[Innovative E-Health Approaches for Comorbid Depression in Patients with Obesity: Patient and Expert Perspectives on User Acceptance]

Psychiatr Prax. 2017 Jul;44(5):286-295. doi: 10.1055/s-0043-107471. Epub 2017 Apr 12.
[Article in German]

Abstract

Objective Patients with chronic somatic diseases such as obesity often suffer from comorbid depressive disorders and present a great challenge for the medical health care system. The study aims to investigate the user acceptance of an internet-based self-management program regarding depression (using the example of MoodGYM) from two different perspectives: (A) the perspective of patients as well as (B) the perspective of experts based on Rogers' 5 stages model of the innovation-decision process (2003). Methods This study is following a qualitative design including qualitative patient interviews (N = 7) and a focus group with medical experts (N = 12). Results Internet-based self-management programs represent a complementary treatment approach for patients and experts. Both groups see the need for combining the topics overweight, activity, depression and social interchange. Conclusion Patient and expert judgement showed a high degree of user acceptance for internet-based self-management programs regarding depression. The implementation of such programs within the medical care system of patients with obesity should take physical and social aspects of the illness into account.

Ziel der Studie Untersuchung der Nutzungsakzeptanz eines internetbasierten Selbstmanagementprogramms für Depressionen. Methodik Durchführung qualitativer Patienteninterviews (N = 7) und einer Expertenfokusgruppe (N = 12 Experten). Ergebnisse Internetprogramme stellen einen komplementären Behandlungsbaustein dar. Gewünscht werden folgende Themenverknüpfungen: Übergewicht, Bewegung, Depression und sozialer Austausch. Schlussfolgerung Patienten- und Expertenurteile zeigen eine hohe Nutzungsakzeptanz. Eine Implementation solcher Programme sollte soziale und körperliche Aspekte berücksichtigen.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Combined Modality Therapy
  • Comorbidity
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy*
  • Female
  • Focus Groups
  • Germany
  • Humans
  • Internet*
  • Interview, Psychological
  • Male
  • Middle Aged
  • Obesity / psychology
  • Obesity / therapy*
  • Patient Acceptance of Health Care* / psychology
  • Patient Satisfaction*
  • Self Care / psychology
  • Software
  • Therapy, Computer-Assisted*