Abstract:
BACKGROUND:Prevention of depression is important due to the substantial burden of disease associated with it. To this end, we developed a novel, brief, and low-threshold Web-based self-help approach for depressive complaints called complaint-directed mini-interventions (CDMIs). These CDMIs focus on highly prevalent complaints that are demonstrably associated with depression and have a substantial economic impact: stress, sleep problems, and worry. OBJECTIVE:The aim was to evaluate the effectiveness of the Web-based self-help CDMIs in a sample of adults with mild-to-moderate depressive symptoms compared to a wait-list control group. METHODS:A two-armed randomized controlled trial was conducted. An open recruitment strategy was used. Participants were randomized to either the Web-based CDMIs or the no-intervention wait-list control group. The CDMIs are online, unguided, self-help interventions, largely based on cognitive behavioral techniques, which consist of 3 to 4 modules with up to 6 exercises per module. Participants are free to choose between the modules and exercises. Assessments, using self-report questionnaires, took place at baseline and at 3 and 6 months after baseline. The control group was given access to the intervention following the 3-month assessment. The primary goal of the CDMIs is to reduce depressive complaints. The primary outcome of the study was a reduction in depressive complaints as measured by the Inventory of Depressive Symptomatology Self-Report (IDS-SR). Secondary outcomes included reductions in stress, worry, sleep problems, and anxiety complaints, and improvements in well-being. Data were analyzed using linear mixed models. RESULTS:In total, 329 participants enrolled in the trial, of which 165 were randomized to the intervention group and 164 to the control group. Approximately three-quarters of the intervention group actually created an account. Of these participants, 91.3% (116/127) logged into their chosen CDMI at least once during the 3-month intervention period (median 3, range 0-166). After 3 months, there was a significant reduction in depressive symptomatology for participants in the intervention group compared to participants in the wait-list control group (reduction in depression: mean -4.47, 95% CI -6.54 to -2.40; Cohen d=-0.70). Furthermore, significant effects were observed for sleep problems, worry, anxiety, and well-being, with effect sizes ranging from -0.29 to -0.40. The intervention did not significantly reduce stress. At 6-month follow-up, the improvements in the intervention group were generally sustained. CONCLUSIONS:This study shows that the online self-help CDMIs have a positive impact on various mental health outcomes. Future research should focus on which specific strategies may boost adherence, and increase the reach of the CDMIs among people with low socioeconomic status. CLINICALTRIAL:Netherlands Trial Register (NTR): NTR4612; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4612 (Archived by WebCite at http://www.webcitation.org/6n4PVYddM).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Lokman S,Leone SS,Sommers-Spijkerman M,van der Poel A,Smit F,Boon Bdoi
10.2196/jmir.6581subject
Has Abstractpub_date
2017-01-04 00:00:00pages
e4issue
1eissn
1439-4456issn
1438-8871pii
v19i1e4journal_volume
19pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Much has been written about the Internet's potential to revolutionize health care delivery. As younger populations increasingly utilize Internet-based health care information, it will be essential to ensure that the elderly become adept at using this medium for health care purposes, especially those from min...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.2.e19
更新日期:2005-06-30 00:00:00
abstract:BACKGROUND:As the process of producing official health statistics for lifestyle diseases is slow, researchers have explored using Web search data as a proxy for lifestyle disease surveillance. Existing studies, however, are prone to at least one of the following issues: ad-hoc keyword selection, overfitting, insufficie...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13347
更新日期:2020-01-27 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) describes the use of portable electronic devices with software applications to provide health services and manage patient information. With approximately 5 billion mobile phone users globally, opportunities for mobile technologies to play a formal role in health services, particularly...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2130
更新日期:2013-01-25 00:00:00
abstract:BACKGROUND:At the onset of the coronavirus outbreak, the World Health Organization's (WHO) Health Emergencies Learning and Capacity Development Unit, together with the WHO's health technical lead on coronaviruses, developed a massive open online course within 3 weeks as part of the global response to the emergency. The...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19076
更新日期:2020-04-27 00:00:00
abstract:BACKGROUND:Web-based programs for smoking prevention are being increasingly used with some success among adolescents. However, little is known about the mechanisms that link the experience of such programs to intended nicotine or tobacco control outcomes. OBJECTIVE:Based on the experiential learning theory and extende...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.7174
更新日期:2017-02-16 00:00:00
abstract:BACKGROUND:Demographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life. OBJECTIVE:Our objective was to examine the effects of a computer-based educational intervention design...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6948
更新日期:2017-02-22 00:00:00
abstract::This paper concerns the use of the Internet in the research process, from identifying research issues through qualitative research, through using the Web for surveys and clinical trials, to pre-publishing and publishing research results. Material published on the Internet may be a valuable resource for researchers des...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.4.2.e13
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:While research in the area of e-mental health has received considerable attention over the last decade, there are still many areas that have not been addressed. One such area is the comorbidity of psychological disorders in a Web-based sample using online assessment and diagnostic tools, and the relationship...
journal_title:Journal of medical Internet research
pub_type: 临床试验,杂志文章
doi:10.2196/jmir.4143
更新日期:2015-02-26 00:00:00
abstract:BACKGROUND:Internet disease management has the promise of improving care in patients with heart failure but evidence supporting its use is limited. We have designed a Heart Failure Internet Communication Tool (HFICT), allowing patients to enter messages for clinicians, as well as their daily symptoms, weight, blood pre...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.1.e8
更新日期:2005-03-26 00:00:00
abstract:BACKGROUND:Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how be...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7897
更新日期:2017-07-12 00:00:00
abstract:BACKGROUND:Digital health can empower citizens to manage their health and address health care system problems including poor access, uncoordinated care and increasing costs. Digital health interventions are typically complex interventions. Therefore, evaluations present methodological challenges. OBJECTIVE:The objecti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10202
更新日期:2018-06-07 00:00:00
abstract:BACKGROUND:Improvements in mobile telecommunication technologies have enabled clinicians to collect patient-reported outcome (PRO) data more frequently, but there is as yet limited evidence regarding the frequency with which PRO data can be collected via smartphone applications (apps) in breast cancer patients receivin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3421
更新日期:2014-05-23 00:00:00
abstract:BACKGROUND:The Institute of Medicine recommends Survivorship Care Plans (SCPs) for all cancer survivors. However, it is unclear whether certain patient groups may or may not benefit from SCPs. OBJECTIVE:The aim was to assess whether the effects of an automatically generated paper SCP on patients' satisfaction with inf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/jmir.4914
更新日期:2016-07-08 00:00:00
abstract:BACKGROUND:Unhealthy lifestyle behaviors often co-occur and are related to chronic diseases. One effective method to change multiple lifestyle behaviors is web-based computer tailoring. Dropout from Internet interventions, however, is rather high, and it is challenging to retain participants in web-based tailored progr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1968
更新日期:2012-03-08 00:00:00
abstract:BACKGROUND:Quality of life (QoL) questionnaires are desirable for clinical practice but can be time-consuming to administer and interpret, making their widespread adoption difficult. OBJECTIVE:Our aim was to assess the performance of the World Health Organization Quality of Life (WHOQOL)-100 questionnaire as four item...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6053
更新日期:2016-09-30 00:00:00
abstract:BACKGROUND:A transformation is underway regarding how we deal with our health. Mobile devices make it possible to have continuous access to personal health information. Wearable devices, such as Fitbit and Apple's smartwatch, can collect data continuously and provide insights into our health and fitness. However, lack ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5094
更新日期:2015-11-18 00:00:00
abstract:BACKGROUND:Patient participation is essential in developing high-quality guidelines but faces practical challenges. Evidence on timing, methods, evaluations, and outcomes of methodologies for patient participation in guideline development is lacking. OBJECTIVE:To assess the feasibility of a wiki as a participatory too...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2080
更新日期:2012-10-26 00:00:00
abstract:BACKGROUND:Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings. OBJECTIVE:The objective of our study was to determine whether di...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9160
更新日期:2018-05-09 00:00:00
abstract:BACKGROUND:In addition to the aging process, risk factors for hearing loss in adults include, among others, exposure to noise, use of ototoxic drugs, genetics, and limited access to medical care. Differences in exposure to these factors are bound to be reflected in the prevalence of hearing loss. Assessment of hearing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17238
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Patient portals are a promising instrument to improve patient-centered care, as they provide patients information and tools that can help them better manage their health. The implementation of portals in both the inpatient and outpatient setting gives health care providers an opportunity to support patients ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/13126
更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:Concerns over health information on the Internet have generated efforts to enhance credibility markers; yet how users actually assess the credibility of online health information is largely unknown. OBJECTIVE:This study set out to (1) establish a parsimonious and valid questionnaire instrument to measure cr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6.3.e24
更新日期:2004-09-03 00:00:00
abstract:BACKGROUND:Outbreaks of human infection with a new avian influenza A H7N9 virus occurred in China in the spring of 2013. Control and prevention of a new human infectious disease outbreak can be strongly affected by public reaction and social impact through the Internet and social media. OBJECTIVE:This study aimed to i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2911
更新日期:2014-01-17 00:00:00
abstract:BACKGROUND:The objective structured clinical examination (OSCE) is a test used throughout Spain to evaluate the clinical competencies, decision making, problem solving, and other skills of sixth-year medical students. OBJECTIVE:The main goal of this study is to explore the possible applications and utility of portable...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17719
更新日期:2020-08-21 00:00:00
abstract:BACKGROUND:Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using pri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14868
更新日期:2020-03-19 00:00:00
abstract::[This corrects the article DOI: 10.2196/13980.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
doi:10.2196/21381
更新日期:2020-07-30 00:00:00
abstract:BACKGROUND:The electronic cigarette (e-cigarette) industry has grown in size and organizational complexity in recent years, most notably with the entry of major tobacco companies in 2012 and the proliferation of vape shops. Many brands maintain retail websites that present e-cigarette marketing claims and sell directly...
journal_title:Journal of medical Internet research
pub_type: 历史文章,杂志文章
doi:10.2196/jmir.8550
更新日期:2018-03-12 00:00:00
abstract:BACKGROUND:In recent years, online physician-rating websites have become prominent and exert considerable influence on patients' decisions. However, the quality of these decisions depends on the quality of data that these systems collect. Thus, there is a need to examine the various data quality issues with physician-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15916
更新日期:2020-09-28 00:00:00
abstract:BACKGROUND:A 3-month videoconference interaction program with family members has been shown to decrease depression and loneliness in nursing home residents. However, little is known about the long-term effects on residents' depressive symptoms, social support, and loneliness. OBJECTIVE:The purpose of this longitudinal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1678
更新日期:2011-11-15 00:00:00
abstract:BACKGROUND:Attempts in current health care practice to make health care more accessible, effective, and efficient through the use of information technology could include implementation of computer-based dietary menu generation. While several of such systems already exist, their focus is mainly to assist healthy individ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6.1.e4
更新日期:2004-01-30 00:00:00
abstract:BACKGROUND:The evaluation of web-based interventions (defined as an intervention that can be downloaded or accessed on the internet through a web browser) in randomized controlled trials (RCTs) has increased over the past two decades. Little is known about how participants' use of the intervention is measured, reported...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15474
更新日期:2020-04-16 00:00:00