Attitudes towards digital treatment for depression: A European stakeholder survey

Naira Topooco, Heleen Riper, Ricardo Araya, Matthias Berking, Matthias Brunn, Karine Chevreul, Roman Cieslak, David Daniel Ebert, Ernestina Etchmendy, Rocío Herrero, Annet Kleiboer, Tobias Krieger, Azucena García-Palacios, Arlinda Cerga-Pashoja, Ewelina Smoktunowicz, Antoine Urech, Christiaan Vis, Gerhard Andersson, On behalf of the E-COMPARED consortium

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background The integration of digital treatments into national mental health services is on the agenda in the European Union. The E-COMPARED consortium conducted a survey aimed at exploring stakeholders’ knowledge, acceptance and expectations of digital treatments for depression, and at identifying factors that might influence their opinions when considering the implementation of these approaches. Method An online survey was conducted in eight European countries: France, Germany, Netherlands, Poland, Spain, Sweden, Switzerland and The United Kingdom. Organisations representing government bodies, care providers, service-users, funding/insurance bodies, technical developers and researchers were invited to participate in the survey. The participating countries and organisations reflect the diversity in health care infrastructures and e-health implementation across Europe. Results A total of 764 organisations were invited to the survey during the period March–June 2014, with 175 of these organisations participating in our survey. The participating stakeholders reported moderate knowledge of digital treatments and considered cost-effectiveness to be the primary incentive for integration into care services. Low feasibility of delivery within existing care services was considered to be a primary barrier. Digital treatments were regarded more suitable for milder forms of depression. Stakeholders showed greater acceptability towards blended treatment (the integration of face-to-face and internet sessions within the same treatment protocol) compared to standalone internet treatments. Organisations in countries with developed e-health solutions reported greater knowledge and acceptability of digital treatments. Conclusion Mental health stakeholders in Europe are aware of the potential benefits of digital interventions. However, there are variations between countries and stakeholders in terms of level of knowledge about such interventions and their feasibility within routine care services. The high acceptance of blended treatments is an interesting finding that indicates a gradual integration of technology into clinical practice may fit the attitudes and needs of stakeholders. The potential of the blended treatment approach, in terms of enhancing acceptance of digital treatment while retaining the benefit of cost-effectiveness in delivery, should be further explored. Funding The E-COMPARED project has received funding from the European Union Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 603098.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalInternet Interventions
Volume8
DOIs
Publication statusPublished - 1 Jun 2017

Fingerprint

Depression
Organizations
Cost-Benefit Analysis
Therapeutics
European Union
Internet
Surveys and Questionnaires
Organized Financing
Health
National Health Programs
Mental Health Services
Poland
Clinical Protocols
Insurance
Switzerland
Developed Countries
Sweden
Health Care Costs
Netherlands
Spain

Keywords

  • Blended treatment
  • Comparative effectiveness research
  • Depression
  • Digital treatment
  • E-mental health
  • Internet-delivered

Cite this

Topooco, N., Riper, H., Araya, R., Berking, M., Brunn, M., Chevreul, K., ... On behalf of the E-COMPARED consortium (2017). Attitudes towards digital treatment for depression: A European stakeholder survey. Internet Interventions, 8, 1-9. https://doi.org/10.1016/j.invent.2017.01.001
Topooco, Naira ; Riper, Heleen ; Araya, Ricardo ; Berking, Matthias ; Brunn, Matthias ; Chevreul, Karine ; Cieslak, Roman ; Ebert, David Daniel ; Etchmendy, Ernestina ; Herrero, Rocío ; Kleiboer, Annet ; Krieger, Tobias ; García-Palacios, Azucena ; Cerga-Pashoja, Arlinda ; Smoktunowicz, Ewelina ; Urech, Antoine ; Vis, Christiaan ; Andersson, Gerhard ; On behalf of the E-COMPARED consortium. / Attitudes towards digital treatment for depression : A European stakeholder survey. In: Internet Interventions. 2017 ; Vol. 8. pp. 1-9.
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title = "Attitudes towards digital treatment for depression: A European stakeholder survey",
abstract = "Background The integration of digital treatments into national mental health services is on the agenda in the European Union. The E-COMPARED consortium conducted a survey aimed at exploring stakeholders’ knowledge, acceptance and expectations of digital treatments for depression, and at identifying factors that might influence their opinions when considering the implementation of these approaches. Method An online survey was conducted in eight European countries: France, Germany, Netherlands, Poland, Spain, Sweden, Switzerland and The United Kingdom. Organisations representing government bodies, care providers, service-users, funding/insurance bodies, technical developers and researchers were invited to participate in the survey. The participating countries and organisations reflect the diversity in health care infrastructures and e-health implementation across Europe. Results A total of 764 organisations were invited to the survey during the period March–June 2014, with 175 of these organisations participating in our survey. The participating stakeholders reported moderate knowledge of digital treatments and considered cost-effectiveness to be the primary incentive for integration into care services. Low feasibility of delivery within existing care services was considered to be a primary barrier. Digital treatments were regarded more suitable for milder forms of depression. Stakeholders showed greater acceptability towards blended treatment (the integration of face-to-face and internet sessions within the same treatment protocol) compared to standalone internet treatments. Organisations in countries with developed e-health solutions reported greater knowledge and acceptability of digital treatments. Conclusion Mental health stakeholders in Europe are aware of the potential benefits of digital interventions. However, there are variations between countries and stakeholders in terms of level of knowledge about such interventions and their feasibility within routine care services. The high acceptance of blended treatments is an interesting finding that indicates a gradual integration of technology into clinical practice may fit the attitudes and needs of stakeholders. The potential of the blended treatment approach, in terms of enhancing acceptance of digital treatment while retaining the benefit of cost-effectiveness in delivery, should be further explored. Funding The E-COMPARED project has received funding from the European Union Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 603098.",
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author = "Naira Topooco and Heleen Riper and Ricardo Araya and Matthias Berking and Matthias Brunn and Karine Chevreul and Roman Cieslak and Ebert, {David Daniel} and Ernestina Etchmendy and Roc{\'i}o Herrero and Annet Kleiboer and Tobias Krieger and Azucena Garc{\'i}a-Palacios and Arlinda Cerga-Pashoja and Ewelina Smoktunowicz and Antoine Urech and Christiaan Vis and Gerhard Andersson and {On behalf of the E-COMPARED consortium}",
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Topooco, N, Riper, H, Araya, R, Berking, M, Brunn, M, Chevreul, K, Cieslak, R, Ebert, DD, Etchmendy, E, Herrero, R, Kleiboer, A, Krieger, T, García-Palacios, A, Cerga-Pashoja, A, Smoktunowicz, E, Urech, A, Vis, C, Andersson, G & On behalf of the E-COMPARED consortium 2017, 'Attitudes towards digital treatment for depression: A European stakeholder survey' Internet Interventions, vol. 8, pp. 1-9. https://doi.org/10.1016/j.invent.2017.01.001

Attitudes towards digital treatment for depression : A European stakeholder survey. / Topooco, Naira; Riper, Heleen; Araya, Ricardo; Berking, Matthias; Brunn, Matthias; Chevreul, Karine; Cieslak, Roman; Ebert, David Daniel; Etchmendy, Ernestina; Herrero, Rocío; Kleiboer, Annet; Krieger, Tobias; García-Palacios, Azucena; Cerga-Pashoja, Arlinda; Smoktunowicz, Ewelina; Urech, Antoine; Vis, Christiaan; Andersson, Gerhard; On behalf of the E-COMPARED consortium.

In: Internet Interventions, Vol. 8, 01.06.2017, p. 1-9.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Attitudes towards digital treatment for depression

T2 - A European stakeholder survey

AU - Topooco, Naira

AU - Riper, Heleen

AU - Araya, Ricardo

AU - Berking, Matthias

AU - Brunn, Matthias

AU - Chevreul, Karine

AU - Cieslak, Roman

AU - Ebert, David Daniel

AU - Etchmendy, Ernestina

AU - Herrero, Rocío

AU - Kleiboer, Annet

AU - Krieger, Tobias

AU - García-Palacios, Azucena

AU - Cerga-Pashoja, Arlinda

AU - Smoktunowicz, Ewelina

AU - Urech, Antoine

AU - Vis, Christiaan

AU - Andersson, Gerhard

AU - On behalf of the E-COMPARED consortium

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Background The integration of digital treatments into national mental health services is on the agenda in the European Union. The E-COMPARED consortium conducted a survey aimed at exploring stakeholders’ knowledge, acceptance and expectations of digital treatments for depression, and at identifying factors that might influence their opinions when considering the implementation of these approaches. Method An online survey was conducted in eight European countries: France, Germany, Netherlands, Poland, Spain, Sweden, Switzerland and The United Kingdom. Organisations representing government bodies, care providers, service-users, funding/insurance bodies, technical developers and researchers were invited to participate in the survey. The participating countries and organisations reflect the diversity in health care infrastructures and e-health implementation across Europe. Results A total of 764 organisations were invited to the survey during the period March–June 2014, with 175 of these organisations participating in our survey. The participating stakeholders reported moderate knowledge of digital treatments and considered cost-effectiveness to be the primary incentive for integration into care services. Low feasibility of delivery within existing care services was considered to be a primary barrier. Digital treatments were regarded more suitable for milder forms of depression. Stakeholders showed greater acceptability towards blended treatment (the integration of face-to-face and internet sessions within the same treatment protocol) compared to standalone internet treatments. Organisations in countries with developed e-health solutions reported greater knowledge and acceptability of digital treatments. Conclusion Mental health stakeholders in Europe are aware of the potential benefits of digital interventions. However, there are variations between countries and stakeholders in terms of level of knowledge about such interventions and their feasibility within routine care services. The high acceptance of blended treatments is an interesting finding that indicates a gradual integration of technology into clinical practice may fit the attitudes and needs of stakeholders. The potential of the blended treatment approach, in terms of enhancing acceptance of digital treatment while retaining the benefit of cost-effectiveness in delivery, should be further explored. Funding The E-COMPARED project has received funding from the European Union Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 603098.

AB - Background The integration of digital treatments into national mental health services is on the agenda in the European Union. The E-COMPARED consortium conducted a survey aimed at exploring stakeholders’ knowledge, acceptance and expectations of digital treatments for depression, and at identifying factors that might influence their opinions when considering the implementation of these approaches. Method An online survey was conducted in eight European countries: France, Germany, Netherlands, Poland, Spain, Sweden, Switzerland and The United Kingdom. Organisations representing government bodies, care providers, service-users, funding/insurance bodies, technical developers and researchers were invited to participate in the survey. The participating countries and organisations reflect the diversity in health care infrastructures and e-health implementation across Europe. Results A total of 764 organisations were invited to the survey during the period March–June 2014, with 175 of these organisations participating in our survey. The participating stakeholders reported moderate knowledge of digital treatments and considered cost-effectiveness to be the primary incentive for integration into care services. Low feasibility of delivery within existing care services was considered to be a primary barrier. Digital treatments were regarded more suitable for milder forms of depression. Stakeholders showed greater acceptability towards blended treatment (the integration of face-to-face and internet sessions within the same treatment protocol) compared to standalone internet treatments. Organisations in countries with developed e-health solutions reported greater knowledge and acceptability of digital treatments. Conclusion Mental health stakeholders in Europe are aware of the potential benefits of digital interventions. However, there are variations between countries and stakeholders in terms of level of knowledge about such interventions and their feasibility within routine care services. The high acceptance of blended treatments is an interesting finding that indicates a gradual integration of technology into clinical practice may fit the attitudes and needs of stakeholders. The potential of the blended treatment approach, in terms of enhancing acceptance of digital treatment while retaining the benefit of cost-effectiveness in delivery, should be further explored. Funding The E-COMPARED project has received funding from the European Union Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 603098.

KW - Blended treatment

KW - Comparative effectiveness research

KW - Depression

KW - Digital treatment

KW - E-mental health

KW - Internet-delivered

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