MyCompass in a Swedish context – lessons learned from the transfer of a self-guided intervention targeting mental health problems
Autor: | Clara Hellner, Emma Ovelius, Karolina Sörman, Anders Nilsson, Josefin Klingvall, Jonas Lundberg |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty lcsh:RC435-571 Psychological intervention Context (language use) Anxiety Stress 03 medical and health sciences 0302 clinical medicine Informed consent Intervention (counseling) lcsh:Psychiatry medicine Humans 030212 general & internal medicine Retrospective Studies Sweden Internet Depression Public health Repeated measures design Mental health Internet-based intervention Telemedicine 030227 psychiatry Psychiatry and Mental health Mental Health Treatment Outcome Therapy Computer-Assisted Family medicine Female myCompass medicine.symptom Psychology Stress Psychological Research Article Follow-Up Studies |
Zdroj: | BMC Psychiatry, Vol 19, Iss 1, Pp 1-11 (2019) BMC Psychiatry |
Popis: | Depression and anxiety is a major public health problem, in Sweden and internationally. Internet-based interventions are increasingly acknowledged as promising approaches for individuals with varying degrees of mental health problems. We present findings from the implementation of myCompass, a fully automated self-guided intervention of Australian origin, in a Swedish context. We (i) share our experience of the E-health study platform (i.e., regarding security aspects, functionality) to which the myCompass intervention was linked, and (ii) report findings from the empirical evaluation of myCompass (i.e., prerequisites, execution, study outcomes), in a community sample of individuals (N = 837) reporting mild-to-moderate levels of depression, anxiety and stress. Outcomes were calculated with repeated measures ANOVA and linear mixed models. The E-health study platform proved to be an efficient tool enabling randomization, informed consent and evaluation to be administered in a fully automated manner. The study rendered substantial interest initially with 1207 individuals enrolling, however it failed to maintain engagement of those enrolled with only few participants logging in more than once or twice following registration. A smaller subgroup of “active users” (n = 35) had a markedly higher activity in the program, however their treatment results were not significantly better than those of the control group. Based on the large number of dropouts and also modest use of the intervention overall, only tentative speculations can be made regarding its effectiveness in a Swedish context. The number of individuals remaining active in the intervention is much more limited that the number of individuals initially signing up. Moreover, the transportation of interventions across countries and cultures may need more careful consideration, and pilot-trials before attempting large-scale trials are recommended. MyCompass was retrospectively registered at ClinicalTrials.gov . NCT03659630 September 3rd 2018, and was given the protocol ID 2015/1268–31/2 + 2016/88. |
Databáze: | OpenAIRE |
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