TY  - JOUR
U1  - Wissenschaftlicher Artikel
A1  - van den Berg, Neeltje
A1  - Grabe, Hans J.
A1  - Baumeister, Sebastian E.
A1  - Freyberger, Harald J.
A1  - Hoffmann, Wolfgang
T1  - A Telephone- and Text Message-Based Telemedicine Concept for Patients with Mental Health Disorders: Results of a Randomized Controlled Trial
JF  - Psychotherapy and Psychosomatics
N2  - Background: A telemedicine care concept based on telephone contacts and individualized text messages was developed for patients with mental disorders to continue treatment after therapy in a psychiatric day hospital. The primary objective of this study was to evaluate the effectiveness of the telemedicine interventions. Methods: The study had a 3-armed, randomized design with 2 intervention arms (intervention 1: telephone contacts; intervention 2: telephone contacts and short text messages; both took place over a period of 6 months and in addition to usual care), and a control group with usual care. Primary outcomes were 18-item Brief Symptom Inventory (BSI-18) scores for anxiety, depression and somatization. All participants were recruited from psychiatric day hospitals. The study was registered in the German Clinical Trials Register (DRKS00000662). Results: 113 participants were analyzed 6 months after starting the intervention. The average BSI-18 anxiety score after 6 months was -2.04 points lower in intervention group 2 than in the control group (p value: 0.042). The difference in BSI depression score between these two groups was marginally significant (p value: 0.1), with an average treatment effect of -1.73. In an exploratory sensitivity analysis restricted to the 75% of patients with the highest symptom scores at baseline, intervention group 1 yielded a significant effect for anxiety and depression compared to the control group (p = 0.036 and 0.046, respectively). Conclusions: Telemedicine provides a novel option in psychiatric ambulatory care with statistically significant effects on anxiety. A positive tendency was observed for depression, especially in cases with higher symptom load at baseline.
KW  - -
KW  - Telephone-based therapy
KW  - Effectiveness of telemedicine treatment
KW  - Telemedicine
KW  - Depression
KW  - Anxiety
Y1  - 2015
UN  - https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-30956
UR  - www.karger.com/pps
SN  - 0033-3190
SS  - 0033-3190
SN  - 1423-0348
SS  - 1423-0348
U6  - https://doi.org/10.1159/000369468
DO  - https://doi.org/10.1159/000369468
PM  - 25721861
VL  - 84
IS  - 2
SP  - 82
EP  - 89
PB  - S. Karger AG
CY  - Basel, Switzerland
ER  -