The Association Between Increased Levels of Patient Engagement With an Internet Support Group and Improved Mental Health Outcomes at 6-Month Follow-Up: Post-Hoc Analyses From a Randomized Controlled Trial.

Journal of Medical Internet Research
Emily M GeramitaBruce L Rollman

Abstract

We recently reported that depressed and anxious primary care patients randomized to a moderated internet support group (ISG) plus computerized cognitive behavioral therapy (cCBT) did not experience improvements in depression and anxiety over cCBT alone at 6-month follow-up. The 1% rule posits that 1% of participants in online communities generate approximately 90% of new user-created content. The aims of this study were to apply the 1% rule to categorize patient engagement with the ISG and identify whether any patient subgroups benefitted from ISG use. We categorized the 302 patients randomized to the ISG as: superusers (3/302, 1.0%), top contributors (30/302, 9.9%), contributors (108/302, 35.8%), observers (87/302, 28.8%) and those who never logged in (74/302, 24.5%). We then applied linear mixed models to examine associations between engagement and 6-month changes in health-related quality of life (HRQoL; Short Form Health Survey Mental Health Component, SF-12 MCS) and depression and anxiety symptoms (Patient-Reported Outcomes Measurement Information System, PROMIS). At baseline, participant mean age was 42.6 years, 81.1% (245/302) were female, and mean Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder scale ...Continue Reading

Associated Clinical Trials

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Nov 27, 2002·The American Journal of Psychiatry·Thomas K HoustonDaniel E Ford
Jul 3, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Judith ProudfootJeffrey A Gray
May 24, 2006·Archives of Internal Medicine·Robert L SpitzerBernd Löwe
Oct 2, 2009·Journal of Medical Internet Research·Kathleen M GriffithsMichelle Banfield
Dec 30, 2011·Journal of Medical Internet Research·Yoko SetoyamaKazuhiro Namayama
Jun 28, 2013·Journal of Medical Internet Research·Martijn van der EijkBastiaan R Bloem
Feb 6, 2014·Journal of Medical Internet Research·Trevor van Mierlo
May 13, 2014·Journal of General Internal Medicine·Bruce L RollmanArmando J Rotondi
May 14, 2017·Archives of Psychiatric Nursing·Judith A CallanBritney B Kepler
Jun 7, 2017·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Emily G LattieDavid C Mohr
Aug 24, 2018·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Kate CavanaghBruce L Rollman

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