Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 25, 2022
Date Accepted: Jan 9, 2023
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Therapy Online Plus (TOP) - Evaluation of Two Online Interventions ("Res-Up!" & "REMOTION") in Routine Outpatient Psychotherapy: Protocol of a Randomized Controlled Trial
ABSTRACT
Background:
Only 11-40% of those affected by a mental disorder in Germany receive treatment. New approaches to improve the German health care system are needed in order to counter chronification. Online-interventions have been shown to be effective as stand-alone as well as add-ons to routine practice. Interventions designed for a wide range of mental disorders such as transdiagnostic interventions are needed to make treatment for mental disorders more accessible and thus shorten waiting times. In general, interventions can be differentiated as having either a capitalization focus - thus drawing on already existing strengths (CAP) - or a compensation focus - trying to compensate for deficits (COMP). Up to now, the effectiveness of transdiagnostic online-interventions with either a CAP- or a COMP-focus has not yet been evaluated.
Objective:
This study is the first to examine the effectiveness of two online-interventions focusing on (1) the activation of resilience and drawing on existing strengths (CAP: Res-Up!) and (2) the improvement of emotion regulation (COMP: REMOTION), compared to care as usual in routine outpatient psychotherapy.
Methods:
Adults with at least one mental health disorder will be recruited at four outpatient centers in Germany. Assessments will be made at baseline (T0), at 6-weeks-posttreatment (T1) and at 12-weeks follow-up (T2). Primary outcome will be symptom severity (BSI-18). Secondary outcomes will focus on emotion regulation and resilience.
Results:
Participant recruitment and data collection started in April 2020 and are ongoing as of July 2022. Results of the study are expected in 2023.
Conclusions:
This randomized controlled trial will compare care as usual with the transdiagnostic internet-interventions Res-Up! and REMOTION and will thus inform future studies concerning the effectiveness of transdiagnostic online interventions in routine outpatient psychotherapy. Clinical Trial: ClinicalTrials.gov NCT04352010, International Registered Report Identifier (IRRID)
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