-based interventions (IMIs) for depression, informing personalized care. A systematic search across PubMed, PsycInfo, and Cochrane yielded 33,002 results. Two reviewers independently performed screening, data extraction, risk of bias assessment, and methodological quality evaluation. Fifty-eight single studies (m = 466 analyses) focusing on baseline-predictors (59.7 %, m = 278), process-predictors (16.5 %, m = 77), and moderators (21.9 %, m = 102), and six individual patient data meta-analyses (m = 93) were included. Only 24.0 % (m = 112/466) of analyses in single studies and 15.1 % (m = 14/93) in individual patient data meta-analyses were significant. Evidence from single studies was rated as insufficient for all variable categories with only 2 out of 40 categories showing &gt;50 % significant results. Baseline depression severity had the strongest predictive value with higher scores linked to better outcomes followed by variables indicative for the course-of-change. Other frequently analyzed and potentially relevant variables with significant results were adherence, age, educational level, ethnicity, relationship status, treatment history, and behavioral variables. More high quality quantitative studies with sufficient power are essential to validate and expand findings, identifying predictors and moderators specifically relevant in IMIs to explain differential treatment effects.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100760"},"PeriodicalIF":3.6,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000538/pdfft?md5=7ff7e4c3fd471bcb079a725a117415e0&pid=1-s2.0-S2214782924000538-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141777249","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":"Effectiveness of online psychological interventions to prevent perinatal depression in fathers and non-birthing partners: A systematic review and meta-analysis of randomized controlled trials","authors":"Paula de-Juan-Iglesias ,&nbsp;Irene Gómez-Gómez ,&nbsp;Carlos Barquero-Jimenez ,&nbsp;Claire A. Wilson ,&nbsp;Emma Motrico","doi":"10.1016/j.invent.2024.100759","DOIUrl":"10.1016/j.invent.2024.100759","url":null,"abstract":"<div><p>Little is known about the effectiveness of online preventive interventions for paternal perinatal depression (PPD). This systematic review (SR) and meta-analysis (MA) of randomized controlled trials (RCTs) evaluated the effectiveness of online psychological interventions to prevent PPD in fathers and non-birthing partners. The PRISMA 2020 guidelines were followed. The search was conducted in eight electronic databases and other sources from inception to 12 May 2023. The pooled standardized mean difference (SMD) was computed using random-effect models. Seven RCTs were included in the SR and 6 were included in the MA, representing 1.042 fathers from five different countries. No trials focused on non-birthing partners were found. The pooled SMD was −0.258 [95 % confidence interval − 0.513 to −0.004; <em>p</em> &lt; 0.047]. The heterogeneity was moderate (I2 = 51 %; 95%CI [0 % to 81 %]) and nonsignificant (<em>p</em> = 0.070). However, sensitivity analyses showed that the effectiveness was stable only when the fixed effect model and the Egger's g were used to estimate the pooled SMD.</p><p>No publication bias was found. Only two RCTs had an overall low risk of bias assessed by using the Cochrane ROB 2.0 tool. The quality of evidence based on GRADE was very low. In conclusion, online psychological interventions may be effective for the prevention of PPD. More high-quality evidence is warranted.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100759"},"PeriodicalIF":3.6,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000526/pdfft?md5=213cad02005797fca548fa125a5a09cd&pid=1-s2.0-S2214782924000526-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736646","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 additional resources used in therapist-assisted transdiagnostic internet-delivered cognitive behaviour therapy","authors":"H.D. Hadjistavropoulos ,&nbsp;V. Peynenburg ,&nbsp;R.P. Sapkota ,&nbsp;N. Titov ,&nbsp;B.F. Dear","doi":"10.1016/j.invent.2024.100758","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100758","url":null,"abstract":"<div><h3>Background</h3><p>In internet-delivered cognitive behavioural therapy (ICBT) programs, beyond standardized core ICBT lessons, brief additional resources are sometimes available to clients to address comorbid concerns or offer additional information/strategies. These resources remain understudied in terms of how they are selected and perceived by clients, as well as their relationship to satisfaction and outcomes.</p></div><div><h3>Methods</h3><p>Among clients (<em>N</em> = 793) enrolled in a 5-lesson transdiagnostic ICBT course, we examined client use and perceptions of 18 additional resources at 8 weeks in terms of whether clients found resources informative (yes/no) and or helpful (yes/no). Resources elaborated on cognitive strategies (managing beliefs, risk calculation) or on managing specific problems (agricultural stress, alcohol misuse, anger, assertiveness, chronic conditions, communication, grief, health anxiety, motivation, pain, panic, postpartum depression/anxiety, PTSD, sleep, workplace accomodations, worry). Clients also completed symptom measures and ICBT satisfaction questions at 8 weeks.</p></div><div><h3>Results</h3><p>Approximately 50 % (<em>n</em> = 398) of clients rated the resources and, on average, clients reported that 3.35 (SD = 3.34) resources were informative and 2.35 (SD = 2.52) resources were helpful as measured by direct questions developed for this study. Higher pre-treatment PTSD and GAD scores were related to a greater number of resources perceived as informative and or helpful. Rating more resources as informative and or helpful had a weak but positive association with ICBT satisfaction and depression, anxiety, PTSD and insomnia change scores. Limitations of the study include that 31 % (<em>n</em> = 245) did not respond to questions about use of resources and 18.9 % (<em>n</em> = 150) said they did not review resources.</p></div><div><h3>Conclusions</h3><p>There is considerable use of diverse additional resources in ICBT in routine care. Associations suggest that clients are using resources to personalize treatment to their needs and these resources are associated with treatment satisfaction and outcomes. The correlational associations between symptoms and perceived helpfulness of resources can help inform personalization algorithms to optimize ICBT delivery for clients. Further research on how to match clients with, encourage use of, and maximize benefits of resources would be beneficial.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100758"},"PeriodicalIF":3.6,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000514/pdfft?md5=c6e438ac67e20ffb2b980dbbf9ffb9c0&pid=1-s2.0-S2214782924000514-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583215","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":"Comparison of the effect of telephone follow-up with social network follow-up program on self-efficacy and depression in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial","authors":"Ako Hassanzadeh ,&nbsp;Bahador Baharestani ,&nbsp;Niloofar Najafali Dizaji ,&nbsp;Fidan Shabani ,&nbsp;Mahmood Sheikh Fathollahi ,&nbsp;Rasoul Goli ,&nbsp;Mohammad Shafiei Kouhpayeh","doi":"10.1016/j.invent.2024.100757","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100757","url":null,"abstract":"<div><h3>Introduction</h3><p>Coronary artery bypass graft (CABG) surgery is a common procedure to improve blood flow to the heart muscles, but patients often face challenges during the recovery period. Self-efficacy and depression play crucial roles in patient outcomes. Telephone follow-up and social network follow-up have been introduced as interventions to enhance self-efficacy. This study aims to compare the effectiveness of telephone follow-up and social network follow-up on self-efficacy and depression in CABG patients.</p></div><div><h3>Method</h3><p>The study is a single-blinded, randomized controlled trial conducted at Shahid Rajaee Heart Hospital in Tehran, Iran. The sample size was determined to be 99 patients who met the inclusion criteria. Data were collected using a demographic questionnaire, Sullivan's cardiac self-efficacy questionnaire, and the Beck Depression Inventory (BDI). Participants were assigned to three groups: control, telephone follow-up, and WhatsApp follow-up using randomization. Data were analyzed using IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, N.Y., USA).</p></div><div><h3>Results</h3><p>The results revealed significant improvements in self-efficacy and reductions in depression scores for both the telephone and WhatsApp follow-up groups compared to the control group following the intervention (<em>p</em> <em>&lt;</em> <em>0.001</em>). Additionally, the mean self-efficacy score was higher and the mean depression score was lower in the WhatsApp follow-up group than in the telephone follow-up group after the intervention (<em>p</em> <em>&lt;</em> <em>0.001</em>).</p></div><div><h3>Discussion</h3><p>The findings provide valuable insights for healthcare professionals in choosing appropriate interventions to enhance patients' self-efficacy levels and improve mental health outcomes. Both telephone follow-up and social network follow-up interventions have their own advantages and can be effective in supporting patients' recovery after CABG surgery.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100757"},"PeriodicalIF":3.6,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000502/pdfft?md5=547e123ed9fcc444f20a83db6904761c&pid=1-s2.0-S2214782924000502-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582739","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":"Corrigendum to “An early economic evaluation of Kooth, a web-based mental health platform for children and young people with emerging mental health needs” [Internet Interv. 36 (2024) 100748 10.1016/j.invent.2024.100748 (Published online 2024 May 11)]","authors":"Laura Coote ,&nbsp;Laura Kelly ,&nbsp;Charlotte Graham ,&nbsp;Luc Curtis-Gretton ,&nbsp;Maisie Green ,&nbsp;Louisa Salhi ,&nbsp;Santiago de Ossorno Garcia ,&nbsp;Aaron Sefi ,&nbsp;Hayden Holmes","doi":"10.1016/j.invent.2024.100756","DOIUrl":"10.1016/j.invent.2024.100756","url":null,"abstract":"","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100756"},"PeriodicalIF":3.6,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000496/pdfft?md5=0c20e97ed731046310c87018e52f5aab&pid=1-s2.0-S2214782924000496-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704731","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 knowledge, attitude, and intention to use internet-based mental health services: A serial mediation model","authors":"Qiang Chen,&nbsp;Jiamin Bao,&nbsp;Yinyin Zang","doi":"10.1016/j.invent.2024.100755","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100755","url":null,"abstract":"<div><h3>Objective</h3><p>Internet-based mental health services (i-MHS) have been widely provided to the public during the pandemic. However, people's engagement with i-MHS remains unclear. This study aimed to examine the Chinese population's knowledge, attitudes, and use intentions regarding i-MHS and determine their relations by serial mediation models.</p></div><div><h3>Methods</h3><p>The public's knowledge, attitudes, intention to use i-MHS and psychological impact of the pandemic were assessed. An online survey was administered to respondents from mainland China (<em>N</em> = 2543).</p></div><div><h3>Results</h3><p>Of the participants, 53.9 % exhibited some familiarity with i-MHS, while 62.4 % perceived these services as somewhat or very helpful, and 53.2 % were willing or very willing to use them. Serial mediation analyses indicated that the psychological impact of the pandemic indirectly related to the intention to use i-MHS. Knowledge and attitudes toward i-MHS sequentially mediated this relation [<em>χ</em>²(61) = 179.359, <em>P</em> &lt; .001; <em>χ</em>^<em>2</em>/<em>df</em> = 2.940; CFI = 0.996; RMSEA = 0.028].</p></div><div><h3>Conclusions</h3><p>This study underscores the critical role of knowledge in shaping positive attitudes and intentions to use i-MHS, emphasizing the need for robust mental healthcare promotion strategies to raise knowledge and maximize the benefits of i-MHS.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100755"},"PeriodicalIF":3.6,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000484/pdfft?md5=686a33c92688b32565c104820656ffb1&pid=1-s2.0-S2214782924000484-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480540","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":"Effectiveness of an online text-based stress management program for employees who work in micro- and small-sized enterprises: A randomized controlled trial","authors":"Natsu Sasaki ,&nbsp;Sayaka Ogawa ,&nbsp;Utako Sawada ,&nbsp;Taichi Shimazu ,&nbsp;Byron J. Powell ,&nbsp;Hajime Takeno ,&nbsp;Akizumi Tsutsumi ,&nbsp;Kotaro Imamura","doi":"10.1016/j.invent.2024.100754","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100754","url":null,"abstract":"<div><h3>Background</h3><p>Internet psychoeducational interventions improve employees' mental health. However, implementing them for employees in micro- and small-sized enterprises (MSEs) is challenging.</p></div><div><h3>Objectives</h3><p>This randomized controlled trial examined the effectiveness of a fully automated text-based stress management program, “WellBe-LINE,” in improving mental health and job-related outcomes for employees in workplaces with fewer than 50 employees.</p></div><div><h3>Methods</h3><p>The program was developed based on stakeholder interviews and surveys of 1000 employees at MSEs. Adult full-time employees at an enterprise with fewer than 50 employees were recruited from registered members of a web survey company in Japan. Participants were randomly allocated to the intervention or control group (1:1). Participants in the intervention group were invited to register for the program using the LINE app. Psychological distress measured by Kessler 6 (K6) was a primary outcome, with self-administrated questionnaires at baseline, 2-month (post), and 6-month follow-ups. A mixed model for repeated measures conditional growth model analysis was conducted using a group ∗ time interaction as an intervention effect. Implementation outcomes were measured through implementation outcome scales for digital mental health (iOSDMH).</p></div><div><h3>Results</h3><p>1021 employees were included in this study. No significant effects were shown in any outcome. The reported implementation outcomes were positively evaluated, with 80 % acceptability, 86 % appropriateness, and feasibility (ease of understanding the contents [88 %], frequency [86 %], and length of content [86 %]).</p></div><div><h3>Conclusions</h3><p>A simple text-message program for employees at MESs was acceptable, appropriate, and feasible; however, it did not result in improved mental health or job-related outcomes.</p></div><div><h3>Trial registration</h3><p>UMIN clinical trial registration: UMIN000050624 (registration date: March 18, 2023).</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100754"},"PeriodicalIF":3.6,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000472/pdfft?md5=47c7813517f979eb0ea63391f69aba0a&pid=1-s2.0-S2214782924000472-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480481","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 association of socioeconomic status with the success of chat-based online counseling for children and youth: A latent change score modeling approach","authors":"Franziska Rarey ,&nbsp;Julia Thomas ,&nbsp;Anne Berghöfer ,&nbsp;Lars Kuchinke ,&nbsp;Gunther Meinlschmidt ,&nbsp;Christine Rummel-Kluge ,&nbsp;Richard Wundrack ,&nbsp;Matthias Ziegler","doi":"10.1016/j.invent.2024.100753","DOIUrl":"10.1016/j.invent.2024.100753","url":null,"abstract":"<div><p>Children and youth from lower subjective socioeconomic status (SES) backgrounds are at a heightened risk of mental disorders. Online counseling is a valuable tool to reach those less likely to seek professional help, but its success across different SES backgrounds remains unclear. This study explores the association between subjective SES and online counseling outcomes. Children and youth (<em>N</em> = 2139) between 10 and 24 years-of-age received chat-based online counseling and reported on SES, negative feelings before and after the chat, and perceived helpfulness of the chat via an online assessment tool. The results of a latent change score model showed a significant association between SES and negative feelings before chatting, indicating that lower SES predicted more negative feelings (<em>r</em> = −0.26, <em>p</em> &lt; .001). Further, SES was indirectly associated with the change in negative feelings from before to after counseling, mediated by the extent of negative feelings before the chat (<em>β</em> = 0.07, 95%CFI = [0.05–0.10]). Current findings extend research on online counseling programs in the context of SES. Despite higher counseling needs among low SES individuals, they do not benefit proportionally from existing online services in this sample. Future research should investigate barriers to help-seeking and implement specialized counselor training programs.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"37 ","pages":"Article 100753"},"PeriodicalIF":4.3,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000460/pdfft?md5=58ddf921a159e1fdc46da2808df41f76&pid=1-s2.0-S2214782924000460-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398252","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}