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

{"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}

{"title":"Patient-reported preferences in eHealth-based cardiac rehabilitation: A qualitative investigation of behavior change techniques, barriers and facilitators","authors":"Emma R. Douma ,&nbsp;Svenja Wirtz ,&nbsp;Manuela Sestayo Fernandez ,&nbsp;Hendrik Schäfer ,&nbsp;Jos W.M.G. Widdershoven ,&nbsp;Mirela Habibović ,&nbsp;Carlos Peña Gil ,&nbsp;Jos A. Bosch ,&nbsp;Boris Schmitz ,&nbsp;Willem J. Kop","doi":"10.1016/j.invent.2024.100728","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100728","url":null,"abstract":"<div><h3>Background</h3><p>Cardiac rehabilitation (CR) reduces recurrent cardiac events and mortality in patients with cardiovascular diseases (CVD). Innovative eHealth methods can facilitate CR uptake and effectiveness by addressing barriers associated with clinic-based rehabilitation. Tailoring eHealth-based CR to patient preferences is needed to further enhance CR.</p></div><div><h3>Purpose</h3><p>To identify preferred behavior change techniques (BCTs) as well as barriers and facilitators for the different health behaviors targeted in eHealth-based CR among patients who have been referred to CR.</p></div><div><h3>Methods</h3><p>Thirty-nine patients were interviewed in nine focus groups in The Netherlands, Germany, and Spain. A thematic analysis, using a combined deductive and inductive approach to coding, was conducted to identify BCTs and barriers and facilitators to behavior change. Behaviors under investigation included physical activity, medication adherence, eating a cardiac healthy-diet, stress reduction and smoking cessation.</p></div><div><h3>Results</h3><p>The perceived helpfulness of BCTs depended on the specific behavior targeted. Common barriers were <em>negative emotional state</em> and <em>physical limitations.</em> A <em>desire to feel physically</em> or <em>mentally well</em> and <em>having experienced a cardiac life event</em> were the most common facilitators across health behaviors. Specific BCTs, barriers and facilitators were found for each of the health behavior.</p></div><div><h3>Conclusions</h3><p>Behavior change techniques that patients preferred for each health behavior targeted in eHealth-based CR were identified. A negative emotional state, experiencing a life event, and improving physical functioning are important barriers and facilitators in multiple behaviors targeted in eHealth-based CR programs. Additional tailoring of interventions to patient preferences for BCTs and patient-specific barriers and facilitators per health behavior could lead to further improvement of eHealth-based CR.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000216/pdfft?md5=6f51639a8b9bebeeb199ebcdefd148bc&pid=1-s2.0-S2214782924000216-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139748936","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 a smartphone-based Cognitive Bias Modification program for emotion regulation: A randomized-controlled crossover trial","authors":"Fanny Alexandra Dietel ,&nbsp;Raphael Rupprecht ,&nbsp;Alexander Mohamed Seriyo ,&nbsp;Malte Post ,&nbsp;Bastian Sudhoff ,&nbsp;Jacqueline Reichart ,&nbsp;Matthias Berking ,&nbsp;Ulrike Buhlmann","doi":"10.1016/j.invent.2024.100719","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100719","url":null,"abstract":"<div><p>Previous research has identified maladaptive emotion regulation as a key factor in psychopathology. Thus, addressing emotion regulation via scalable, low-threshold digital interventions – such as smartphone-based Cognitive Bias Modification (CBM) – holds important therapeutic potential. Using a randomized-controlled crossover trial, we tested the efficacy of an integrated CBM module within the Affect Regulation Training (ART, i.e., CBM-ART) that targeted emotion regulation through elements of appraisal-based and approach avoidance training.</p><p>Undergraduate students reporting elevated stress were randomized to a one-week active intervention (<em>Mindgames</em>; including psychoeducation, a quiz, and CBM-ART; <em>n</em> = 40), active control training (<em>Emo Shape</em>; including placebo psychoeducation, a quiz, and a placebo swiping task; <em>n</em> <em>=</em> 36) or waitlist (<em>n</em> <em>=</em> 25). Before and after the intervention, we assessed emotion regulation, interpretation bias, stress and depression. We further tested post-training stress reactivity using an anagram task.</p><p>Results indicated that the active intervention improved negative (OR = 0.35) and positive (OR = 2.40) interpretation biases and symptom measures (<em>d</em> = 0.52–0.87). However, active control training showed attenuated concurrent pre-post changes on interpretation biases (i.e., OR = 0.53 for negative, and OR = 1.49 for positive interpretations) and symptom measures (<em>d</em> = 0.26–0.91). The active intervention was rated positively in terms of acceptability and usability.</p><p>These findings provide initial evidence for the efficacy and acceptability of an integrated app-based CBM intervention for emotion regulation in reducing interpretation biases and psychopathological symptoms, including stress. However, future studies should disentangle specific mechanisms underlying interventional effects.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000125/pdfft?md5=d064f067786e9fe6b866ec352ba74bed&pid=1-s2.0-S2214782924000125-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139714126","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":"Human cues in eHealth to promote lifestyle change: An experimental field study to examine adherence to self-help interventions","authors":"Talia R. Cohen Rodrigues ,&nbsp;David R. de Buisonjé ,&nbsp;Thomas Reijnders ,&nbsp;Prabhakaran Santhanam ,&nbsp;Tobias Kowatsch ,&nbsp;Linda D. Breeman ,&nbsp;Veronica R. Janssen ,&nbsp;Roderik A. Kraaijenhagen ,&nbsp;Douwe E. Atsma ,&nbsp;Andrea W.M. Evers ,&nbsp;the BENEFIT consortium","doi":"10.1016/j.invent.2024.100726","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100726","url":null,"abstract":"<div><p>eHealth lifestyle interventions without human support (self-help interventions) are generally less effective, as they suffer from lower adherence levels. To solve this, we investigated whether (1) using a text-based conversational agent (TCA) and applying human cues contribute to a working alliance with the TCA, and whether (2) adding human cues and establishing a positive working alliance increase intervention adherence. Participants (<em>N</em> = 121) followed a TCA-supported app-based physical activity intervention. We manipulated two types of human cues: visual (ie, message appearance) and relational (ie, message content). We employed a 2 (visual cues: yes, no) x 2 (relational cues: yes, no) between-subjects design, resulting in four experimental groups: (1) visual and relational cues, (2) visual cues only, (3) relational cues only, or (4) no human cues. We measured the working alliance with the Working Alliance Inventory Short Revised form and intervention adherence as the number of days participants responded to the TCA's messages. Contrary to expectations, the working alliance was unaffected by using human cues. Working alliance was positively related to adherence (<em>t</em>(78) = 3.606, <em>p</em> = .001). Furthermore, groups who received visual cues showed lower adherence levels compared to those who received relational cues only or no cues (<em>U</em> = 1140.5, <em>z</em> = −3.520, <em>p</em> &lt; .001). We replicated the finding that establishing a working alliance contributes to intervention adherence, independently of the use of human cues in a TCA. However, we were unable to show that adding human cues impacted the working alliance and increased adherence. The results indicate that adding visual cues to a TCA may even negatively affect adherence, possibly because it may create confusion concerning the true nature of the coach, which may prompt unrealistic expectations.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000198/pdfft?md5=beb70913e6a512ef1a7e522b7bd5caec&pid=1-s2.0-S2214782924000198-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719142","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":"Long-term effectiveness and cost-effectiveness of guided internet-based cognitive behavioral therapy for obsessive-compulsive disorder: 24-month follow-up","authors":"Kazuki Matsumoto ,&nbsp;Sayo Hamatani ,&nbsp;Eiji Shimizu","doi":"10.1016/j.invent.2024.100725","DOIUrl":"https://doi.org/10.1016/j.invent.2024.100725","url":null,"abstract":"<div><p>This study investigated the long-term effectiveness and cost-effectiveness of guided internet-based cognitive behavioral therapy (ICBT) for obsessive-compulsive disorder (OCD). Twenty-five patients with OCD who had undergone guided ICBT in a randomized controlled trial or a single-arm trial were followed up for 6, 12, and 24 months. Missing data were imputed using the mice package in R, and a one-way analysis of variance with repeated measures was performed. The total Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) score significantly decreased from baseline to all endpoints <em>(p</em> &lt; 0.001). OCD remission (the total Y-BOCS score &lt; 14) rates significantly increased from post-treatment (48 %) at the 12 months (80 %) and 24 months (76 %) follow-up (χ2 (1) = 7.11–11.08, <em>p</em> &lt; 0.01) post guided ICBT. Regression analysis predicted the maintenance of remission at 12 and 24 months following post-treatment remission (z = 2.20, <em>p</em> = 0.03). An incremental cost-effectiveness ratio was calculated to assess the cost-effectiveness of guided ICBT. The incremental cost-effectiveness ratio was JPY 999,495, below the JPY 5 million threshold for willingness to pay in Japan. Our findings demonstrate the long-term effectiveness and cost-effectiveness of guided ICBT for OCD. Guided ICBT can mitigate the severity of OCD even after treatment.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214782924000186/pdfft?md5=8d275a91eae9cac63026f33b98640e4a&pid=1-s2.0-S2214782924000186-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719143","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}