Universität zu Köln

Erbe, Doris ORCID: 0000-0002-7674-8539, Eichert, Hans-Christoph ORCID: 0000-0002-8192-0217, Riper, Heleen ORCID: 0000-0002-8144-8901 and Ebert, David Daniel ORCID: 0000-0001-6820-0146 (2017). Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review. J. Med. Internet Res., 19 (9). TORONTO: JMIR PUBLICATIONS, INC. ISSN 1438-8871

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Abstract

Background: Many studies have provided evidence for the effectiveness of Internet-based stand-alone interventions for mental disorders. A newer form of intervention combines the strengths of face-to-face (f2f) and Internet approaches (blended interventions). Objective: The aim of this review was to provide an overview of (1) the different formats of blended treatments for adults, (2) the stage of treatment in which these are applied, (3) their objective in combining face-to-face and Internet-based approaches, and (4) their effectiveness. Methods: Studies on blended concepts were identified through systematic searches in the MEDLINE, PsycINFO, Cochrane, and PubMed databases. Keywords included terms indicating face-to-face interventions (inpatient, outpatient, face-to-face, or residential treatment), which were combined with terms indicating Internet treatment (internet, online, or web) and terms indicating mental disorders (mental health, depression, anxiety, or substance abuse). We focused on three of the most common mental disorders (depression, anxiety, and substance abuse). Results: We identified 64 publications describing 44 studies, 27 of which were randomized controlled trials (RCTs). Results suggest that, compared with stand-alone face-to-face therapy, blended therapy may save clinician time, lead to lower dropout rates and greater abstinence rates of patients with substance abuse, or help maintain initially achieved changes within psychotherapy in the long-term effects of inpatient therapy. However, there is a lack of comparative outcome studies investigating the superiority of the outcomes of blended treatments in comparison with classic face-to-face or Internet-based treatments, as well as of studies identifying the optimal ratio of face-to-face and Internet sessions. Conclusions: Several studies have shown that, for common mental health disorders, blended interventions are feasible and can be more effective compared with no treatment controls. However, more RCTs on effectiveness and cost-effectiveness of blended treatments, especially compared with nonblended treatments are necessary.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Erbe, Doris UNSPECIFIED orcid.org/0000-0002-7674-8539 UNSPECIFIED Eichert, Hans-Christoph UNSPECIFIED orcid.org/0000-0002-8192-0217 UNSPECIFIED Riper, Heleen UNSPECIFIED orcid.org/0000-0002-8144-8901 UNSPECIFIED Ebert, David Daniel UNSPECIFIED orcid.org/0000-0001-6820-0146 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-220920
DOI:	10.2196/jmir.6588
Journal or Publication Title:	J. Med. Internet Res.
Volume:	19
Number:	9
Date:	2017
Publisher:	JMIR PUBLICATIONS, INC
Place of Publication:	TORONTO
ISSN:	1438-8871
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Heilpädagogik und Rehabilitation
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COGNITIVE-BEHAVIORAL THERAPY; COMPUTER-ASSISTED DELIVERY; GUIDED-SELF-HELP; RANDOMIZED CLINICAL-TRIAL; SUBSTANCE USE DISORDERS; DEPRESSION TREATMENT; COST-EFFECTIVENESS; STEPPED CARE; MAINTENANCE TREATMENT; MAJOR DEPRESSION Multiple languages Health Care Sciences & Services; Medical Informatics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22092