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Attitudes towards digital treatment for depression: A European stakeholder survey
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0001-5972-3041
Department of Clinical, Neuro-, and Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Netherlands.
Department of Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Department of Clinical Psychology and Psychotherapy, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
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2017 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 8Article in journal (Refereed) Published
Abstract [en]

Background The integration of digital treatments into national mental health services is on the agenda in the European Union. The E-COMPARED consortium conducted a survey aimed at exploring stakeholders’ knowledge, acceptance and expectations of digital treatments for depression, and at identifying factors that might influence their opinions when considering the implementation of these approaches. Method An online survey was conducted in eight European countries: France, Germany, Netherlands, Poland, Spain, Sweden, Switzerland and The United Kingdom. Organisations representing government bodies, care providers, service-users, funding/insurance bodies, technical developers and researchers were invited to participate in the survey. The participating countries and organisations reflect the diversity in health care infrastructures and e-health implementation across Europe. Results A total of 764 organisations were invited to the survey during the period March–June 2014, with 175 of these organisations participating in our survey. The participating stakeholders reported moderate knowledge of digital treatments and considered cost-effectiveness to be the primary incentive for integration into care services. Low feasibility of delivery within existing care services was considered to be a primary barrier. Digital treatments were regarded more suitable for milder forms of depression. Stakeholders showed greater acceptability towards blended treatment (the integration of face-to-face and internet sessions within the same treatment protocol) compared to standalone internet treatments. Organisations in countries with developed e-health solutions reported greater knowledge and acceptability of digital treatments. Conclusion Mental health stakeholders in Europe are aware of the potential benefits of digital interventions. However, there are variations between countries and stakeholders in terms of level of knowledge about such interventions and their feasibility within routine care services. The high acceptance of blended treatments is an interesting finding that indicates a gradual integration of technology into clinical practice may fit the attitudes and needs of stakeholders. The potential of the blended treatment approach, in terms of enhancing acceptance of digital treatment while retaining the benefit of cost-effectiveness in delivery, should be further explored. Funding The E-COMPARED project has received funding from the European Union Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 603098. © 2017 The Authors

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 8
Keywords [en]
Blended treatment; Comparative effectiveness research; Depression; Digital treatment; E-mental health; Internet-delivered
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-146995DOI: 10.1016/j.invent.2017.01.001Scopus ID: 2-s2.0-85013828524OAI: oai:DiVA.org:liu-146995DiVA, id: diva2:1202854
Note

Funding Agencies|603098, FP7, Seventh Framework Programme

Available from: 2018-05-01 Created: 2018-05-01 Last updated: 2018-12-12
In thesis
1. Blended cognitive behavior therapy: efficacy and acceptability for treating depression in the adult and adolescent population
Open this publication in new window or tab >>Blended cognitive behavior therapy: efficacy and acceptability for treating depression in the adult and adolescent population
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Blended kognitiv beteendeterapi : acceptans och klinisk effekt för depression hos vuxna och unga
Abstract [en]

Depression is the most burdensome disorder worldwide in terms of health loss. The potential of internet and technologies to scale up psychological treatment resources is substantial. A blended treatment approach, reducing therapist time and combining sessions with online self-help components, could enhance availability of psychological treatment, while maintaining and possibly enhancing effect of treatment. The aim of this thesis was to develop and investigate the blended treatment approach, in terms of acceptance among key stakeholders, and clinical effect in treatment of depression in the adult and adolescent population.

Study I investigated acceptance of the blended treatment approach among mental health care stakeholders by means of a European survey. The results demonstrated that the majority readily accepted blended treatment for management of mild and moderate depression.

Study II evaluated blended treatment compared to standard face-toface psychotherapy in treatment of adult depression in a controlled non-inferiority trial. The results showed a similar decrease in depression from both interventions at post-treatment, with decreased levels maintained over six months. Non-inferiority for the blended treatment could not be statistically established.

Study III was a controlled non-inferiority trial evaluating blended treatment compared to treatment as usual. The results indicated superiority for the blended treatment at post-treatment and partly at six months. After twelve months the outcomes in the two conditions were similar.

Study IV evaluated blended treatment for adolescent depression in a controlled superiority trial, where the therapist time was not reduced, but sessions delivered via chat for improved reach and efficiency. Compared to attention control, the blended treatment significantly reduced depression symptoms, with effects indicated to be maintained over six months.

Study V was a controlled superiority trial, evaluating an improved version of the blended treatment used in Study IV to similar methods and in a similar population. In comparison to minimal attention control, the blended treatment significantly reduced depression symptoms at post-treatment, corresponding to a large treatment effect.

Across Study II to V, estimates indicated that the amount of therapist time that could be saved in blended treatment, compared to standard psychological treatment, was around 40%.

In conclusion, a gradual, blended integration of technology into psychological treatment i) performed well in treatment of adult and adolescent populations, ii) could substantially reduce therapist time in comparison to standard face-to-face psychological treatment, and iii) was accepted by patients as well as other mental health care stakeholders.

The thesis demonstrates the potentials of technology-assisted blended treatment models to deliver treatment of depression in the young and adult population in accordance with the current, urgent need to increase availability of psychological treatment as well as increase acceptance of technology-assisted mental health interventions.  

Abstract [sv]

Depression är en av vår tids största folksjukdomar. I Sverige och internationellt är behandlingsresurserna otillräckliga. Psykologisk behandling där terapisessioner kombineras med, och delvis ersätts av digitala självhjälpskomponenter – så kallad blended-terapi – kan vara ett sätt att öka tillgängligheten av behandling, samtidigt som individuella behandlarträffar fortfarande ingår. Denna avhandling syftar till att utvärdera acceptansen för, och effekten av, blended-terapi för depression.

Studie I var en europeisk enkätstudie som undersökte acceptansen för blended-terapi bland organisationer inom hälso- och sjukvård. Majoriteten av de medverkande organisationerna visade sig positivt inställda till behandlingsformen och föredrog den framför ren internetterapi. Studie II, III, IV och V var randomiserade kontrollerade studier som undersökte effekten av blended-terapi baserad på kognitiv beteendeterapi (KBT) för depression hos vuxna och hos tonåringar. Blended KBT utvärderades gentemot sedvanlig psykologisk behandling, uppmärksamhets- kontroll, samt interventioner representativa för primärvården. Resultaten i studierna visade genomgående stöd för att blended KBT som behandlingsmetod kan minska depression hos vuxna och tonåringar. Därutöver så indikerade resultaten att den totala tiden för behandlaren skulle kunna minskas betydligt i blended KBT, jämfört med sedvanlig psykologisk behandling.

Utifrån resultaten i Studie I-V så kan det konkluderas att blended-terapi baserad på KBT i) kan vara effektiv för att minska depression hos vuxna och unga individer, ii) har potential att minska behandlartid jämfört med traditionell behandling, iii) är en behandlingsform som ser ut att kunna uppnå acceptans hos såväl patienter som hos organisationer inom hälso- och sjukvård. Sammanfattningsvis visar resultaten på potentialen i blended-terapi vad gäller möjligheten att öka tillgängligheten av psykologisk behandling, på ett sätt som är kliniskt relevant och som kan främja acceptansen för digitala behandlingsformat.  

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2018. p. 107
Series
Linköping Studies in Arts and Sciences, ISSN 0282-9800 ; 740Linköping Studies in Behavioural Science, ISSN 1654-2029 ; 206
Keywords
acceptance, adolescents, adults, blended treatment, cognitive behavioral therapy, depression, digital, internet-delivered, e-mental health, stakeholders, technology-assisted, acceptans, blended, kognitiv beteendeterapi, KBT, depression digital, internetbehandling
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-148016 (URN)10.3384/diss.diva-148016 (DOI)9789176852972 (ISBN)
Public defence
2018-05-31, I:101, Hus I, Campus Valla, Linköping, 13:00 (English)
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Supervisors
Available from: 2018-05-24 Created: 2018-05-24 Last updated: 2018-12-12Bibliographically approved

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