Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

{"title":"Efficacy of a process-based, Mobile-delivered personalized CBT for anxiety disorders: Study protocol for a randomized controlled trial","authors":"Lizu Lai ,&nbsp;Ying Li ,&nbsp;Ziyi Zhao ,&nbsp;Zhihong Ren","doi":"10.1016/j.invent.2025.100805","DOIUrl":"10.1016/j.invent.2025.100805","url":null,"abstract":"<div><h3>Background</h3><div>Internet-based Cognitive Behavioral Therapy (ICBT) is effective in treating anxiety disorders, yet there is room for improvement in treatment response and reduction in dropout rates. This study proposes a personalized, modular ICBT intervention that leverages the extended evolutionary meta-model to provide a dynamic and adaptive treatment approach, aiming to enhance usability and efficacy.</div></div><div><h3>Methods</h3><div>The trial will be conducted in two phases. Phase I involves 182 participants who will undergo a 30-day ecological momentary assessment to record functional processes and anxiety levels three times a day. The data collected will help in identifying key functional predictors of anxiety for each participant through group iterative multiple model estimation. In Phase II, participants who complete Phase I will be randomized into three groups: personalized CBT, standard CBT, and a waiting list. Outcome measures will include Brief Symptom Inventory, specific measures of anxiety, usability metrics, and dropout rates. Assessments will be conducted at baseline, immediately post-treatment, and at 1- and 3-month follow-ups. A linear mixed model will be utilized to analyze the data and determine the intervention's efficacy.</div></div><div><h3>Discussion</h3><div>Anticipated outcomes from this study include advancements in personalized CBT for anxiety disorders, contributing valuable insights into their potential benefits and addressing existing challenges in the field.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100805"},"PeriodicalIF":3.6,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient experiences of internet-based enhanced cognitive behavior therapy for eating disorders","authors":"Anne-Charlotte Wiberg ,&nbsp;Ata Ghaderi ,&nbsp;Thomas Parling ,&nbsp;Magdalena Jansson ,&nbsp;Elisabeth Welch","doi":"10.1016/j.invent.2025.100801","DOIUrl":"10.1016/j.invent.2025.100801","url":null,"abstract":"<div><h3>Background</h3><div>Internet-based Cognitive Behavioral Therapy (ICBT) has shown promise in addressing the treatment gap for eating disorders (EDs), with evidence indicating moderate to large effect sizes. However, some individuals experience no improvement or deterioration in their condition, highlighting the need to understand both successful and unsuccessful outcomes.</div></div><div><h3>Aim</h3><div>This study aimed to explore patients' experiences undergoing Internet-based guided self-help treatment based on Enhanced Cognitive Behavior Therapy (ICBT-E) for bulimia nervosa (BN) and binge eating disorder (BED), focusing on both those who benefited from the treatment and those who did not.</div></div><div><h3>Method</h3><div>Sixteen participants with a diagnosis of full or subthreshold BN or BED, including eight non-responders and eight responders, participated in a semi-structured telephone interview. Data were analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Responders strongly identified with the content, facilitating treatment implementation, while non-responders found the content less relevant to their symptoms. The treatment was overall perceived as time-consuming, but non-responders found it overwhelming and struggled with motivation and self-discipline. Non-responders preferred synchronous communication, while responders valued the flexibility of asynchronous contact. Overall, participants acknowledged the importance of ICBT-E, though non-responders felt it was not tailored to their specific needs.</div></div><div><h3>Conclusions</h3><div>The study highlighted considerations for designing and implementing ICBT-E, including tailoring content to diverse patient symptoms, managing time demands, and considering motivation and self-discipline when assigning this treatment. While ICBT-E shows promise for the widespread dissemination of treatment for EDs, ongoing evaluation of progress during treatment and timely referral to alternative interventions for non-responders are crucial for optimizing outcomes.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100801"},"PeriodicalIF":3.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of smartphone-delivered cognitive behavior therapy for body dysmorphic disorder: A one-year naturalistic follow-up","authors":"Ivar Snorrason ,&nbsp;Susanne S. Hoeppner ,&nbsp;Dalton Klare ,&nbsp;Hilary Weingarden ,&nbsp;Jennifer L. Greenberg ,&nbsp;Rebecca M. Berger-Gutierrez ,&nbsp;Emily E. Bernstein ,&nbsp;Rachel C. Vanderkruik ,&nbsp;Oliver Harrison ,&nbsp;Sabine Wilhelm","doi":"10.1016/j.invent.2025.100803","DOIUrl":"10.1016/j.invent.2025.100803","url":null,"abstract":"<div><h3>Background</h3><div>Body dysmorphic disorder (BDD) is an often chronic and impairing psychiatric condition. Research shows that smartphone-delivered cognitive behavior therapy (CBT) with coaching may be a scalable and effective treatment for BDD. However, evidence for long-term gain maintenance is limited.</div></div><div><h3>Objectives</h3><div>The aim of the current study was to examine the long-term outcomes of a smartphone-based CBT for BDD.</div></div><div><h3>Method</h3><div>Adults with a primary diagnosis of BDD who completed a 12-week course of smartphone-delivered CBT with coach support were evaluated 3- and 12-months posttreatment. Symptom severity, remission and responder status were assessed with the clinician-rated Yale-Brown Obsessive-Compulsive Scale modified for BDD (BDD-YBOCS). Secondary outcomes were also evaluated and included BDD-related insight, depression, functioning and quality of life. Data were analyzed using four different approaches to missing data, with maximum likelihood estimation as the main approach.</div></div><div><h3>Results</h3><div>There was significant attrition from posttreatment (<em>n</em> = 57) to 3-month (<em>n</em> = 49) and 12-month (<em>n</em> = 33) follow-up. The mean BDD-YBOCS severity score remained stable during the follow-up period [Estimated Mean (SE) at posttreatment, 3-months, and 12-months = 18.7(1.1), 18.9(1.2) and 18.8(1.3), respectively]. The proportion of participants responding to treatment and in remission remained relatively unchanged as well (63 % responders and 46 % remitters at posttreatment, 54 % and 35 % at 3-month follow-up, and 61 % and 37 % at 12-month follow-up, respectively). Posttreatment gains in BDD-related insight, functioning, and quality of life were maintained; there were small increases in depression (ES = 0.36) from posttreatment to 12-month follow-up.</div></div><div><h3>Conclusions</h3><div>Improvements after coach-supported smartphone-based CBT for BDD are maintained one year after treatment.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100803"},"PeriodicalIF":3.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of COVID-19 e-mental health interventions: A systematic review of systematic reviews and meta-analyses","authors":"Romy RW ,&nbsp;Xiaoli Nan","doi":"10.1016/j.invent.2025.100802","DOIUrl":"10.1016/j.invent.2025.100802","url":null,"abstract":"<div><div>The COVID-19 pandemic has had a profound impact on global mental health. E-mental health has the potential to enhance the quality of care and can be swiftly implemented on a large scale. We performed a systematic review of systematic reviews, including meta-analyses, to assess the effects of COVID-19 e-mental health interventions. We followed an established search, screening, coding, and reporting protocol. Methodological quality was evaluated using the Measurement Tool to Assess Systematic Reviews (AMSTAR-2) checklist. The searches resulted in a total of 2341 articles. Of these, twelve systematic and meta-analytic reviews were included. The findings indicated that cognitive behavioral therapy (CBT) and psychoeducation were the most used mental health intervention types. E-mental health interventions were delivered via various communication channels including videoconferencing, telephone-based approaches, and mobile applications. E-mental health interventions have demonstrated their effectiveness in addressing prevalent mental health issues, particularly anxiety, depression, and stress. This study underscores the importance of e-mental health interventions in enhancing accessibility and efficiency to reduce mental health symptoms, providing valuable insights for policymakers and clinicians addressing mental health challenges exacerbated by global pandemics.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100802"},"PeriodicalIF":3.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural adaptation of a self-help app for grieving Syrian refugees in Switzerland. A feasibility and acceptability pilot-RCT","authors":"Anaïs Aeschlimann ,&nbsp;Eva Heim ,&nbsp;Clare Killikelly ,&nbsp;Nesrin Mahmoud ,&nbsp;Farhad Haji ,&nbsp;Rilana Tanja Stoeckli ,&nbsp;Monia Aebersold ,&nbsp;Myriam Thoma ,&nbsp;Andreas Maercker","doi":"10.1016/j.invent.2025.100800","DOIUrl":"10.1016/j.invent.2025.100800","url":null,"abstract":"<div><h3>Background</h3><div>The global refugee population has significantly increased, with Syrian refugees being one of the largest displaced groups. Bereavement represents a major challenge. However, access to mental health care is limited by structural and cultural barriers. Internet-based interventions (IBIs) offer a promising solution, but most are developed in Western contexts, limiting their cultural relevance. This study aimed to evaluate the acceptability, feasibility, and preliminary efficacy of a culturally adapted self-help IBI for bereaved Syrian refugees in Switzerland.</div></div><div><h3>Methods</h3><div>In a mixed-methods pilot randomized controlled trial (RCT), 30 bereaved Syrian refugees were randomly assigned to a 5-week app-based intervention or a waitlist control group. Semi-structured interviews with the intervention group provided qualitative insights on feasibility and acceptability and were analyzed with framework analysis. Quantitative data assessed treatment satisfaction, adherence, and preliminary efficacy on grief, depression, posttraumatic stress disorder (PTSD), anxiety, well-being, disability, post-migration difficulties, and social support. Descriptive statistics were used for feasibility and acceptability, while linear mixed-effects models assessed efficacy.</div></div><div><h3>Results</h3><div>High treatment satisfaction, a low dropout rate and adherence of 40 % were found. Qualitative interviews indicated the intervention was relevant and beneficial, further adaptations were suggested. No significant group differences were found on bereavement or secondary outcomes. However, trends indicated reduced grief, anxiety, PTSD, and depression, with improved well-being and social support in the intervention group.</div></div><div><h3>Conclusions</h3><div>The results suggest that this culturally adapted IBI is both feasible and acceptable for Syrian refugees. While trends are promising, a larger RCT is needed to investigate efficacy. This intervention shows potential as meaningful support for bereaved Syrian refugees.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100800"},"PeriodicalIF":3.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes from blended care therapy for anxiety and depression in the year after treatment","authors":"Jennifer L. Lee ,&nbsp;Shih-Yin Chen ,&nbsp;Robert E. Wickham ,&nbsp;Pam Wang ,&nbsp;Monica S. Wu ,&nbsp;Alethea A. Varra ,&nbsp;Connie E. Chen ,&nbsp;Anita Lungu","doi":"10.1016/j.invent.2024.100798","DOIUrl":"10.1016/j.invent.2024.100798","url":null,"abstract":"<div><h3>Background</h3><div>Scalable evidence-based treatments for anxiety and depression, such as blended care therapy (BCT) that integrate digital tools are effective, but reporting on long-term outcomes is limited.</div></div><div><h3>Method</h3><div>This pragmatic observational study examined the symptom stability and trajectories of individuals in the year following engagement in a BCT program. Participants included adults with clinical anxiety and/or depression measured by the Generalized Anxiety Disorder-7 (GAD-7) or Patient Health Questionnaire-9 (PHQ-9). Assessments were sent during the initial episode of care and in the year following.</div></div><div><h3>Results</h3><div>Participants included 27,835 adults (depression: 17,686 and anxiety: 24,853). Of these, 11,465 (41 % of those who received initial care; depression: 7223; anxiety: 10,218) completed at least one follow-up assessment (FUA). Average age was 34 years, 68–69 % were female, and 48–49 % were White across subsamples. Among FUA respondents, rates of reliable improvement or recovery on the PHQ-9 or GAD-7 for those who did not receive additional therapy were above 81 % across follow-up periods. Growth curve analysis for those who did not return for additional therapy revealed that both depression and anxiety groups demonstrated a statistically significant yet small linear effect of time in the year following treatment, with a 1.6–2.1 point increase in scores over the 12-month period.</div></div><div><h3>Conclusions</h3><div>Among clients who completed FUAs and received no additional therapy, reliable improvement and recovery rates were high. Growth curve analysis demonstrated a small increase in symptoms over the 12-month interval, providing pragmatic evidence of long-term stability of treatment gains from BCT for anxiety and depression in a real-world setting.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100798"},"PeriodicalIF":3.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participatory methods in designing digital health interventions for informal caregivers of people with dementia. A systematic review","authors":"Anna Messina,&nbsp;Anna Maria Annoni,&nbsp;Rebecca Amati,&nbsp;Beatrice Bano,&nbsp;Giovanni Franscella,&nbsp;Emiliano Albanese,&nbsp;Maddalena Fiordelli","doi":"10.1016/j.invent.2024.100799","DOIUrl":"10.1016/j.invent.2024.100799","url":null,"abstract":"<div><h3>Aims</h3><div>The growing use of technology in healthcare has contributed to the development of digital interventions for informal caregivers of people living with dementia. However, the marked heterogeneity of interventions poses challenges in evaluating their effectiveness. We conducted a review to delineate the distinctive features and development of the interventions, with focus on participatory methods.</div></div><div><h3>Methods</h3><div>We searched the following databases: Cochrane; Cinahl; Pubmed; Psychinfo; Scopus; Web of Knowledge, and IEEE, and screened and selected studies based on titles, abstracts and full texts. We used standardized procedure to abstract and synthetize relevant data of primary studies, and the Mixed Methods Appraisal Tool to assess their quality.</div></div><div><h3>Results</h3><div>Of 3136 records, 20 studies met the inclusion criteria. Most of the studies were web-based interventions, with multiple components and interactive features. The design and development of eight interventions employed participatory methods with large variations in the underlying framework and application.</div></div><div><h3>Conclusions</h3><div>This review sheds light on the design and development of digital interventions for dementia caregivers. The limited and heterogeneous use of participatory methods, along with inadequate reporting, hinders a clear understanding of intervention efficacy and implementation. Formal standardization of participatory action research methods is necessary to improve the design, development, and evaluation of digital interventions for caregivers of people with dementia.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100799"},"PeriodicalIF":3.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The “SES NXT” digital intervention for children of relationship dissolution: Study protocol for a randomized controlled trial study","authors":"Camilla S. Øverup ,&nbsp;Daniel B. Johnsen ,&nbsp;Martin Skriver ,&nbsp;Søren Sander ,&nbsp;Theis Lange ,&nbsp;Gert Martin Hald","doi":"10.1016/j.invent.2024.100797","DOIUrl":"10.1016/j.invent.2024.100797","url":null,"abstract":"<div><div>Parental relationship dissolution is among the most prevalent life crises for youths and is associated with both short- and long-term intra- and interpersonal struggles. Extant support programs tend to be in-person and in a group format. However, the structure and personnel needed for these programs make them costly to implement, less accessible, and difficult to scale. Digital interventions may present a suitable alternative. The current study examines the effectiveness of an online psycho-social intervention for children who have experienced parental relationship dissolution in Denmark, using a two-arm, parallel-group, randomized controlled trial study design. Families are recruited through Danish municipalities and the Danish Agency of Family Law and randomly assigned to the intervention group or wait-list control group. Individuals are assessed at baseline, 4 weeks, and 12 weeks post-baseline; parents complete questionnaires on behalf of their children aged 3–10, while youth aged 11–17 complete the questionnaires themselves. The primary study outcomes are 1) emotional problems symptoms, as measured by the Strength and Difficulty Questionnaire (SDQ), 2) mental well-being related difficulties, represented by the SDQ-Total scale score, and 3) impact of problems on daily life, as assessed by the SDQ-Impact scale score, at 12-weeks post-baseline. The data will be analyzed using a generalized estimating equation, accounting for non-independence of data (nesting of children within a family). The present study will contribute to the extant knowledge about the effectiveness of digital interventions for youths experiencing parental relationship dissolution and contribute to a cost-effective evidence-based scalable psychological help for a population who needs it.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100797"},"PeriodicalIF":3.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The DID-guide: A guide to developing digital mental health interventions","authors":"E.C.A. Mertens ,&nbsp;J.-L. Van Gelder","doi":"10.1016/j.invent.2024.100794","DOIUrl":"10.1016/j.invent.2024.100794","url":null,"abstract":"<div><div>The opportunities technology offers for improving mental health have led to a surge in digital interventions. A pivotal step in the development of such interventions involves translating theoretical intervention techniques into specific technological features. However, practical guidelines on how to approach this translation are currently underdeveloped. To support efforts to develop digital mental health interventions, from theoretical inception to an actual digital intervention, we present the Digital Intervention Development Guide (DID-Guide). The DID-Guide is structured into two distinct phases. Phase 1 establishes the intervention's theoretical foundation, outlining the steps for developing a theoretical intervention framework. Phase 2 translates this theoretical framework into actionable technological features, that make up the intervention. We break down the DID-Guide's two phases into a series of actionable steps, accompanied by concrete examples from a recent intervention that can be delivered through both a smartphone app and Virtual Reality. The DID-Guide serves as a comprehensive resource for creating impactful digital mental health interventions, while also facilitating collaboration and communication among a diverse range of stakeholders, including researchers, clinicians, and software developers.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100794"},"PeriodicalIF":3.6,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internet-delivered cognitive behaviour therapy for university students: Preference trial for various course durations","authors":"V. Peynenburg ,&nbsp;R.P. Sapkota ,&nbsp;N. Titov ,&nbsp;B.F. Dear ,&nbsp;H.D. Hadjistavropoulos","doi":"10.1016/j.invent.2024.100796","DOIUrl":"10.1016/j.invent.2024.100796","url":null,"abstract":"<div><h3>Background</h3><div>Internet-delivered cognitive behaviour therapy (ICBT) is an accessible and effective treatment option for post-secondary students, but engagement and completion rates are less favourable than in non-student populations in routine care. Studies on students' treatment preferences suggest that a range of options should be offered. Examining students' engagement and outcomes associated with ICBT course options of varying durations can help inform how to optimally deliver ICBT to university students in routine care.</div></div><div><h3>Methods</h3><div>University students (<em>N</em> = 72) were offered a choice of a transdiagnostic ICBT course of three different durations (i.e., ultra-brief with no time locks, brief, or standard-length). The trial examined course preferences, predictors of preferences, treatment outcomes (depression, anxiety, and perceived academic functioning) at post-treatment and 4-month follow-up, as well as treatment engagement and satisfaction across course options.</div></div><div><h3>Results</h3><div>Of the 72 students who started treatment, 32 (44.4 %) chose the brief course, 36 (50.0 %) chose standard-length, and 4 (5.6 %) chose the ultra-brief course. Between-group comparisons focused on the brief and standard-length courses, as uptake was too low for the ultra-brief course. From pre-treatment to post-treatment, clients in both groups experienced large reductions in depression (brief: <em>d</em> = 1.26, 95 % CI [0.84, 1.69]; standard: <em>d</em> = 1.43, 95 % CI [0.88, 1.98]) and anxiety (brief: <em>d</em> = 1.40, 95 % CI [0.96, 1.84]; standard: <em>d</em> = 1.59, 95 % CI [1.03, 2.15]), and small but not significant improvements in perceived academic functioning (brief: <em>d</em> = 0.27, 95 % CI [−0.12, 0.67]; standard: <em>d</em> = 0.44, 95 % CI [−0.07, 0.95]). At 4-month follow-up, improvements in depression and anxiety were maintained and improvements in perceived academic functioning reached significance in both groups, with medium effects found. There were no pre-treatment between-group differences in demographic or clinical characteristics and treatment satisfaction was comparable between the groups. The percentage of clients who accessed all lessons was similar in the brief (59.4 %) and standard (55.6 %) courses.</div></div><div><h3>Conclusions</h3><div>As the brief and standard-length course options had similar uptake, outcomes, completion rates, and client satisfaction and similar costs in terms of therapist resources, clinics can confidently offer these options and accommodate student preferences. The low interest in an ultra-brief course prevented evaluation of the outcomes of this course but implies allocating time and resources to offering this option when offered alongside other options is not worthwhile in this particular clinic. Further research could explore whether offering ultra-brief ICBT under different circumstances is of interest and benefit to students.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"39 ","pages":"Article 100796"},"PeriodicalIF":3.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}