Anna Varga, Edit Czeglédi, Kálmán Erdélyi, Szilvia Gyömbér, Noémi Szeifert, Ditta Mónika Tóth, György Purebl
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Our hypotheses were: the additional weekly phone-calls would increase the adherence with the online self-help tool; furthermore, symptoms of depression will significantly decrease in the weekly phone support group.</p>.</p><p><strong>Methods: </strong><p>During the 6 weeks of iFD® intervention, patients were divided into two groups: the first, alongside of the treatment as usual (TAU) and iFD®, received a 20-minu­tes weekly phone call support while the other group partook in only the TAU+iFD® intervention. Measures: number of completed modules and Patient Health Questionnaire-9. The study included 102 participants with diagnosis of depression (70% female, mean age: 36.9 [SD = 11.40] ys). </p>.</p><p><strong>Results: </strong><p>Participants completed on average 4.8 (SD = 1.73) out of 6 modules. The intervention group with additional phone support completed more modules than the group of no additional phone calls (Z = –5.416, p < 0.001, rank Cohen’s d = –1.267). Participants with higher level of education completed more modules than those with lower level of education (Z = –2.198, p = 0.028, rank Cohen’s d = –0.444). Baseline depressive symptoms correlated negatively with the number of completed modules (rS = –0.22, p = 0.028). Depressive symptoms were significantly reduced between the two measurement points (main effect of time: (F(1) = 179.173, p < 0.001, partial η2 = 0.642), the improvement was significantly larger in the iFD® + phone support group (time × group interaction: F(1) = 6.492, p = 0.012, partial η2 = 0.061).</p>.</p><p><strong>Conclusion: </strong><p>Weekly phone support increased treatment adherence. Negative correlation of symptom severity with adherence suggests that iFD can be effective in mild or moderate forms of depression. With regards to sociodemographic variables, only the level of education showed significant correlation with adherence. 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引用次数: 0
摘要
背景和目的:当前观察性研究的目的是检查匈牙利抑郁症患者的依从性水平,使用ifight深度抑郁量表(iFD)指导的在线自助工具,有或没有额外的每周电话支持,并确定依从性的预测因素。我们的假设是:额外的每周电话会增加在线自助工具的依从性;此外,每周电话支持组的抑郁症状明显减轻。干预后,患者被分为两组:第一组,除了常规治疗(TAU)和iFD®,每周接受20分钟的电话支持,而另一组只接受TAU+iFD®干预。测量方法:完成的模块数量和患者健康问卷-9。本研究纳入102名诊断为抑郁症的参与者(70%为女性,平均年龄36.9岁[SD = 11.40]岁)。结果:参与者平均完成了6个模块中的4.8个(SD = 1.73)。有额外电话支持的干预组比没有额外电话支持的干预组完成的模块更多(Z = –5.416, p <0.001, rank Cohen’s d = –1.267)。受教育程度较高的参与者比受教育程度较低的参与者完成了更多的模块(Z = 2.198, p = 0.028, Cohen’ d = –0.444)。基线抑郁症状与完成模块的数量呈负相关(rS = 0.22, p = 0.028)。抑郁症状在两个测点之间显著减轻(时间的主效应:(F(1) = 179.173, p <0.001,部分η2 = 0.642), iFD®的改善明显更大;+电话支持小组(时间&次;群体相互作用:F(1) = 6.492, p = 0.012, partial η2 = 0.061)。结论:每周电话支持增加治疗依从性。症状严重程度与依从性呈负相关,表明iFD对轻度或中度抑郁症有效。在社会人口学变量方面,只有教育水平与依从性有显著相关。我们的结果支持iFD干预在各种社会人口群体中的适用性。
Adherence to the iFightDepression® online self-help tool for depression - A pilot study.
Background and purpose:
The aim of the current observational study was to examine the level of adherence of Hungarian patients suffering from depression, using iFightDepression (iFD) guided online self-help tool with and without an extra weekly phone call support as well as identifying the predictors of adherence. Our hypotheses were: the additional weekly phone-calls would increase the adherence with the online self-help tool; furthermore, symptoms of depression will significantly decrease in the weekly phone support group.
.
Methods:
During the 6 weeks of iFD® intervention, patients were divided into two groups: the first, alongside of the treatment as usual (TAU) and iFD®, received a 20-minutes weekly phone call support while the other group partook in only the TAU+iFD® intervention. Measures: number of completed modules and Patient Health Questionnaire-9. The study included 102 participants with diagnosis of depression (70% female, mean age: 36.9 [SD = 11.40] ys).
.
Results:
Participants completed on average 4.8 (SD = 1.73) out of 6 modules. The intervention group with additional phone support completed more modules than the group of no additional phone calls (Z = –5.416, p < 0.001, rank Cohen’s d = –1.267). Participants with higher level of education completed more modules than those with lower level of education (Z = –2.198, p = 0.028, rank Cohen’s d = –0.444). Baseline depressive symptoms correlated negatively with the number of completed modules (rS = –0.22, p = 0.028). Depressive symptoms were significantly reduced between the two measurement points (main effect of time: (F(1) = 179.173, p < 0.001, partial η2 = 0.642), the improvement was significantly larger in the iFD® + phone support group (time × group interaction: F(1) = 6.492, p = 0.012, partial η2 = 0.061).
.
Conclusion:
Weekly phone support increased treatment adherence. Negative correlation of symptom severity with adherence suggests that iFD can be effective in mild or moderate forms of depression. With regards to sociodemographic variables, only the level of education showed significant correlation with adherence. Our results support applicability of the iFD intervention in various kinds of sociodemographic groups.
期刊介绍:
The aim of Clinical Neuroscience (Ideggyógyászati Szemle) is to provide a forum for the exchange of clinical and scientific information for a multidisciplinary community. The Clinical Neuroscience will be of primary interest to neurologists, neurosurgeons, psychiatrist and clinical specialized psycholigists, neuroradiologists and clinical neurophysiologists, but original works in basic or computer science, epidemiology, pharmacology, etc., relating to the clinical practice with involvement of the central nervous system are also welcome.