TY - JOUR
T1 - Development and reach of a web-based Cognitive Behavioural Therapy programme to reduce symptoms of depression and diabetes-specific distress.
AU - van Bastelaar, K.M.P.
AU - Cuijpers, P.
AU - Pouwer, F.
AU - Riper, H.
AU - Snoek, F.J.
PY - 2011
Y1 - 2011
N2 - Objectives: There is an urgent need for more effective and efficient depression treatments in diabetes. We developed a diabetes-specific version of the Dutch web-based 'Coping with Depression' (CWD) course. Here, we report on the development, reach, patients' reasons for choosing our intervention and their characteristics. Methods: The CWD programme was amended for use in diabetes patients with co-morbid depression. Data were collected using a telephone interview, self-report questionnaires, and medical records. Results: Adding diabetes-specific topics to an effective web-based depression programme resulted in an 8-lesson intervention (" www.diabetergestemd.nl" ), with minimal guidance by coaches. In the framework of a randomised trial, the intervention attracted serious interest of 540 patients. After screening, 255 depressed diabetes patients were enrolled. Less than half had a history of depression treatment; 80% reported the diabetes-specific approach to be an important reason for signing up. Conclusion: We successfully developed a diabetes-specific version of the web-based CWD course, which attracted a large group of patients. Our results affirm the importance of addressing diabetes-specific issues in the context of depression treatment. Practice implications: Our intervention could be implemented on a large scale at low costs, and may serve as a model on how to develop other illness-specific online self-help interventions. © 2010.
AB - Objectives: There is an urgent need for more effective and efficient depression treatments in diabetes. We developed a diabetes-specific version of the Dutch web-based 'Coping with Depression' (CWD) course. Here, we report on the development, reach, patients' reasons for choosing our intervention and their characteristics. Methods: The CWD programme was amended for use in diabetes patients with co-morbid depression. Data were collected using a telephone interview, self-report questionnaires, and medical records. Results: Adding diabetes-specific topics to an effective web-based depression programme resulted in an 8-lesson intervention (" www.diabetergestemd.nl" ), with minimal guidance by coaches. In the framework of a randomised trial, the intervention attracted serious interest of 540 patients. After screening, 255 depressed diabetes patients were enrolled. Less than half had a history of depression treatment; 80% reported the diabetes-specific approach to be an important reason for signing up. Conclusion: We successfully developed a diabetes-specific version of the web-based CWD course, which attracted a large group of patients. Our results affirm the importance of addressing diabetes-specific issues in the context of depression treatment. Practice implications: Our intervention could be implemented on a large scale at low costs, and may serve as a model on how to develop other illness-specific online self-help interventions. © 2010.
U2 - 10.1016/j.pec.2010.06.013
DO - 10.1016/j.pec.2010.06.013
M3 - Article
SN - 0738-3991
VL - 84
SP - 49
EP - 55
JO - Patient Education and Counseling
JF - Patient Education and Counseling
ER -