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An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial.

Adriana Mira1, Juana Bretón-López1,2, Azucena García-Palacios1,2

  • 1Department of Basic, Clinical Psychology and Psychobiology, Labpsitec, Universitat Jaume I, Castellón de la Plana, Spain.

Neuropsychiatric Disease and Treatment
|April 15, 2017
PubMed
Summary

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An Internet-based program effectively reduced depressive symptoms for participants, with improvements sustained at 12 months. This digital mental health intervention, utilizing information and communication technologies (ICTs), proved beneficial with or without human support.

Area of Science:

  • Mental Health
  • Digital Therapeutics
  • Psychology

Background:

  • Depressive symptoms significantly impact daily life and well-being.
  • Internet-based interventions offer scalable solutions for mental health support.
  • Information and communication technologies (ICTs) can facilitate automated support systems.

Purpose of the Study:

  • To evaluate the efficacy of an Internet-based program for depressive symptoms.
  • To compare the impact of automated ICT support versus combined ICT and human support.
  • To assess the long-term effectiveness and acceptance of digital mental health interventions.

Main Methods:

  • 124 participants with stressful life events and depressive symptoms were randomized.
  • Intervention groups received an Internet program with automated ICT support (messages, emails) or added human support (phone calls).
Keywords:
adherencedepressive symptomatologyonline interventionsatisfactiontypes of support

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  • A waiting-list control group was used for comparison; assessments included depression, anxiety, and stress measures at multiple time points.

    • Main Results:

    • Both intervention groups showed significant pre- to posttreatment improvement compared to the control group.
    • These improvements in depressive symptoms were sustained at the 12-month follow-up.
    • High levels of adherence and participant satisfaction were reported for both intervention conditions.

    Conclusions:

    • The Internet-based program is an effective and well-accepted treatment for depressive symptoms.
    • Automated support through ICTs is a viable strategy for mental health interventions.
    • Further research into novel ICT strategies for delivering mental health support is warranted.