Internet- and App-Based Stress Intervention for Distance-Learning Students With Depressive Symptoms: Protocol of a Randomized Controlled Trial
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| Titel: | Internet- and App-Based Stress Intervention for Distance-Learning Students With Depressive Symptoms: Protocol of a Randomized Controlled Trial |
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| Autoren: | Harrer, Mathias, Apolinario-Hagen, Jennifer, Fritsche, Lara, Druege, Marie, Krings, Ludwig, Beck, Korinna, Salewski, Christel, Zarski, Anna-Carlotta, Lehr, Dirk, Baumeister, Harald, Ebert, David Daniel |
| Quelle: | Front Psychiatry Frontiers in Psychiatry, Vol 10 (2019) Harrer, M, Apolinario-Hagen, J, Fritsche, L, Druege, M, Krings, L, Beck, K, Salewski, C, Zarski, A-C, Lehr, D, Baumeister, H & Ebert, D D 2019, ' Internet-and App-Based Stress Intervention for Distance-Learning Students With Depressive Symptoms : Protocol of a Randomized Controlled Trial ', Frontiers in Psychiatry, vol. 10, no. MAY, 361 . https://doi.org/10.3389/fpsyt.2019.00361 |
| Verlagsinformationen: | Frontiers Media SA, 2019. |
| Publikationsjahr: | 2019 |
| Schlagwörter: | Psychiatry, Internet, stress management, 4. Education, RC435-571, Philosophische Fakultät und Fachbereich Theologie, 3. Good health, name=SDG 4 - Quality Education, 03 medical and health sciences, 0302 clinical medicine, ddc:150, mobile app, randomized controlled trial, depression, name=Psychiatry and Mental health, name=Psychology, name=SDG 3 - Good Health and Well-being, telemedicine, 10. No inequality, distance-learning students |
| Beschreibung: | Background: Mental disorders are highly prevalent among university students. Distance-learning students are particularly burdened and have limited access to conventional university health services. Interventions for stress are sought after in distance learners and may help increase treatment coverage. Internet-based interventions have been shown to be effective in preventing and treating depression, but it remains unclear if interventions directed at academic stress also have this potential. Aim: The trial presented here investigates the effectiveness of an Internet- and App-based stress intervention in distance-learning students with elevated levels of depression. Methods: A sample of N = 200 students of a large German distance university with elevated levels of depression [Center for Epidemiological Studies' Depression Scale (CES-D) ≥ 16] will be randomly assigned to either an Internet- and App-based stress management intervention group (IG) or a control group (CG) receiving an Internet-based psychoeducational program for academic stress. The IG consists of eight Internet-based sessions promoting stress management skills using cognitive-behavioral and problem-solving techniques. A mobile App will be employed to facilitate training transfer. Self-report data will be assessed at baseline (T0), post-treatment (T1; 7 weeks), and 3-month follow-up (T2). Potential moderators will be assessed at baseline. The primary outcome is depression (CES-D) post-treatment. Secondary outcomes include mental health outcomes, modifiable risk and protective factors, and academic outcomes. Data will be analyzed on an intention-to-treat principle along with sensitivity analyses to assess the robustness of findings. Additional health economic analyses will be conducted. Discussion: Results will provide the basis to assess the acceptance and effectiveness of Internet-delivered stress interventions in distance-learning students with symptoms of depression. Ethics and dissemination: The study has been reviewed and approved by the University of Erlangen-Nuremberg ethics committee (Erlangen, Germany; 33_17 Bc). Results of the study will be disseminated through peer-reviewed publications. Trial Registration: German Clinical Trial Registration (DRKS), identifier DRKS00011800. |
| Publikationsart: | Article Conference object Other literature type |
| Dateibeschreibung: | application/pdf |
| ISSN: | 1664-0640 |
| DOI: | 10.3389/fpsyt.2019.00361 |
| Zugangs-URL: | https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00361/pdf https://pubmed.ncbi.nlm.nih.gov/31178770 https://doaj.org/article/60e78cad0df748c88d375aa94dcc2b29 https://www.frontiersin.org/article/10.3389/fpsyt.2019.00361/full https://europepmc.org/article/MED/31178770 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537513/ https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00361/full https://opus4.kobv.de/opus4-fau/files/13409/fpsyt-10-00361.pdf http://www.scopus.com/inward/record.url?scp=85068219917&partnerID=8YFLogxK http://fox.leuphana.de/portal/de/publications/internet-and-appbased-stress-intervention-for-distancelearning-students-with-depressive-symptoms(0008db27-eace-4882-b7ca-d3c00f41f0bd).html https://pure.leuphana.de/ws/files/13813643/10.3389_fpsyt.2019.00361.pdf https://doi.org/10.3389/fpsyt.2019.00361 |
| Rights: | CC BY |
| Dokumentencode: | edsair.doi.dedup.....7967a4c1656e5845fb98a36f5f3ba6f0 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Background: Mental disorders are highly prevalent among university students. Distance-learning students are particularly burdened and have limited access to conventional university health services. Interventions for stress are sought after in distance learners and may help increase treatment coverage. Internet-based interventions have been shown to be effective in preventing and treating depression, but it remains unclear if interventions directed at academic stress also have this potential. Aim: The trial presented here investigates the effectiveness of an Internet- and App-based stress intervention in distance-learning students with elevated levels of depression. Methods: A sample of N = 200 students of a large German distance university with elevated levels of depression [Center for Epidemiological Studies' Depression Scale (CES-D) ≥ 16] will be randomly assigned to either an Internet- and App-based stress management intervention group (IG) or a control group (CG) receiving an Internet-based psychoeducational program for academic stress. The IG consists of eight Internet-based sessions promoting stress management skills using cognitive-behavioral and problem-solving techniques. A mobile App will be employed to facilitate training transfer. Self-report data will be assessed at baseline (T0), post-treatment (T1; 7 weeks), and 3-month follow-up (T2). Potential moderators will be assessed at baseline. The primary outcome is depression (CES-D) post-treatment. Secondary outcomes include mental health outcomes, modifiable risk and protective factors, and academic outcomes. Data will be analyzed on an intention-to-treat principle along with sensitivity analyses to assess the robustness of findings. Additional health economic analyses will be conducted. Discussion: Results will provide the basis to assess the acceptance and effectiveness of Internet-delivered stress interventions in distance-learning students with symptoms of depression. Ethics and dissemination: The study has been reviewed and approved by the University of Erlangen-Nuremberg ethics committee (Erlangen, Germany; 33_17 Bc). Results of the study will be disseminated through peer-reviewed publications. Trial Registration: German Clinical Trial Registration (DRKS), identifier DRKS00011800. |
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| ISSN: | 16640640 |
| DOI: | 10.3389/fpsyt.2019.00361 |