Clinical and cost-effectiveness of indicated guided internet-based interventions for prevention of depression in green professions

Conditions

subclinical depressive symptoms

Lina Braun, Johanna Freund, Janika Thielecke, Harald Baumeister, David Daniel Ebert et al. (6 authors)

JMIR Mental Health2022-08-0712 citations

Are guided internet-based interventions for the indicated prevention of depression in green professions effective in the long run? Longitudinal analysis of the 6- and 12-month follow-up of a pragmatic randomized controlled trial (PROD-A).

Braun L, Titzler I, Terhorst Y, Freund J, Thielecke J, Ebert DD, Baumeister H.

2021-09-1412 citations

10.1016/j.invent.2021.100455

Effectiveness of guided internet-based interventions in the indicated prevention of depression in green professions (PROD-A): Results of a pragmatic randomized controlled trial.

Braun L, Titzler I, Terhorst Y, Freund J, Thielecke J, Ebert DD, Baumeister H.

2020-09-1517 citations

10.1016/j.jad.2020.09.066

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

Janika Thielecke, Claudia Buntrock, Ingrid Titzler, Lina Braun, Johanna Freund et al. (8 authors)

Frontiers in Psychiatry2020-03-039 citations

10.3389/fpsyt.2020.00125

Clinical and cost-effectiveness of guided internet-based interventions in the indicated prevention of depression in green professions (PROD-A): study protocol of a 36-month follow-up pragmatic randomized controlled trial

Lina Braun, Ingrid Titzler, David Daniel Ebert, Claudia Buntrock, Yannik Terhorst et al. (8 authors)

BMC Psychiatry2019-09-0917 citations

10.1186/s12888-019-2244-y

Interventions

Group 1: Intervention group: Selection of six guided, internet-based interventions consisting of 6-8 lessons (duration of a lesson: 30-60 minutes, duration of an online-training: 6-8 weeks): The inte

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: • Agriculturists, foresters and horticulturists with a LAK- or LKK insurance status. The study is accessible for entrepreneurs, collaborating spouses and family members as well as elderly people, who do no longer contribute to the production process (“Altenteiler”) with LAK- or LKK-insurance status • Presence of at least subclinical depressive symptoms (PHQ-9 >= 5) • Internet access • Informed consent

Exclusion criteria

Exclusion criteria: • Current psychotherapeutic treatment • Indication for chronic pain and preference for participation in a parallel clinical study about chronic pain (PACT-A) • Increased suicidal risk (suicidality items PHQ-9 >=1 & BDI-II >=1 / suicidality items QIDS-SR16 >=1 & BDI-II >=1) and denial to sign a non-suicide contract

Design outcomes

Primary

Measure	Time frame
Primary outcome is depressive symptom severity at post-treatment (9 weeks after randomization, T1). The primary endpoint will be measured with a self-report questionnaire Quick Inventory of Depressive Symptomology (QIDS-SR16).	—

Secondary

Measure	Time frame
Clinical and cost-effectiveness of internet-based interventions will be evaluated over a period of 36 months (T0 Baseline, T1 Post - 9 weeks, T2 6-month follow-up (FU), T3 12-month FU, T4 24-month FU, T5 36-month FU). Secondary Outcomes: • Depressive symptom severity at follow-up: T2 - T5 • Incidence of clinical relevant depressive symptomology (QIDS-SR16 = 11) in subgroup without clinical relevant depression at T0: T1 - T5 • 12-month-prevalence of depression and bipolar disorder (CIDI-SC): T3 - T5 • Presence of suicidal ideation (suicidality items PHQ-9, QIDS-SR16, BDI-II): T1 - T5 • Severity of anxiety (GAD-7): T1 - T5 • Manifestation of panic disorder and/or agoraphobia (PAS): T1 - T5 • Perceived stress (PSS): T1 - T5 • Severity of insomnia (ISI): T1 - T5 • Problematic alcohol consumption (AUDIT): T1 - T5 • Pain intensity (NRS): T1 - T5 • Pain Interference (MPI): T1 - T5 • Emotional exhaustion (MBI-GS, subscale): T1 / T3 • Quality of life (AQoL-8D): T1 - T5 • Negative effects of psychotherapy (INEP, open questions): T1 - T3 • Therapeutic relationship (WAI-SR, WAI-SRT): T1, T3 • Technological alliance (TAI-OT): T1 - T2 • Subjective prognosis of employment (SPE): T1 - T5 • Direct and indirect costs (German adaptation of Trimbos / iMTA questionnaire for costs associated with psychiatric illness (TiC-P) including insurance data about utilization of health care services): T1 - T5 • Patient satisfaction with intervention (CSQ-I): T1	—

Measure

Time frame

Clinical and cost-effectiveness of internet-based interventions will be evaluated over a period of 36 months (T0 Baseline, T1 Post - 9 weeks, T2 6-month follow-up (FU), T3 12-month FU, T4 24-month FU, T5 36-month FU). Secondary Outcomes: • Depressive symptom severity at follow-up: T2 - T5 • Incidence of clinical relevant depressive symptomology (QIDS-SR16 = 11) in subgroup without clinical relevant depression at T0: T1 - T5 • 12-month-prevalence of depression and bipolar disorder (CIDI-SC): T3 - T5 • Presence of suicidal ideation (suicidality items PHQ-9, QIDS-SR16, BDI-II): T1 - T5 • Severity of anxiety (GAD-7): T1 - T5 • Manifestation of panic disorder and/or agoraphobia (PAS): T1 - T5 • Perceived stress (PSS): T1 - T5 • Severity of insomnia (ISI): T1 - T5 • Problematic alcohol consumption (AUDIT): T1 - T5 • Pain intensity (NRS): T1 - T5 • Pain Interference (MPI): T1 - T5 • Emotional exhaustion (MBI-GS, subscale): T1 / T3 • Quality of life (AQoL-8D): T1 - T5 • Negative effects of psychotherapy (INEP, open questions): T1 - T3 • Therapeutic relationship (WAI-SR, WAI-SRT): T1, T3 • Technological alliance (TAI-OT): T1 - T2 • Subjective prognosis of employment (SPE): T1 - T5 • Direct and indirect costs (German adaptation of Trimbos / iMTA questionnaire for costs associated with psychiatric illness (TiC-P) including insurance data about utilization of health care services): T1 - T5 • Patient satisfaction with intervention (CSQ-I): T1

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Countries

Germany

Contacts

Public ContactLina Braun

Universität Ulm, Institut für Psychologie und Pädagogik, Abteilung für Klinische Psychologie und Psychotherapie

lina.braun@uni-ulm.de+49-(0)731/50 32814

Outcome results

None listed