Use of tailoring features and reasons for dropout in a guided internet-based transdiagnostic individually-tailored cognitive behavioral therapy for symptoms of depression and/or anxiety in college students

被引：11

作者：

Ciharova, Marketa ^{[1
,2
,12
,14
]}

Cuijpers, Pim ^{[1
,2
,3
,4
,5
,12
]}

Amanvermez, Yagmur ^{[1
,2
,12
]}

Riper, Heleen ^{[1
,2
,4
,6
,7
,12
]}

Klein, Anke M. ^{[8
,9
,12
]}

Bolinski, Felix ^{[1
,2
,10
,12
]}

Wit, Leonore M. de ^{[1
,2
,12
]}

Heijde, Claudia M. van der ^{[11
,12
]}

Bruffaerts, Ronny ^{[12
]}

Struijs, Sascha ^{[1
,2
,12
]}

Wiers, Reinout W. ^{[9
,12
,13
]}

Karyotaki, Eirini ^{[1
,2
,3
,12
]}

机构：

[1] Vrije Univ Amsterdam, Dept Clin Neuro & Dev Psychol, Boechorststraat 7, NL-BT 1081 Amsterdam, Netherlands

[2] Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Boechorststraat 7, NL-BT 1081 Amsterdam, Netherlands

[3] Vrije Univ Amsterdam, WHO Collaborating Ctr Res & Disseminat Psychol Int, Boechorststraat 7, NL-BT 1081 Amsterdam, Netherlands

[4] Univ Turku, Fac Med, Dept Psychiat, FI-20014 Turku, Finland

[5] Babes Bolyai Univ, Int Inst Psychotherapy, 37,Republicii St, Cluj Napoca 400015, Romania

[6] Univ Southern Denmark, Dept Clin Res, Res Unit Telepsychiat & Emental Hlth, JB Winslows Vej 19,3, DK-5000 Odense, Denmark

[7] Vrije Univ Amsterdam, Amsterdam UMC, Psychiat, Boelelaan 1118, NL-1081 HZ Amsterdam, Netherlands

[8] Leiden Univ, Dev & Educ Psychol Inst Psychol, Rapenburg 70, NL-2311 EZ Leiden, Netherlands

[9] Univ Amsterdam, Dept Psychol, Addict Dev & Psychopathol Lab, Nieuwe Achtergracht 129, NL-1001NK Amsterdam, Netherlands

[10] Trimbos Inst, Dept Mental Hlth & Prevent, Costakade 45, NL-3521 VS Utrecht, Netherlands

[11] Univ Amsterdam, Dept Res Dev & Prevent, Student Hlth Serv, Oude Turfmarkt 151, NL-1012 GC Amsterdam, Netherlands

[12] Katholieke Univ Leuven, Ctr Publ Hlth Psychiat, Univ Psychiat Ctr, Herestraat 49, B-3000 Leuven, Belgium

[13] Ctr Urban Mental Hlth, Oude Turfmarkt 145-147, NL-1012 GC Amsterdam, Netherlands

[14] Vrije Univ Amsterdam, Dept Clin Neuroand Dev Psychol, Sect Clin Psychol, Boechorststraat 7, NL-1081HV Amsterdam, Netherlands

来源：

INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH | 2023年 / 34卷

关键词：

Adherence; Dropout; Digital intervention; College students; Transdiagnostic interventions; Individual tailoring; DISORDERS IDENTIFICATION TEST; UNIVERSITY-STUDENTS; SELF-HELP; INTERVENTIONS; ACCEPTABILITY; METAANALYSIS; VALIDATION; PREDICTORS; BARRIERS; STRESS;

D O I：

10.1016/j.invent.2023.100646

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Transdiagnostic individually-tailored digital interventions reduce symptoms of depression and anxiety in adults with moderate effects. However, research into these approaches for college students is scarce and contradicting. In addition, the exact reasons for intervention dropout in this target group are not well known, and the use of individually-tailored intervention features, such as optional modules, has not yet been explored. The current study aimed to (1) investigate reasons for dropout from a guided internet-based transdiagnostic individuallytailored intervention for college students assessed in a randomized controlled trial (RCT) and (2) evaluate whether participants used tailoring features intended for their baseline symptoms. A sample of college students with mild to moderate depression and/or anxiety symptoms (n = 48) in the Netherlands (partially) followed a guided internet-based transdiagnostic individually-tailored intervention. We contacted those who did not complete the entire intervention (n = 29) by phone to report the reasons for intervention dropout. Further, we descriptively explored the use of tailoring features (i.e., depression versus anxiety trajectory) and optional modules of the intervention in the whole sample. We identified a range of person- and intervention-related reasons for intervention dropout, most commonly busy schedules, needs for different kinds of help, or absence of personal contact. Furthermore, only less than half of the participants used the individually-tailoring features to address the symptoms they reported as predominant. In conclusion, digital interventions clear about the content and targeted symptoms, tested in user research could prevent dropout and create reasonable expectations of the intervention. Participants would benefit from additional guidance when using tailoring features of digital interventions, as they often do not choose the tailoring features targeting their baseline symptoms.

引用

页数：11