Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach

Depression incurs significant morbidity and confers increased risk of suicide. Many individuals experiencing depression remain untreated due to systemic and personal barriers to care. Guided Internet-based psychotherapeutic programs represent a promising means of overcoming such barriers and increas...

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Bibliographic Details
Published in:	JMIR research protocols Vol. 4; no. 3; p. e99
Main Authors:	Arensman, Ella, Koburger, Nicole, Larkin, Celine, Karwig, Gillian, Coffey, Claire, Maxwell, Margaret, Harris, Fiona, Rummel-Kluge, Christine, van Audenhove, Chantal, Sisask, Merike, Alexandrova-Karamanova, Anna, Perez, Victor, Purebl, György, Cebria, Annabel, Palao, Diego, Costa, Susana, Mark, Lauraliisa, Tóth, Mónika Ditta, Gecheva, Marieta, Ibelshäuser, Angela, Gusmão, Ricardo, Hegerl, Ulrich
Format:	Journal Article
Language:	English
Published:	Canada JMIR Publications 06-08-2015 JMIR Publications Inc
Subjects:	Antidepressants Behavior modification Cognitive therapy Cooperation Drug therapy Feasibility studies Health services Internet Mental depression Mental health Multilingualism Primary care Protocol Psychotherapy Public health Self help Suicides & suicide attempts Systematic review Europe Internet-based cognitive behavioral therapy primary care computerized depression self-management
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Summary:	Depression incurs significant morbidity and confers increased risk of suicide. Many individuals experiencing depression remain untreated due to systemic and personal barriers to care. Guided Internet-based psychotherapeutic programs represent a promising means of overcoming such barriers and increasing the capacity for self-management of depression. However, existing programs tend to be available only in English and can be expensive to access. Furthermore, despite evidence of the effectiveness of a number of Internet-based programs, there is limited evidence regarding both the acceptability of such programs and feasibility of their use, for users and health care professionals. This paper will present the protocol for the development, implementation, and evaluation of the iFightDepression tool, an Internet-based self-management tool. This is a cost-free, multilingual, guided, self-management program for mild to moderate depression cases. The Preventing Depression and Improving Awareness through Networking in the European Union consortium undertook a comprehensive systematic review of the available evidence regarding computerized cognitive behavior therapy in addition to a consensus process involving mental health experts and service users to inform the development of the iFightDepression tool. The tool was implemented and evaluated for acceptability and feasibility of its use in a pilot phase in 5 European regions, with recruitment of users occurring through general practitioners and health care professionals who participated in a standardized training program. Targeting mild to moderate depression, the iFightDepression tool is based on cognitive behavioral therapy and addresses behavioral activation (monitoring and planning daily activities), cognitive restructuring (identifying and challenging unhelpful thoughts), sleep regulation, mood monitoring, and healthy lifestyle habits. There is also a tailored version of the tool for young people, incorporating less formal language and additional age-appropriate modules on relationships and social anxiety. The tool is accompanied by a 3-hour training intervention for health care professionals. It is intended that the iFightDepression tool and associated training for health care professionals will represent a valuable resource for the management of depression that will complement existing resources for health care professionals. It is also intended that the iFightDepression tool and training will represent an additional resource within a multifaceted approach to improving the care of depression and preventing suicidal behavior in Europe.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1929-0748 1929-0748
DOI:	10.2196/resprot.4358