Schnitzspahn Katharina, Abdulla Kahar, Arensman Ella, Van Audenhove Chantal, Mere Rainer, Pérez Sola Victor, Sisask Merike, Székely András, Toczyski Piotr, Hegerl Ulrich
European Alliance Against Depression e.V., Leipzig, Germany.
Ruhr University Bochum, Bochum, Germany.
JMIR Res Protoc. 2025 Jan 10;14:e64218. doi: 10.2196/64218.
The community-based, 4-level intervention of the European Alliance Against Depression (EAAD) is simultaneously addressing depression and suicidal behavior. Intervention activities target primary care health professionals (level 1), the general public (level 2), community facilitators (level 3), and patients and their relatives (level 4). Activities comprise the digital iFightDepression tool, a guided self-management tool based on cognitive behavioral therapy.
This study aimed to present the European Union-cofunded EAAD-Best study protocol, aiming at the implementation, dissemination, and evaluation of the 4-level intervention and the iFightDepression tool in several countries across Europe.
The 4-level intervention has been implemented for the first time in Bulgaria, Estonia, Greece, and Poland. In 3 countries that have already implemented the 4-level intervention (Hungary, Ireland, and Spain), activities have been extended to new regions. In addition, the nationwide uptake of the iFightDepression tool by patients with depression has been promoted in all mentioned countries and Italy.
To evaluate the implementation of the 4-level intervention and the iFightDepression tool, data related to the process, output, and outcome were collected between 2022 and 2024. Data processing and analyses started in 2023. Analyses are expected to be completed in 2024. Results are expected to be published in 2025.
This paper informs researchers, practitioners, and stakeholders on how to implement best practices in mental health promotion and evaluate their effectiveness.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/64218.
欧洲抗抑郁联盟（EAAD）基于社区的四级干预措施同时针对抑郁症和自杀行为。干预活动的目标对象包括基层医疗保健专业人员（1级）、普通公众（2级）、社区协调员（3级）以及患者及其亲属（4级）。活动包括数字iFightDepression工具，这是一种基于认知行为疗法的引导式自我管理工具。
本研究旨在介绍由欧盟共同资助的EAAD-Best研究方案，旨在在欧洲多个国家实施、推广和评估四级干预措施及iFightDepression工具。
四级干预措施首次在保加利亚、爱沙尼亚、希腊和波兰实施。在已经实施四级干预措施的3个国家（匈牙利、爱尔兰和西班牙），活动已扩展到新的地区。此外，在上述所有国家以及意大利，均促进了抑郁症患者对iFightDepression工具的全国性使用。
为评估四级干预措施及iFightDepression工具的实施情况，于2022年至2024年收集了与过程、产出和结果相关的数据。数据处理和分析于2023年开始。分析预计于2024年完成。结果预计于2025年发表。
本文为研究人员、从业者和利益相关者提供了关于如何在促进心理健康方面实施最佳实践并评估其有效性的信息。
国际注册报告识别码（IRRID）：DERR1-10.2196/64218
