A cluster randomized controlled trial of an online psychoeducational intervention for people with a family history of depression

Autor: Bettina Meiser, Peter R. Schofield, Timothy Dobbins, Raghib Ahmad, Kristine Barlow-Stewart, Charlene Levitan, Lyndal Trevena, Helen Christensen, Philip B. Mitchell, Kate Dunlop, Llewellyn Mills, Michelle Peate, Kerry A. Sherman
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Bipolar disorder
lcsh:RC435-571
Population
Family history
Psychological intervention
Computer-assisted web interviewing
Major depressive disorder
Patient Health Questionnaire
Online Systems
Online intervention
law.invention
03 medical and health sciences
Young Adult
0302 clinical medicine
Randomized controlled trial
Patient Education as Topic
law
lcsh:Psychiatry
medicine
Humans
030212 general & internal medicine
Psychiatry
education
Medical History Taking
Depression (differential diagnoses)
Aged
education.field_of_study
Depressive Disorder
Major
Participation bias
Primary Health Care
business.industry
Australia
Middle Aged
medicine.disease
3. Good health
030227 psychiatry
Psychiatry and Mental health
Therapy
Computer-Assisted
Female
business
Psycho-education
Research Article
New Zealand
Zdroj: BMC Psychiatry, Vol 19, Iss 1, Pp 1-11 (2019)
BMC Psychiatry
Popis: Background People with a family history of major depressive disorder (MDD) or bipolar disorder (BD) report specific psychoeducational needs that are unmet by existing online interventions. This trial aimed to test whether an interactive website for people at familial risk for depression (intervention) would improve intention to adopt, or actual adoption of, depression prevention strategies (primary outcome) and a range of secondary outcome measures. Methods In this cluster randomised trial, primary care practises were randomised to either provide the link to the intervention or the control website. Primary health care attendees were invited by letter to opt into this study if they had at least one first-degree relative with MDD or BD and were asked to complete online questionnaires at baseline and 2-week follow-up. Results Twenty general practices were a randomized, and 202 eligible patients completed both questionnaires. Thirty-nine (19.3%) of participants were male and 163 (80.7%) female. At follow-up, compared to controls, the intervention group: (i) were more likely to intend to undergo, or to have actually undergone, psychological therapies (OR = 5.83, 95% CI: 1.58–21.47, p = .008); (ii) had better knowledge of depression risk factors and prevention strategies (mean difference = 0.47, 95% CI: 0.05–0.88, p = .029); and (iii) were more likely to accurately estimate their lifetime risk of developing BD (mean difference = 11.2, 95% CI: -16.52– -5.73, p
Databáze: OpenAIRE
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