![]() Assessments will take place at baseline, mid-intervention (5 weeks into the intervention), post-intervention (8 weeks after randomization) and follow-up (6 and 12 months after randomization). Secondary outcomes will include disorder-specific symptom severity (depression/anxiety) assessed by diagnostic raters blinded to intervention condition at post-intervention, self-reports, acceptability, health related quality of life, and psychosocial variables associated with developing a CMD. The primary outcome will be time to CMD onset (any depression/anxiety disorder) within a follow-up period of 12 months after baseline. The TAU arm will receive access to the training after a 12-month waiting period. Altogether, 954 individuals with subclinical symptoms of depression (CES-D ≥ 16) and anxiety (GAD-7 ≥ 5) who do not have a full-blown disorder will be recruited in Germany, Switzerland, Spain and the Netherlands, and randomized to one of three conditions (guided intervention, unguided intervention, or TAU). Both active conditions are based on the same intervention, ICare Prevent, and differ only with regard to guidance format. Hence, this study aims at investigating the (cost-) effectiveness of guided and unguided internet- and mobile-based transdiagnostic individually tailored indicated prevention of depression and anxiety.Ī multi-country three-armed randomized controlled trial will be conducted to compare a guided and unguided intervention to treatment as usual (TAU). Moreover, the comparative cost-effectiveness of guided versus unguided IMIs for the prevention of depression and anxiety has not been studied yet. However, there is a lack of studies examining the efficacy of interventions reducing the incidence of CMDs. in reducing symptoms of depression and anxiety. IMIs have been shown to be effective in treating CMDs, e.g. Internet- and mobile-based interventions (IMIs) may be an effective means to deliver psychological interventions on a large scale for the prevention of common mental disorders (CMDs) such as depression and anxiety. To treat comorbidity, transdiagnostic treatment concepts seem to be a promising approach, however, evidence for transdiagnostic concepts of prevention remains inconclusive. Several studies indicate the potential of disorder-specific psychological interventions for the prevention of each of these disorders. Ebert DD Department of Clinical Psychology and Psychotherapy, Nägelsbachstraße 25a, Germany.ĭepression and anxiety are highly prevalent and often co-occur.Jacobi C Department of Clinical Psychology and Psychotherapy, TU Dresden, Dresden, Germany.Beecham J Personal Social Services Research Unit (PSSRU), London School of Economics and Political Science, London, United Kingdom.Görlich D Westfälische Wilhelms-Universität Münster, Institute of Biostatistics and Clinical Research, Münster, Germany.Kleiboer A Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, The Netherlands.Bolinski F Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, The Netherlands.Cuijpers P Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, The Netherlands.Riper H Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, The Netherlands.Etchemendy E CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III Institute of Health, Madrid, Spain.Herrero R Jaume I University, Castellón, Spain.Baños R CIBER Pathophysiology of Obesity and Nutrition (CB06/03), Carlos III Institute of Health, Madrid, Spain. ![]() Botella C Jaume I University, Castellón, Spain.Dey M Swiss Research Institute for Public Health and Addiction ISGF, Associated to the University of Zurich, Zurich, Switzerland.Berking M Department of Clinical Psychology and Psychotherapy, Nägelsbachstraße 25a, Germany.Moser CT University of Bern, Department of Clinical Psychology and Psychotherapy, Bern, Switzerland.Schaub MP Swiss Research Institute for Public Health and Addiction ISGF, Associated to the University of Zurich, Zurich, Switzerland.Krieger T University of Bern, Department of Clinical Psychology and Psychotherapy, Bern, Switzerland.Berger T University of Bern, Department of Clinical Psychology and Psychotherapy, Bern, Switzerland.Zarski AC Department of Clinical Psychology and Psychotherapy, Nägelsbachstraße 25a, Germany.Weisel KK Department of Clinical Psychology and Psychotherapy, Nägelsbachstraße 25a, Germany.
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