Adherence With Online Therapy vs Face-to-Face Therapy and With Online Therapy vs Care as Usual: Secondary Analysis of Two Randomized Controlled Trials

Journal of Medical Internet Research, Год журнала: 2021, Номер 23(11), С. e31274 - e31274

Опубликована: Ноя. 3, 2021

Adherence to internet-delivered interventions targeting mental health such as online psychotherapeutic aftercare is important for the intervention's impact. High dropout rates limit impact and generalizability of findings. Baseline differences may be putting patients at risk dropping out, making comparisons between with face-to-face (F2F) therapy care usual (CAU) necessary examine.This study investigated adherence online, F2F, CAU well among these groups subjective evaluation therapeutic relationship. Sociodemographic, social-cognitive, health-related variables were considered.In a randomized controlled trial, 6023 recruited, 300 completed baseline measures (T1), 144 T2 (retention 44%-52%), 95 T3 24%-36%). Sociodemographic (eg, age, gender, marital status, educational level), social-cognitive determinants self-efficacy, social support), depressiveness), expectation towards treatment assigned or F2F measured T1.There no significant regarding (χ21=0.02-1.06, P≥.30). Regarding condition, group outperformed conditions (P≤.01), indicating that into control much more likely show nonadherent behavior in comparison groups. Within groups, gender only T2, women being drop out. At T3, age status also group. Patients significantly satisfied their than (P=.02; Eta²=.09). Relationship satisfaction success equally high (P>.30; Eta²=.02). Combining all who reported lower depressiveness scores T1 (T2: odds ratio [OR] 0.55, 95% CI 0.35-0.87; T3: OR 0.56, 0.37-0.92) retained, had higher self-efficacy 0.57, 0.37-0.89; 0.52, 0.32-0.85) out T3. Additionally, support was related likelihood remaining (OR 0.68, 0.48-0.96). Comparing 3 intervention positive questionnaire completion after controlling other 1.64, 1.08-2.50; 1.59, 1.01-2.51).While have many advantages over variants saving time effort commute therapy, they create difficulties therapists hinder ability adequately react patients' challenges. Accordingly, patient characteristics might put them not adhering plan should considered future research practice. Online aftercare, described this research, provided often medical rehabilitation patients.ClinicalTrials.gov NCT04989842; https://clinicaltrials.gov/ct2/show/NCT04989842.

Язык: Английский

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Adherence With Online Therapy vs Face-to-Face Therapy and With Online Therapy vs Care as Usual: Secondary Analysis of Two Randomized Controlled Trials (Preprint)

Опубликована: Июнь 15, 2021

Adherence to internet-delivered interventions targeting mental health such as online psychotherapeutic aftercare is important for the intervention’s impact. High dropout rates limit impact and generalizability of findings. Baseline differences may be putting patients at risk dropping out, making comparisons between with face-to-face (F2F) therapy care usual (CAU) necessary examine. This study investigated adherence online, F2F, CAU well among these groups subjective evaluation therapeutic relationship. Sociodemographic, social-cognitive, health-related variables were considered. In a randomized controlled trial, 6023 recruited, 300 completed baseline measures (T1), 144 T2 (retention 44%-52%), 95 T3 24%-36%). Sociodemographic (eg, age, gender, marital status, educational level), social-cognitive determinants self-efficacy, social support), depressiveness), expectation towards treatment assigned or F2F measured T1. There no significant regarding (χ²₁=0.02-1.06, <i>P</i>≥.30). Regarding condition, group outperformed conditions (<i>P</i>≤.01), indicating that into control much more likely show nonadherent behavior in comparison groups. Within groups, gender only T2, women being drop out. At T3, age status also group. Patients significantly satisfied their than (<i>P</i>=.02; Eta²=.09). Relationship satisfaction success equally high (<i>P</i>&gt;.30; Eta²=.02). Combining all who reported lower depressiveness scores T1 (T2: odds ratio [OR] 0.55, 95% CI 0.35-0.87; T3: OR 0.56, 0.37-0.92) retained, had higher self-efficacy 0.57, 0.37-0.89; 0.52, 0.32-0.85) out T3. Additionally, support was related likelihood remaining (OR 0.68, 0.48-0.96). Comparing 3 intervention positive questionnaire completion after controlling other 1.64, 1.08-2.50; 1.59, 1.01-2.51). While have many advantages over variants saving time effort commute therapy, they create difficulties therapists hinder ability adequately react patients’ challenges. Accordingly, patient characteristics might put them not adhering plan should considered future research practice. Online aftercare, described this research, provided often medical rehabilitation patients. ClinicalTrials.gov NCT04989842; https://clinicaltrials.gov/ct2/show/NCT04989842

Язык: Английский

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Aktuelle Entwicklungen in der Schlafforschung und Schlafmedizin – eine Einschätzung der AG „Chronobiologie“

Somnologie - Schlafforschung und Schlafmedizin, Год журнала: 2022, Номер 26(3), С. 152 - 154

Опубликована: Авг. 16, 2022

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