Innovative E-Health approaches for comorbid depression in somatic care: user acceptance of the internet-based self-management program MoodGYM

躯体护理中共病抑郁症的创新电子健康方法：用户接受基于互联网的自我管理程序 MoodGYM

• 批准号: 270656599
• 负责人: Dr. Margrit Löbner
• 金额: --
• 依托单位: Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP)
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2015
• 资助国家: 德国
• 起止时间: 2014-12-31 至 2015-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/270656599?language=en
• 关键词: Innovative; Health; approaches; comorbid; depression

Patients with chronic somatic diseases such as obesity often suffer from comorbid depressive disorders and present a great challenge for the medical health care system. Internet-based cognitive-behavioural therapy is a new, innovative and efficient treatment component. However, investigations regarding user acceptance and effectiveness of internet-based self-management programs in patients suffering from obesity or other somatic diseases are widely missing. This project is a feasibility study focussing on the investigation of user acceptance of the internet-based self-help program MoodGYM using the example of obesity patients with comorbid depression. The study aims to investigate the user acceptance of MoodGYM from two different perspectives: (A) the perspective of patients as well as (B) the perspective of experts of the medical care system based on Rogers´ 5 stages model of the innovation-decision process (2003). This project is following a mixed-method design (sequential qualitative-quantitative design) including qualitative investigations (qualitative patient interviews (N=6 patients); a focus group with medical experts (N=10 experts)) and quantitative investigations (access to intervention and patient survey (N=35 patients; T0 (pre): before access to MoodGYM; T1 (post): 3 month after access to MoodGYM). The results of this study provide an important basis for a continuing DFG-project aiming at the assessment of effectiveness and cost-effectiveness of MoodGYM in patients with somatic diseases and comorbid depression within a randomised controlled trial (RCT).

肥胖等慢性躯体疾病患者常合并抑郁障碍，给医疗保健系统带来巨大挑战。基于互联网的认知行为疗法是一种新的、创新的和有效的治疗手段。然而，关于肥胖或其他躯体疾病患者对基于互联网的自我管理计划的用户接受度和有效性的调查却普遍缺失。本项目是一项可行性研究，重点是调查用户接受的基于互联网的自助程序MoodGYM使用的肥胖患者共病抑郁症的例子。该研究旨在从两个不同的角度调查MoodGYM的用户接受度：（A）患者的角度以及（B）医疗保健系统专家的角度，基于Rogers的创新决策过程5阶段模型（2003）。本项目遵循混合方法设计（序贯定性-定量设计），包括定性调查（定性患者访谈（N=6例患者）;医学专家焦点组（N=10名专家））和定量调查（干预和患者调查（N=35例患者; T0（前）：进入MoodGYM前; T1（后）：进入MoodGYM后3个月）。这项研究的结果提供了一个重要的基础，继续DFG项目，旨在评估有效性和成本效益的MoodGYM在躯体疾病和共病抑郁症患者的随机对照试验（RCT）。