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AuthorThielecke, Janikadc.contributor.author
AuthorBuntrock, Claudiadc.contributor.author
AuthorTitzler, Ingriddc.contributor.author
AuthorBraun, Linadc.contributor.author
AuthorFreund, Johannadc.contributor.author
AuthorBerking, Matthiasdc.contributor.author
AuthorBaumeister, Haralddc.contributor.author
AuthorEbert, David Danieldc.contributor.author
Date of accession2021-12-06T07:24:13Zdc.date.accessioned
Available in OPARU since2021-12-06T07:24:13Zdc.date.available
Date of first publication2020-03-04dc.date.issued
AbstractBackground: Farmers show high levels of depressive symptoms and mental health problems in various studies. This study is part of a nationwide prevention project carried out by a German social insurance company for farmers, foresters, and gardeners (SVLFG) to implement internet- and tele-based services among others to improve mental health in this population. The aim of the present study is to evaluate the (cost-)effectiveness of personalized tele-based coaching for reducing depressive symptom severity and preventing the onset of clinical depression, compared to enhanced treatment as usual. Methods: In a two-armed, pragmatic randomized controlled trial (N = 312) with follow-ups at post-treatment (6 months), 12 and 18 months, insured farmers, foresters, and gardeners, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) will be randomly allocated to personalized tele-based coaching or enhanced treatment as usual. The coaching is provided by psychologists and consists of up to 34 tele-based sessions for 25–50 min delivered over 6 months. Primary outcome is depressive symptom severity at post-treatment. Secondary outcomes include depression onset, anxiety, stress, and quality of life. A health-economic evaluation will be conducted from a societal perspective. Discussion: This study is the first pragmatic randomized controlled trial evaluating the (cost-)effectiveness of a nationwide tele-based preventive service for farmers. If proven effective, the implementation of personalized tele-based coaching has the potential to reduce disease burden and health care costs both at an individual and societal level. Clinical Trial Registration: German Clinical Trial Registration: DRKS00015655.dc.description.abstract
Languageendc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseCC BY 4.0 Internationaldc.rights
Link to license texthttp://creativecommons.org/licenses/by/4.0/dc.rights.uri
Keywordtele-based coachingdc.subject
KeywordRCTdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHDepression; Prevention and controldc.subject.mesh
MeSHFarmersdc.subject.mesh
MeSHTelemedicinedc.subject.mesh
TitleClinical and cost-effectiveness of personalized tele-based coaching for farmers, foresters and gardeners to prevent depression: study protocol of an 18-month follow-up pragmatic randomized controlled trial (TEC-A)dc.title
Resource typeWissenschaftlicher Artikeldc.type
SWORD Date2020-03-04T05:03:20Zdc.date.updated
VersionpublishedVersiondc.description.version
DOIhttp://dx.doi.org/10.18725/OPARU-40127dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-40203-8dc.identifier.urn
GNDTelemedizindc.subject.gnd
GNDDepressiondc.subject.gnd
GNDPräventiondc.subject.gnd
FacultyFakultät für Ingenieurwissenschaften, Informatik und Psychologieuulm.affiliationGeneral
InstitutionInstitut für Psychologie und Pädagogikuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
CategoryPublikationenuulm.category
In cooperation withFriedrich-Alexander-Universität Erlangen-Nürnberg (FAU)uulm.cooperation
In cooperation withVrije Universiteit Amsterdamuulm.cooperation
In cooperation withGET.ON Institut für Online-Gesundheitstrainings GmbHuulm.cooperation
DOI of original publication10.3389/fpsyt.2020.00125dc.relation1.doi
Source - Title of sourceFrontiers in Psychiatrysource.title
Source - Place of publicationFrontiers Mediasource.publisher
Source - Volume11source.volume
Source - Year2020source.year
Source - Article number125source.articleNumber
Source - eISSN1664-0640source.identifier.eissn
Bibliographyuulmuulm.bibliographie


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