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Friday, October 24 • 14:00 - 15:00
Session 6A: Implementation and Upscaling of Low Intensity eMental-Health Interventions

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Internet Interventions, especially those based on cognitive behavioural therapy, have proven to be (cost) effective for mild to severe common mental disorders. Proof of concept studies show the potential clinical effectiveness of these interventions for the more complex disorders as well. The (cost) effectiveness of these interventions relates mainly to comparators of non-intervening and much less to face-to-face psychological interventions. Overall the results obtained by ample studies warrant the up-scaling of these interventions in routine practice. The reach, implementation and uptake of eMental-health interventions by patients and professionals in routine mental health care practice, however, is lower than expected given the available evidence. Several reasons may explain not only the limited reach but uptake as well. We mention the four most prominent barriers.

1. First, the evidence available has been mainly derived from randomized controlled trials that recruit study participants directly in the community and less from routine primary and specialised mental health services directly. This means that many of the online services on offer are not embedded in routine care thereby lacking both uptake and maintenance from within routine mental health care and health insurance systems.

2. Second, the reach of Internet interventions differs between low intensity interventions with no professional human guidance and those with this type of guidance. Whereas unguided public health interventions do have a high reach, their clinical impact is rather low and uptake by participants is characterised by a high intervention drop-out. On the contrary, guided interventions do have a higher impact compared to non-guided interventions but their reach and uptake is yet rather low.

3. Third, the evidence of Internet interventions in routine mental care services based on ‘blended’ treatments that combine face to face with Internet intervention, needs to be strengthened. The implementation in routine practice is rather low as well.

4. Fourth, scientific insights of health technology implementation sciences are rather slowly entering the academic domain of eMental-health research in routine practice.

In sum, the implementation of evidence based Internet interventions in routine practice faces multi-faceted challenges. In this symposium we focus on the barriers and success strategies of the implementation of Internet interventions from this multifaceted angle in terms of disorders, recruitment strategies, settings and scale (national and international).

Abstracts: 0109 , 0116 , 0127, 0148

MasterMind: Mastering the Implementation and Up-scaling of Cognitive Behavioural Internet Interventions in Routine Practice
Christiaan Vis1, Jan Smit3,1, Pim Cuijpers1,2, Heleen Riper1,2,  1VU University Amsterdam, Amsterdam, The Netherlands, 2Leuphana University Lüneburg, Lüneburg, Germany, 3GGZ inGeest, Amsterdam, The Netherlands

Suggested Steps for Providing Evidence-based Digital Interventions Across the World to People with No Access to Health Care Providers
Ricardo F. Muñoz1,2,  1Institute for International Internet Interventions for Health (i4Health), Palo Alto University, Palo Alto, California, USA, 2University of California, San Francisco/San Francisco General Hospital, San Francisco, California, USA

Global health promotion and social media
Helen Christensen1,  1Black Dog Institute, Sydney, Australia

The Global Dissemination of Psychological Treatments: Strategies and Methods
Christopher G Fairburn1,  1Oxford University, Oxford, UK

 


Moderators
HR

Heleen Riper

Professor eMental-Health/ clinical psychology; Chair; President, Vrije Universiteit of Amsterdam, Netherlands; Triple-E; ISRII

Friday October 24, 2014 14:00 - 15:00 CEST
Room: PARANINFO Universitat de València - C/ de la Universitat, 2, Valencia

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