Department of Psychology, The Ohio State University, Columbus, Ohio, USA.
J Clin Psychol. 2023 Oct;79(10):2288-2303. doi: 10.1002/jclp.23548. Epub 2023 May 31.
Understanding how people respond to information about treatment options is important for informing efforts that promote treatment initiation and adherence. We examined the impact of informational treatment videos on treatment naive participants' views regarding the credibility of and their expectations for three treatment options.
Adults (N = 300) who had experienced elevated depressive symptoms but had not participated in a treatment for depression were randomly assigned to one of four conditions. Three of the conditions were shown videos, providing information about (1) cognitive behavioral therapy (CBT), (2) antidepressant medication (ADM), or (3) the combination of CBT and ADM. The fourth condition was not shown a video. Participants' self-reported views of the credibility of and expectations for treatment served as primary outcome variables.
Compared with the control condition, videos about active treatments enhanced credibility and expectations for those treatments. When comparing CBT and ADM alone, messaging about either treatment enhanced credibility of and expectations for that treatment. The CBT only video produced the most positive expectations and highest credibility for CBT. Likewise, the ADM only video led to the most positive expectations and credibility for ADM. The video focused on combined treatment did not lead to particularly positive views of the combined treatment option.
These findings demonstrate the importance of providing focused messaging to enhance the credibility of and expectations for treatment. Future research is needed to examine the impact of messaging in different contexts, as well as the impact of such messaging on treatment seeking, adherence, and outcomes.
了解人们对治疗方案信息的反应对于促进治疗启动和坚持的努力非常重要。我们研究了信息治疗视频对治疗初治参与者对三种治疗方案的可信度和期望的影响。
经历过抑郁症状升高但未接受过抑郁症治疗的成年人（N=300）被随机分配到四个条件之一。三个条件观看了视频，提供了关于（1）认知行为疗法（CBT）、（2）抗抑郁药（ADM）或（3）CBT 和 ADM 联合治疗的信息。第四个条件没有观看视频。参与者自我报告的对治疗的可信度和期望作为主要结果变量。
与对照组相比，关于积极治疗的视频增强了对这些治疗的可信度和期望。当比较单独的 CBT 和 ADM 时，关于任何一种治疗的信息都增强了对该治疗的可信度和期望。仅 CBT 视频对 CBT 产生了最积极的期望和最高的可信度。同样，仅 ADM 视频导致对 ADM 的最积极的期望和可信度。针对联合治疗的视频并没有导致对联合治疗方案的特别积极的看法。
这些发现表明提供重点信息以增强治疗的可信度和期望的重要性。需要进一步研究不同背景下信息传递的影响，以及这种信息传递对治疗寻求、依从性和结果的影响。
