Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression: A randomized controlled trial
Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression: A randomized controlled trial
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DOI：
10.1016/j.diabres.2014.04.031
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发表时间：
2014-07-01
影响因子：
5.1
通讯作者：
Ebert, D. D.
中科院分区：
文献类型：
--
作者：
Baumeister, H.;Nowoczin, L.;Ebert, D. D.
目的：(1) 确定糖尿病患者对基于互联网的抑郁症干预措施 (IBI) 的接受程度，(2) 检查促进接受干预措施 (AFI) 的有效性，以及 (3) 探索亚组特异性效果。方法：来自德国两个住院康复中心和一个门诊诊所的 141 名糖尿病患者被随机分配到干预组 (IG) 和无干预对照组 (CG)。 IG 收到了 AFI，其中包括个人信息会话，然后填写有关患者对 IBI 接受程度、接受预测因素（表现预期、努力预期、社会影响、便利条件和互联网焦虑）以及社会人口统计学、抑郁相关和糖尿病相关变量的调查问卷。 CG立即填写了调查问卷。患者对 IBI 的接受度采用四项量表（总分范围为 4 至 20）进行测量。结果：CG 显示低度 (50.7%) 到中度 (40.8%) 的接受度，只有 8.5% 的糖尿病患者对 IBI 治疗抑郁症的接受度较高。 AFI 对接受度（IG：M = 10.55，SD = 4.69，n = 70；KG：M = 9.65，SD = 4.27，n = 71；d = 0.20 [95%-CI：-0.13；0.53]）和接受度预测因素没有显着影响。然而，亚组分析得出了抑郁、糖尿病相关的痛苦、女性和年轻人的趋势（
Aims: To (1) determine diabetes patients' acceptance of Internet-based interventions (IBIs) for depression, to (2) examine the effectiveness of an acceptance facilitating intervention (AFI) and to (3) explore subgroup specific effects.Methods: 141 diabetes patients from two inpatient rehabilitation units and one outpatient clinic in Germany were randomly allocated to an intervention (IG) and a no-intervention control group (CG). The IG received an AFI consisting of a personal information session before filling-out a questionnaire on patients' acceptance of IBIs, predictors of acceptance (performance expectancy, effort expectancy, social influence, facilitating conditions, and Internet anxiety) as well as sociodemographic, depression-related and diabetes-related variables. The CG filled out the questionnaire immediately. Patients' acceptance of IBIs was measured with a four-item scale (sum-score ranging from 4 to 20).Results: The CG showed a low (50.7%) to medium (40.8%) acceptance with only 8.5% of all diabetes patients reporting a high acceptance of IBIs for depression. The AFI had no significant effect on acceptance (IG: M = 10.55, SD = 4.69, n = 70; KG: M = 9.65, SD = 4.27, n = 71; d = 0.20 [95%-CI: -0.13; 0.53]) and the predictors of acceptance. Yet, subgroup analyses yielded a trend for depressed, diabetes-related distressed, female and younger (