Efficacy of a Web-Based Intervention With Mobile Phone Support in Treating Depressive Symptoms in Adults With Type 1 and Type 2 Diabetes: A Randomized Controlled Trial
Stephanie N, Lehr D, Ebert D, Baumeister H, Snoek F, Heleen R, Berking M (2015)
Publication Status: Published
Publication Type: Journal article, other
Publication year: 2015
Journal
Publisher: American Diabetes Association
Book Volume: 38
Pages Range: 776-783
DOI: 10.2337/dc14-1728
Abstract
OBJECTIVEDepression is common in diabetes and linked to adverse health outcomes. This study evaluated the efficacy of a guided web-based intervention in reducing depression in adults with type 1 and type 2 diabetes.RESEARCH DESIGN AND METHODSA total of 260 participants with diabetes and elevated depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D 23]) were randomly assigned to the GET.ON Mood Enhancer Diabetes (a guided self-help intervention, n = 130) or a brief online unguided psychoeducation program for depression (n = 130). The primary outcome was depressive symptoms severity (CES-D). The secondary outcomes included diabetes-specific emotional distress (Problem Areas in Diabetes [PAID] scale) and participant satisfaction (adaption CSQ-8). Data were collected at baseline and 2 months after randomization. To identify differences in outcome between the groups, we used analyses of covariance with the baseline CES-D score as covariate on both intent-to-treat (ITT) and per-protocol (PP) basis.RESULTSCompared with the control group, the intervention group showed significantly less depressive symptom severity at posttreatment based on ITT (d = 0.89) and PP analyses (d = 1.00). The intervention participants displayed a significantly larger reduction in diabetes-specific emotional distress (d = 0.58, ITT). The intervention appeared to be acceptable to the participants; 95% (n = 121) would recommend the training to a friend with diabetes in need of psychological help.CONCLUSIONSA guided, web-based intervention to reduce depression in adults with type 1 and type 2 diabetes is effective in reducing both depressive symptoms and diabetes-specific emotional distress.
Authors with CRIS profile
David Ebert
Lehrstuhl für Klinische Psychologie und Psychotherapie
Matthias Berking
Lehrstuhl für Klinische Psychologie und Psychotherapie
Additional Organisation(s)
Involved external institutions
Leuphana Universität Lüneburg
Germany (DE)
Vrije Universiteit Amsterdam (VU) / University Amsterdam
Netherlands (NL)
Albert-Ludwigs-Universität Freiburg
Germany (DE)
Germany (DE)
Vrije Universiteit Amsterdam (VU) / University Amsterdam
Netherlands (NL)
Albert-Ludwigs-Universität Freiburg
Germany (DE)
How to cite
APA:
Stephanie, N., Lehr, D., Ebert, D., Baumeister, H., Snoek, F., Heleen, R., & Berking, M. (2015). Efficacy of a Web-Based Intervention With Mobile Phone Support in Treating Depressive Symptoms in Adults With Type 1 and Type 2 Diabetes: A Randomized Controlled Trial. Diabetes Care, 38, 776-783. https://doi.org/10.2337/dc14-1728
MLA:
Stephanie, Nobis, et al. "Efficacy of a Web-Based Intervention With Mobile Phone Support in Treating Depressive Symptoms in Adults With Type 1 and Type 2 Diabetes: A Randomized Controlled Trial." Diabetes Care 38 (2015): 776-783.
BibTeX: Download