Journal article
Bridging the "digital divide": A comparison of use and effectiveness of an online intervention for depression between Baby Boomers and Millennials.
- Schneider BC Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Sex Research and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic address: b.schneider@uke.de.
- Schröder J Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
- Berger T Department of Clinical Psychology and Psychotherapy, University of Bern, Switzerland.
- Hohagen F Department of Psychiatry and Psychotherapy, Lübeck University, Lübeck, Germany.
- Meyer B GAIA AG, Hamburg, Germany; Department of Psychology, City, University of London, London, UK.
- Späth C Department of Psychiatry and Psychotherapy, Lübeck University, Lübeck, Germany.
- Greiner W Department of Health Economics and Health Care Management, Bielefeld University, Bielefeld, Germany.
- Hautzinger M Department of Psychology, Clinical Psychology and Psychotherapy, Eberhard Karls University Tübingen, Tübingen, Germany.
- Lutz W Department of Psychology, University of Trier, Trier, Germany.
- Rose M Department of Psychosomatic Medicine, Charité University Medical Center, Berlin, Germany; Quantitative Health Sciences, Outcomes Measurement Science, University of Massachusetts Medical School, Worcester, MA, USA.
- Vettorazzi E Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
- Moritz S Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
- Klein JP Department of Psychiatry and Psychotherapy, Lübeck University, Lübeck, Germany.
- 2018-05-12
Published in:
- Journal of affective disorders. - 2018
Aging
Cognitive-behavioral therapy
Major depressive disorder
Older adults
Online interventions
eHealth
Adolescent
Adult
Age Factors
Aged
Cohort Effect
Comparative Effectiveness Research
Depression
Digital Divide
Female
Humans
Male
Middle Aged
Online Systems
Patient Acceptance of Health Care
Pragmatic Clinical Trials as Topic
Psychotherapy
Single-Blind Method
Treatment Outcome
Young Adult
English
BACKGROUND
Psychological online interventions (POIs) for depression have demonstrated promising effects. However, there are fewer randomized controlled studies on POIs among older adults with depression. The goal of the present study was to compare the use and efficacy of Deprexis, an online intervention for depression, among Millennials (18-35 years) and Baby Boomers (50-65 years).
METHODS
We completed a secondary data analysis on a subset (N = 577) of participants in the EVIDENT trial, a parallel-groups, pragmatic, randomized, controlled single-blind study, which compared a 12-week POI (Deprexis) to care as usual (CAU). Outcomes were assessed at baseline, 3 months (post-assessment) and 6 months (follow-up). The main outcome of interest was change on self-rated depression severity (PHQ-9).
RESULTS
Compared to Millennials, Boomers used the intervention significantly more often (d = 0.45) and for a longer duration (d = 0.46), and endorsed more positive attitudes towards POIs (d = 0.14). There was no significant Age Group by Intervention Group interaction for change in PHQ-9. The post-assessment between-group effect size (intervention vs. CAU control) for Millennials and Boomers were d = 0.26 and d = 0.39, respectively, and were stable at follow-up (d = 0.37 and d = 0.39).
LIMITATIONS
Age-based dichotomization may not accurately represent participants' experiences with and use of technology.
CONCLUSIONS
The POI examined in this trial was superior to CAU and was comparably effective among groups of adults defined as Millennials and Baby Boomers. Adults of the Baby Boomer generation who participate in POIs may have more positive attitudes towards POIs compared to their younger counterparts.
Psychological online interventions (POIs) for depression have demonstrated promising effects. However, there are fewer randomized controlled studies on POIs among older adults with depression. The goal of the present study was to compare the use and efficacy of Deprexis, an online intervention for depression, among Millennials (18-35 years) and Baby Boomers (50-65 years).
METHODS
We completed a secondary data analysis on a subset (N = 577) of participants in the EVIDENT trial, a parallel-groups, pragmatic, randomized, controlled single-blind study, which compared a 12-week POI (Deprexis) to care as usual (CAU). Outcomes were assessed at baseline, 3 months (post-assessment) and 6 months (follow-up). The main outcome of interest was change on self-rated depression severity (PHQ-9).
RESULTS
Compared to Millennials, Boomers used the intervention significantly more often (d = 0.45) and for a longer duration (d = 0.46), and endorsed more positive attitudes towards POIs (d = 0.14). There was no significant Age Group by Intervention Group interaction for change in PHQ-9. The post-assessment between-group effect size (intervention vs. CAU control) for Millennials and Boomers were d = 0.26 and d = 0.39, respectively, and were stable at follow-up (d = 0.37 and d = 0.39).
LIMITATIONS
Age-based dichotomization may not accurately represent participants' experiences with and use of technology.
CONCLUSIONS
The POI examined in this trial was superior to CAU and was comparably effective among groups of adults defined as Millennials and Baby Boomers. Adults of the Baby Boomer generation who participate in POIs may have more positive attitudes towards POIs compared to their younger counterparts.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.jad.2018.04.101
- PMID 29751239
- Persistent URL
- https://sonar.rero.ch/global/documents/140557
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