| Title |
Adherence predictors in internet-delivered self-help intervention for life stressors-related adjustment disorder / |
| Authors |
Kazlauskas, Evaldas ; Eimontas, Jonas ; Olff, Miranda ; Želvienė, Paulina ; Andersson, Gerhard |
| DOI |
10.3389/fpsyt.2020.00137 |
| Full Text |
|
| Is Part of |
Frontiers in psychiatry.. Lausanne : Frontiers Media S.A.. 2020, vol. 11, art. no. 137, p. [1-7].. eISSN 1664-0640 |
| Keywords [eng] |
self-help ; adherence ; adjustment disorder ; internet interventions ; treatment |
| Abstract [eng] |
Background: There is a growing body of evidence to show that low-intensity self-help internet-delivered interventions are effective in the treatment of mental disorders. Despite the promising effectiveness of internet-delivered interventions, there is still a challenge for mental health services to implement internet-delivered interventions in routine health care. The aim of this study was to analyze the predictors of adherence to a self-help internet-delivered intervention for adjustment disorder. Methods: This was a secondary report of data, including unpublished data, from a randomized controlled trial of an internet-delivered self-help intervention for adjustment disorder. The study included 1,077 participants who had completed online baseline assessments. All participants had experienced significant life stressors over the last 2 years and had high levels of adjustment disorder symptoms. We analyzed the role of sociodemographic variables, pre-treatment adjustment disorder symptoms, outcome expectations, and perceived barriers to mental health services on the use of the intervention. Results: We found that usage of internet-delivered self-help intervention and higher adherence was associated with female gender, greater age, higher pre-intervention outcome expectations, exposure to other forms of psychological therapy in addition to the internet-intervention at the time of the study, and reported perceived barriers to mental health services by the study participants. Conclusions: The findings of the study indicated the importance of non-specific therapeutic factors on adherence during internet-delivered intervention. Perceived barriers to mental health services were associated with higher adherence to self-help intervention, which indicated that communities with restricted access to mental health services could benefit from low-intensity internet-delivered interventions. |
| Published |
Lausanne : Frontiers Media S.A |
| Type |
Journal article |
| Language |
English |
| Publication date |
2020 |
| CC license |
|
