Depression, sleep, stress, worry, anxiety, mental health, health literacy, socioeconomic, SES, prevention Depressie, slaap, stress, piekeren, angst, psychische gezondheid, gezondheidsvaardigheden, sociaaleconomisch, preventie
Conditions
Interventions
The online CDMIs will be offered with guidance from a GP (mental health) nurse in both conditions. The difference between the experimental and control condition is the implementation strategy being us
Sponsors
Trimbos-institute - Netherlands Institute of Mental Health and Addiction
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, an individual must: - experience sleep problems, worry or stress - have access to internet - have sufficient proficiency of the Dutch language - provide informed consent
Exclusion criteria
Exclusion criteria: - having an acute or urgent comorbidity (ascertained by the GP or GP nurse) - sleep problems with a somatic cause (e.g. sleep apnea)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The (difference in the) participation rate of patients with a lower SES is the primary outcome. Participation is defined as: participating in at least 1 face-to-face session with a GP nurse (as registered by the GP nurse) and engaging with at least 2 exercises in the online CDMIs (as determined with the user data of the online CDMIs). A lower SES is defined as : 1. The highest completed educational level is secondary vocational education (in Dutch: MBO) or lower, and/or 2. The respondent is unemployed (looking for work) and lives in a neighbourhood with a negative status level score, and/or: 3. The total gross family income of the respondent is below €1100/1550 (based on the guaranteed minimum income in the Netherlands of July 2017), whereby the amount depends on the living arrangement of the respondent (living alone or as a single parent: 1100, living together with other adults: 1550), and lives in a neighbourhood with a negative status score. Status level scores of the neighbourhood will be assessed by asking respondents their four digit zip-code. The Netherlands Institute for Social Research provides status scores for every zip-code. For this study the status level scores of 2016 will be used. A negative status level score indicates a lower than the Dutch average status level score of the years 1998-2016. | — |
Secondary
| Measure | Time frame |
|---|---|
| -Depressive complaints will be measured using the 8-item Patient Health Questionnaire (PHQ-8) . - Sleep problems will be measured with the 4-item Jenkins Sleep Evaluation Questionnaire (JSEQ) . - Stress will be assessed as measured by the 10-item Perceived Stress Scale (PSS-10) - Worry will be assessed using the 11-item Penn State Worry Questionnaire (PSWQ). - Anxiety symptoms will be measured with the 7-item Generalized Anxiety Disorder Scale (GAD-7). - Well-being will assessed as measured by the 5-item World Health Organization Well-Being Index (WHO-5) | — |
Contacts
Public ContactSuzanne Lokman
Da costakade 45
Outcome results
None listed