JMIR Publications

ABSTRACT

Background:

Existing studies have yet to investigate the perspectives of patients and professionals concerning relapse-prevention programs for patients with remitted anxiety and/or depressive disorders in primary care. User opinions should be considered when optimizing the use and implementation of interventions.

Objective:

To evaluate the GET READY relapse-prevention programs for patients with remitted anxiety and/or depressive disorders in general practice.

Methods:

Semi-structured interviews (N = 26) and focus-group interviews (N = 2) with patients and mental health professionals (MHPs) in the Netherlands were performed. Patients with remitted anxiety and/or depressive disorders and their MHPs who participated in the GET READY study were interviewed individually. Findings from the interviews were tested in focus-group interviews with patients and MHPs. Data was analyzed using thematic analysis.

Results:

Participants were positive about the program because it created awareness of relapse risks. Lack of motivation, lack of recognizability, lack of support from the MHP, and symptom severity (too low or too high) appeared to be limiting factors in the use of the program. The MHP plays a crucial role in motivating and supporting patients in relapse prevention. The perspectives of patients and MHPs were largely in accordance, although they had different perspectives concerning responsibilities for initiative-taking.

Conclusions:

The implementation of the GET READY program was challenging. Guidance from MHPs should be offered for relapse-prevention programs based on E-health. Both MHPs and patients should align their expectations concerning responsibilities in advance to ensure optimal usage. Usage of blended relapse-prevention programs may be further enhanced by diagnose-specific programs and easily accessible support from MHPs.