Abstract:
BACKGROUND:Depression is a common mental disorder with a high social burden and significant impact on suicidality and quality of life. Treatment is often limited to drug therapies because of long waiting times to see psychological therapists face to face, despite several guidelines recommending that psychological treatments should be first-line interventions for mild to moderate depression. OBJECTIVE:We aimed to evaluate, among patients on a waitlist to receive secondary mental health care services for depression, how effective coach-guided web-based therapy (The Journal) is, compared with an information-only waitlist control group, in reducing depression symptoms after 12 weeks. METHODS:We conducted a randomized controlled trial with 2 parallel arms and a process evaluation, which included interviews with study participants. Participants assigned to the intervention group received 12 weeks of web-based therapy guided by a coach who had a background in social work. Patients in the control group receive a leaflet of mental health resources they could access. The primary outcome measure was a change in depression scores, as measured by the Patient-Health Questionnaire (PHQ-9). RESULTS:A total of 95 participants were enrolled (intervention, n=47; control, n=48). The mean change in PHQ-9 scores from baseline to week 12 was -3.6 (SD 6.6) in the intervention group and -3.1 (SD 6.2) in the control group, which was not a statistically significant difference with a two-sided alpha of .05 (t91=-0.37; P=.72, 95% CI -3.1 to 2.2). At 12 weeks, participants in the intervention group reported higher health-related quality of life (mean EuroQol 5 dimensions visual analogue scale [EQ-5D-VAS] score 66.8, SD 18.0) compared with the control group (mean EQ-5D VAS score 55.9, SD 19.2; t84=-2.73; P=.01). There were no statistically significant differences between the two groups in health service use following their initial consultation with a psychiatrist. The process evaluation showed that participants in the intervention group completed a mean of 5.0 (SD 2.3) lessons in The Journal and 8.8 (SD 3.1) sessions with the coach. Most participants (29/47, 62%) in the intervention group who completed the full dose of the intervention, by finishing 6 or more lessons in The Journal, were more likely to have a clinically important reduction in depressive symptoms at 12 weeks compared with the control group (Χ21=6.3; P=.01, Φ=0.37). Participants who completed the interviews reported that the role played by the coach was a major factor in adherence to the study intervention. CONCLUSIONS:The results demonstrate that the use of guided web-based therapy for the treatment of depression is not more effective than information-only waitlist control. However, it showed that the coach has the potential to increase adherence and engagement with web-based depression treatment protocols. Further research is needed on what makes the coach effective. TRIAL REGISTRATION:ClinicalTrials.gov: NCT02423733; https://clinicaltrials.gov/ct2/show/NCT02423733.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
MacLean S,Corsi DJ,Litchfield S,Kucharski J,Genise K,Selaman Z,Testa V,Hatcher Sdoi
10.2196/15001subject
Has Abstractpub_date
2020-06-09 00:00:00pages
e15001issue
6eissn
1439-4456issn
1438-8871pii
v22i6e15001journal_volume
22pub_type
杂志文章,随机对照试验abstract:BACKGROUND:The potential for machine learning to disrupt the medical profession is the subject of ongoing debate within biomedical informatics and related fields. OBJECTIVE:This study aimed to explore general practitioners' (GPs') opinions about the potential impact of future technology on key tasks in primary care. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12802
更新日期:2019-03-20 00:00:00
abstract:BACKGROUND:The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload. OBJECTIVE:The aim of this study was to compare the mental hea...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24983
更新日期:2021-01-18 00:00:00
abstract:BACKGROUND:In many countries, there has been substantial progress in establishing the electronic transmission of patients' health information between health care providers, but little is known about how best to engage patients in the process. OBJECTIVE:We explored patients' views about sharing of electronic health inf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1164
更新日期:2009-08-06 00:00:00
abstract:BACKGROUND:The use of eHealth tools (eg, the internet, mobile apps, and connected devices) in the management of chronic diseases and for rheumatoid arthritis is growing. eHealth may improve the overall quality of care provided to patients with chronic diseases. OBJECTIVE:The primary objective of this study was to desc...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19998
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:The provision of acute medical care in rural and remote areas presents unique challenges for practitioners. Therefore, a tailored approach to training providers would prove beneficial. Although simulation-based medical education (SBME) has been shown to be effective, access to such training can be difficult ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/14587
更新日期:2019-08-06 00:00:00
abstract:BACKGROUND:As the use of digital media for health promotion has become increasingly common, descriptive studies exploring current and innovative marketing strategies can enhance the understanding of effective strategies and best practices. OBJECTIVE:This study aims to describe the implementation of a provincial digita...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11534
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:The need for effective interventions to improve mental health and emotional well-being at a population level are gaining prominence both in the United Kingdom and globally. Advances in technology and widespread adoption of Internet capable devices have facilitated rapid development of Web-delivered psycholog...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
doi:10.2196/jmir.6200
更新日期:2016-08-24 00:00:00
abstract:BACKGROUND:A growing body of evidence supports the potential effectiveness of electronic health (eHealth) interventions in managing chronic pain. However, research on the needs and preferences of patients with chronic pain in relation to eHealth interventions is scarce. Eliciting user input in the development of eHealt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13205
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:The Internet has the potential to provide large populations with individual health promotion advice at a relatively low cost. Despite the high rates of Internet access, actual reach by Web-based interventions is often disappointingly low, and differences in use between demographic subgroups are present. Furt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.2229
更新日期:2012-12-17 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has caused major disruptions worldwide since March 2020. The experience of the 1918 influenza pandemic demonstrated that decreases in the infection rates of COVID-19 do not guarantee continuity of the trend. OBJECTIVE:The aim of this study was to develop a precise spread model of COVID...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19907
更新日期:2020-09-09 00:00:00
abstract::Wearable sensor technology could have an important role for clinical research and in delivering health care. Accordingly, such technology should undergo rigorous evaluation prior to market launch, and its performance should be supported by evidence-based marketing claims. Many studies have been published attempting to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10108
更新日期:2018-07-02 00:00:00
abstract:BACKGROUND:Electronic devices (eDevices) may have positive or negative influences on family communication and well-being depending on how they are used. OBJECTIVE:We examined eDevice use during family time and its association with the quality of family communication and well-being in Hong Kong Chinese adults. METHODS...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20529
更新日期:2020-10-14 00:00:00
abstract:BACKGROUND:eHealth tools on the Internet have the potential to help people manage their health and health care. However, little is known about the distribution and use of different kinds of eHealth tools across the population or within population subgroups. OBJECTIVE:The purpose of this study was to examine the preval...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1035
更新日期:2009-02-20 00:00:00
abstract:BACKGROUND:Effective lifestyle interventions targeting high-risk adults that are both practical for use in ambulatory care settings and scalable at a population management level are needed. OBJECTIVE:Our aim was to examine the potential effectiveness, feasibility, and acceptability of delivering an evidence-based Elec...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5143
更新日期:2016-05-27 00:00:00
abstract:BACKGROUND:Connected health has created opportunities for leveraging health data to deliver preventive and personalized health care services. The increasing number of personal devices and advances in measurement technologies contribute to an exponential growth in digital health data. The practices for sharing data acro...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14537
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Health systems have recently started to activate patient-facing application programming interfaces (APIs) to facilitate patient access to health data and other interactions. OBJECTIVE:This study sought to ascertain health systems' understanding, strategies, governance, and organizational infrastructure arou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16813
更新日期:2020-04-03 00:00:00
abstract:BACKGROUND:A substantial proportion of parents of children on cancer treatment report psychological distress such as symptoms of post-traumatic stress (PTSS), depression, and anxiety. During their child's treatment many parents also experience an economic burden. OBJECTIVE:The aim of this study was to evaluate the lon...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6852
更新日期:2017-07-27 00:00:00
abstract:BACKGROUND:There is a growing body of evidence regarding eHealth interventions that target substance use disorders. Development and funding decisions in this area have been challenging, due to a lack of understanding of what parts of an intervention work in which context. OBJECTIVE:We conducted a realist review of the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/20557
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:Recent years have seen an exponential increase in people with long-term conditions using the Internet for information and support. Prior research has examined support for long-term condition self-management through the provision of illness, everyday, and emotional work in the context of traditional offline c...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.5260
更新日期:2016-03-10 00:00:00
abstract:BACKGROUND:Active participant monitoring of adverse events following immunization (AEFI) is a recent development to improve the speed and transparency of vaccine safety postmarketing. Vaxtracker, an online tool used to monitor vaccine safety, has successfully demonstrated its usefulness in postmarketing surveillance of...
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:10.2196/14791
更新日期:2019-10-23 00:00:00
abstract:BACKGROUND:Sleep hygiene is important for maintaining good sleep and reducing insomnia. OBJECTIVE:This study examined the long-term efficacy of a theory-based app (including cognitive behavioral therapy [CBT], theory of planned behavior [TPB], health action process approach [HAPA], and control theory [CT]) on sleep hy...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/15841
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Sleep issues such as insomnia affect over 50 million Americans and can lead to serious health problems, including depression and obesity, and can increase risk of injury. Social media platforms such as Twitter offer exciting potential for their use in studying and identifying both diseases and social phenome...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4476
更新日期:2015-06-08 00:00:00
abstract:BACKGROUND:Health care systems increasingly rely on patients' data entry efforts to organize and assist in care delivery through health information exchange. OBJECTIVES:We sought to determine (1) the variation in burden imposed on parents by data entry efforts across paper-based and computer-based environments, and (2...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1612
更新日期:2011-01-26 00:00:00
abstract:BACKGROUND:Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the interv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15318
更新日期:2019-09-13 00:00:00
abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is now the fourth leading cause of death in the world, and it continues to increase in developing countries. The World Health Organization expects COPD to be the third most common cause of death in the world by 2020. Effective and continuous postdischarge care can...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6743
更新日期:2017-07-21 00:00:00
abstract:BACKGROUND:Unintentional medication nonadherence is common and has been associated with poor health outcomes and increased health care costs. Earlier research demonstrated a relationship between habit strength and medication adherence. Previous research also examined a habit's direct effect on adherence and how habit i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17883
更新日期:2020-04-28 00:00:00
abstract:BACKGROUND:The application of mobile health (mHealth) platforms to monitor recovery in the postdischarge period has increased in recent years. Despite widespread enthusiasm for mHealth, few studies have evaluated the usability and user experience of mHealth in patients with surgical drainage. OBJECTIVE:Our objectives ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17686
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Walking represents a large part of daily physical activity. It reduces both overall and cardiovascular diseases and mortality and is suitable for cardiac patients. A step counter measures walking activity and might be a motivational tool to increase and maintain physical activity. There is a lack of knowledg...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5191
更新日期:2016-04-04 00:00:00
abstract:BACKGROUND:Although previous research shows broad differences in the impact of online health information on patient-practitioner decision making, specific research is required to identify and conceptualize patient decision-making styles related to the use of online health information and to differentiate segments accor...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15332
更新日期:2019-11-20 00:00:00
abstract:BACKGROUND:E-liquid is one of the main components in electronic nicotine delivery systems (ENDS). ENDS review comments could serve as an early warning on use patterns and even function to serve as an indicator of problems or adverse events pertaining to the use of specific e-liquids-much like types of responses tracked...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9373
更新日期:2018-08-15 00:00:00