Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.

BACKGROUND: Depression incurs significant morbidity and confers increased risk of suicide. Many individuals experiencing depression remain untreated due to systemic and personal barriers to care. Guided Internet-based psychotherapeutic programs represent a promising means of overcoming such barriers...

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Detalhes bibliográficos
Autores: Arensman, Ella, Hegerl, Ulrich, Pérez Solà, Víctor
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2015
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/24989
Acesso em linha:http://hdl.handle.net/10230/24989
http://dx.doi.org/10.2196/resprot.4358
Access Level:Acceso aberto
Palavra-chave:Depressió psíquica
Internet
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dc.title.none.fl_str_mv Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
title Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
spellingShingle Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
Arensman, Ella
Depressió psíquica
Internet
title_short Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
title_full Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
title_fullStr Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
title_full_unstemmed Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
title_sort Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.
dc.creator.none.fl_str_mv Arensman, Ella
Hegerl, Ulrich
Pérez Solà, Víctor
author Arensman, Ella
author_facet Arensman, Ella
Hegerl, Ulrich
Pérez Solà, Víctor
author_role author
author2 Hegerl, Ulrich
Pérez Solà, Víctor
author2_role author
author
dc.subject.none.fl_str_mv Depressió psíquica
Internet
topic Depressió psíquica
Internet
description BACKGROUND: Depression incurs significant morbidity and confers increased risk of suicide. Many individuals experiencing depression remain untreated due to systemic and personal barriers to care. Guided Internet-based psychotherapeutic programs represent a promising means of overcoming such barriers and increasing the capacity for self-management of depression. However, existing programs tend to be available only in English and can be expensive to access. Furthermore, despite evidence of the effectiveness of a number of Internet-based programs, there is limited evidence regarding both the acceptability of such programs and feasibility of their use, for users and health care professionals. OBJECTIVE: This paper will present the protocol for the development, implementation, and evaluation of the iFightDepression tool, an Internet-based self-management tool. This is a cost-free, multilingual, guided, self-management program for mild to moderate depression cases. METHODS: The Preventing Depression and Improving Awareness through Networking in the European Union consortium undertook a comprehensive systematic review of the available evidence regarding computerized cognitive behavior therapy in addition to a consensus process involving mental health experts and service users to inform the development of the iFightDepression tool. The tool was implemented and evaluated for acceptability and feasibility of its use in a pilot phase in 5 European regions, with recruitment of users occurring through general practitioners and health care professionals who participated in a standardized training program.RESULTS: Targeting mild to moderate depression, the iFightDepression tool is based on cognitive behavioral therapy and addresses behavioral activation (monitoring and planning daily activities), cognitive restructuring (identifying and challenging unhelpful thoughts), sleep regulation, mood monitoring, and healthy lifestyle habits. There is also a tailored version of the tool for young people, incorporating less formal language and additional age-appropriate modules on relationships and social anxiety. The tool is accompanied by a 3-hour training intervention for health care professionals. CONCLUSIONS:/nIt is intended that the iFightDepression tool and associated training for health care professionals will represent a valuable resource for the management of depression that will complement existing resources for health care professionals. It is also intended that the iFightDepression tool and training will represent an additional resource within a multifaceted approach to improving the care of depression and preventing suicidal behavior in Europe.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015
2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/24989
http://dx.doi.org/10.2196/resprot.4358
url http://hdl.handle.net/10230/24989
http://dx.doi.org/10.2196/resprot.4358
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv JMIR Research Protocols. 2015 Aug 6;4(3):e99
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/2.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/2.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv JMIR Publications 
publisher.none.fl_str_mv JMIR Publications 
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
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spelling Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.Arensman, EllaHegerl, UlrichPérez Solà, VíctorDepressió psíquicaInternetBACKGROUND: Depression incurs significant morbidity and confers increased risk of suicide. Many individuals experiencing depression remain untreated due to systemic and personal barriers to care. Guided Internet-based psychotherapeutic programs represent a promising means of overcoming such barriers and increasing the capacity for self-management of depression. However, existing programs tend to be available only in English and can be expensive to access. Furthermore, despite evidence of the effectiveness of a number of Internet-based programs, there is limited evidence regarding both the acceptability of such programs and feasibility of their use, for users and health care professionals. OBJECTIVE: This paper will present the protocol for the development, implementation, and evaluation of the iFightDepression tool, an Internet-based self-management tool. This is a cost-free, multilingual, guided, self-management program for mild to moderate depression cases. METHODS: The Preventing Depression and Improving Awareness through Networking in the European Union consortium undertook a comprehensive systematic review of the available evidence regarding computerized cognitive behavior therapy in addition to a consensus process involving mental health experts and service users to inform the development of the iFightDepression tool. The tool was implemented and evaluated for acceptability and feasibility of its use in a pilot phase in 5 European regions, with recruitment of users occurring through general practitioners and health care professionals who participated in a standardized training program.RESULTS: Targeting mild to moderate depression, the iFightDepression tool is based on cognitive behavioral therapy and addresses behavioral activation (monitoring and planning daily activities), cognitive restructuring (identifying and challenging unhelpful thoughts), sleep regulation, mood monitoring, and healthy lifestyle habits. There is also a tailored version of the tool for young people, incorporating less formal language and additional age-appropriate modules on relationships and social anxiety. The tool is accompanied by a 3-hour training intervention for health care professionals. CONCLUSIONS:/nIt is intended that the iFightDepression tool and associated training for health care professionals will represent a valuable resource for the management of depression that will complement existing resources for health care professionals. It is also intended that the iFightDepression tool and training will represent an additional resource within a multifaceted approach to improving the care of depression and preventing suicidal behavior in Europe.This protocol arises from the project PREDI-NU, which has received funding from the European Union in the framework of the Health Program under grant agreement no 2010 12 14JMIR Publications 201520152015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/24989http://dx.doi.org/10.2196/resprot.4358reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJMIR Research Protocols. 2015 Aug 6;4(3):e99©Ella Arensman, Nicole Koburger, Celine Larkin, Gillian Karwig, Claire Coffey, Margaret Maxwell, Fiona Harris, Christine Rummel-Kluge, Chantal van Audenhove, Merike Sisask, Anna Alexandrova-Karamanova, Victor Perez, György Purebl, Annabel Cebria, Diego Palao, Susana Costa, Lauraliisa Mark, Mónika Ditta Tóth, Marieta Gecheva, Angela Ibelshäuser, Ricardo Gusmão, Ulrich Hegerl. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 06.08.2015. This is an open-access article distributed under the terms of the Creative Commons Attribution License/nhttp://creativecommons.org/licenses/by/2.0/ , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.http://creativecommons.org/licenses/by/2.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/249892026-05-29T05:05:01Z
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