Depressive disorders, depression, depressive symptoms, major depressive disorder, depressieve stoornissen, depressieve klachten
Conditions
Interventions
Intervention:
The intervention under study is a prescription to an online self-management program blended with a few direct contacts (face-to-face or telephonic) with a GP or POH-GGZ. This program wi
Sponsors
University Medical Center Groningen
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: - Adult patients, i.e. aged 18 or over; - Patients presenting to the GP with depressive disorder or depressive symptoms; - Patients with depressive symptoms or a depressive disorder for whom the GP or general practice mental health worker consider a second step in the treatment of depression after the first step of psycho-education and day-structuring exercises have yielded insufficient improvement. - Patients for whom a GP wants to intensify the current therapy with medications, psychological therapy (GGz) or other
Exclusion criteria
Exclusion criteria: - Severe depression requiring referral to specialized mental health service according to current guideline, e.g. acute suicidality - Severe mental illness (current/past: schizophrenia, psychotic episode, bipolar disorder, depression with psychotic features) • Anxiety disorder or obsessive compulsive disorder as primary diagnosis - Current substance abuse (e.g. alcohol, drugs) - Currently receiving psychological treatment for depression (e-mental health intervention or face-to- face psychological treatment) - Insufficient command of the Dutch language - No informed consent given - No internet available or grossly insufficient computer skills
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in symptoms of depression from baseline to the 3 months follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Long-term outcome: reduction in symptoms of depression from baseline to 12 month follow-up 2. Percentage response 3. Remission at 3 and 12 months follow-up 4. Antidepressant use: number of prescriptions and dosage 5. Use of other psychotropics (such as benzodiazepines): number of prescriptions and dosage 6. Change from baseline to 3 and 12 months follow-up in functional impairment and activity limitation using the self-report 7. Health care utilization including visits to health care professionals (e.g. GP, psychologist, occupational physician) and use of the intervention and production loss 8. Change from baseline to 3 and 12 month follow-up in general health status 9. Treatment satisfaction to measure the user friendliness of the intervention. 10. Ecological Momentary Assessment (EMA) or real-time ratings of momentary states of cognitions and moods every other day, 5 times per day at random moments, over the course of a 10-week period. | — |
Contacts
Public ContactH. Burger
University Medical Center Groningen (UMCG), Department of Epidemiology and Bioinformatics P.O. Box 30.001
Outcome results
None listed