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Bitte verwenden Sie diesen Link, wenn Sie dieses Dokument zitieren oder verlinken wollen: https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-30956

A Telephone- and Text Message-Based Telemedicine Concept for Patients with Mental Health Disorders: Results of a Randomized Controlled Trial

  • 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.

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Author: Neeltje van den Berg, Hans-Jörgen Grabe, Sebastian E. Baumeister, Harald J. Freyberger, Wolfgang Hoffmann
URN:urn:nbn:de:gbv:9-opus-30956
URL:http://www.karger.com/pps
DOI:https://doi.org/10.1159/000369468
ISSN:0033-3190
ISSN:1423-0348
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/25721861
Parent Title (English):Psychotherapy and Psychosomatics
Publisher:S. Karger AG
Place of publication:Basel, Switzerland
Document Type:Article
Language:English
Date of first Publication:2015/02/21
Release Date:2020/09/29
Tag:Anxiety; Depression; Effectiveness of telemedicine treatment; Telemedicine; Telephone-based therapy
GND Keyword:-
Volume:84
Issue:2
First Page:82
Last Page:89
Faculties:Universitätsmedizin / Klinik für Psychiatrie und Psychotherapie
Licence (German):License LogoUrheberrechtlich geschützt