Effectiveness of a Multimodal Digital Psychotherapy Platform for Adult Depression: A Naturalistic Feasibility Study
| Autor: | Laura A Nolting, Adrian Aguilera, Stephen P. Hinshaw, Enitan T Marcelle |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Psychotherapist 020205 medical informatics Adolescent Psychometrics medicine.medical_treatment digital health Health Informatics 02 engineering and technology Information technology video Social and Behavioral Sciences 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering medicine text messaging Humans 030212 general & internal medicine mHealth Depression (differential diagnoses) Original Paper mobile phone Modalities business.industry Depression Middle Aged T58.5-58.64 Digital health Mental health Patient Health Questionnaire Psychotherapy Treatment Outcome live chat cognitive therapy Cognitive therapy Feasibility Studies Female Self Report Public aspects of medicine RA1-1270 business Marcelle [BRII recipient] mental health |
| Zdroj: | JMIR mHealth and uHealth, Vol 7, Iss 1, p e10948 (2019) Marcelle, Enitan T; Nolting, Laura; Hinshaw, Stephen P; & Aguilera, Adrian. (2019). Effectiveness of a Multimodal Digital Psychotherapy Platform for Adult Depression: A Naturalistic Feasibility Study. JMIR mHealth and uHealth, 7(1), e10948. doi: 10.2196/10948. UC Berkeley: UC Berkeley Library. Retrieved from: http://www.escholarship.org/uc/item/9pd4x48f JMIR mHealth and uHealth |
| ISSN: | 2291-5222 |
| DOI: | 10.2196/10948. |
| Popis: | BackgroundAlthough psychotherapy is one of the most efficacious and effective treatments for depression, limited accessibility to trained providers markedly limits access to care. In an attempt to overcome this obstacle, several platforms seeking to provide these services using digital modalities (eg, video, text, and chat) have been developed. However, the use of these modalities individually poses barriers to intervention access and acceptability. Multimodal platforms, comprising those that allow users to select from a number of available modalities, may be able to provide a solution to these concerns. ObjectiveWe aimed to investigate the preliminary effectiveness of providing psychotherapy through a multimodal digital psychotherapy platform. In addition, we aimed to examine differential responses to intervention by gender, self-reported physical health status, and self-reported financial status, as well as how prior exposure to traditional face-to-face psychotherapy affected the effectiveness of a multimodal digital psychotherapy intervention. Finally, we aimed to examine the dose-response effect. MethodsData were collected from a total of 318 active users of BetterHelp, a multimodal digital psychotherapy platform. Data on physical health status, financial status, and prior exposure to psychotherapy were obtained using self-report measures. Effectiveness was determined by the extent of symptom severity change, which was measured using the Patient Health Questionnaire at Time 1 (time of enrollment) and Time 2 (3 months after enrollment). Intervention dosage was measured as the sum of individual therapist-user interactions across modalities. ResultsDepression symptom severity was significantly reduced after the use of the multimodal digital psychotherapy intervention (P |
| Databáze: | OpenAIRE |
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