Löbner Margrit, Stein Janine, Rost Theresia, Förster Franziska, Dorow Marie, Keller Jana, Weidauer Enrico, Riedel-Heller Steffi G
Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universität Leipzig.
Rehabilitationsklinik Miriquidi, Thermalbad Wiesenbad.
Psychiatr Prax. 2017 Jul;44(5):286-295. doi: 10.1055/s-0043-107471. Epub 2017 Apr 12.
Patients with chronic somatic diseases such as obesity often suffer from comorbid depressive disorders and present a great challenge for the medical health care system. The study aims to investigate the user acceptance of an internet-based self-management program regarding depression (using the example of MoodGYM) from two different perspectives: (A) the perspective of patients as well as (B) the perspective of experts based on Rogers' 5 stages model of the innovation-decision process (2003). This study is following a qualitative design including qualitative patient interviews (N = 7) and a focus group with medical experts (N = 12). Internet-based self-management programs represent a complementary treatment approach for patients and experts. Both groups see the need for combining the topics overweight, activity, depression and social interchange. Patient and expert judgement showed a high degree of user acceptance for internet-based self-management programs regarding depression. The implementation of such programs within the medical care system of patients with obesity should take physical and social aspects of the illness into account.
患有肥胖症等慢性躯体疾病的患者常常伴有抑郁障碍，这给医疗卫生保健系统带来了巨大挑战。本研究旨在从两个不同角度调查基于互联网的抑郁症自我管理项目（以MoodGYM为例）的用户接受度：（A）患者视角以及（B）基于罗杰斯2003年创新决策过程五阶段模型的专家视角。本研究采用质性设计，包括对患者进行质性访谈（N = 7）以及与医学专家进行焦点小组访谈（N = 12）。基于互联网的自我管理项目对患者和专家而言都是一种补充性治疗方法。两组人员都认为有必要将超重、活动、抑郁和社交互动等主题结合起来。患者和专家的判断表明，基于互联网的抑郁症自我管理项目具有较高的用户接受度。在肥胖症患者的医疗保健系统中实施此类项目时，应考虑到疾病的身体和社会方面因素。
