Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study
BackgroundExisting studies have yet to investigate the perspectives of patients and professionals concerning relapse prevention programs for patients with remitted anxiety or depressive disorders in primary care. User opinions should be considered when optimizing the use and...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
JMIR Publications
2021-02-01
|
Series: | JMIR Formative Research |
Online Access: | http://formative.jmir.org/2021/2/e23200/ |
id |
doaj-3f24c764f74146d1897691fd3de444f7 |
---|---|
record_format |
Article |
spelling |
doaj-3f24c764f74146d1897691fd3de444f72021-04-02T21:36:07ZengJMIR PublicationsJMIR Formative Research2561-326X2021-02-0152e2320010.2196/23200Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative StudyKrijnen-de Bruin, EstherGeerlings, Jasmijn AMuntingh, Anna DTScholten, Willemijn DMaarsingh, Otto Rvan Straten, AnnemiekeBatelaan, Neeltje Mvan Meijel, Berno BackgroundExisting studies have yet to investigate the perspectives of patients and professionals concerning relapse prevention programs for patients with remitted anxiety or depressive disorders in primary care. User opinions should be considered when optimizing the use and implementation of interventions. ObjectiveThis study aimed to evaluate the GET READY relapse prevention programs for patients with remitted anxiety or depressive disorders in general practice. MethodsSemistructured interviews (N=26) and focus group interviews (N=2) with patients and mental health professionals (MHPs) in the Netherlands were performed. Patients with remitted anxiety or depressive disorders and their MHPs who participated in the GET READY study were interviewed individually. Findings from the interviews were tested in focus group interviews with patients and MHPs. Data were analyzed using thematic analysis. ResultsParticipants were positive about the program because it created awareness of relapse risks. Lack of motivation, lack of recognizability, lack of support from the MHP, and symptom severity (too low or too high) appeared to be limiting factors in the use of the program. MHPs play a crucial role in motivating and supporting patients in relapse prevention. The perspectives of patients and MHPs were largely in accordance, although they had different perspectives concerning responsibilities for taking initiative. ConclusionsThe implementation of the GET READY program was challenging. Guidance from MHPs should be offered for relapse prevention programs based on eHealth. Both MHPs and patients should align their expectations concerning responsibilities in advance to ensure optimal usage. Usage of blended relapse prevention programs may be further enhanced by diagnosis-specific programs and easily accessible support from MHPs. International Registered Report Identifier (IRRID)RR2-10.1186/s12888-019-2034-6http://formative.jmir.org/2021/2/e23200/ |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Krijnen-de Bruin, Esther Geerlings, Jasmijn A Muntingh, Anna DT Scholten, Willemijn D Maarsingh, Otto R van Straten, Annemieke Batelaan, Neeltje M van Meijel, Berno |
spellingShingle |
Krijnen-de Bruin, Esther Geerlings, Jasmijn A Muntingh, Anna DT Scholten, Willemijn D Maarsingh, Otto R van Straten, Annemieke Batelaan, Neeltje M van Meijel, Berno Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study JMIR Formative Research |
author_facet |
Krijnen-de Bruin, Esther Geerlings, Jasmijn A Muntingh, Anna DT Scholten, Willemijn D Maarsingh, Otto R van Straten, Annemieke Batelaan, Neeltje M van Meijel, Berno |
author_sort |
Krijnen-de Bruin, Esther |
title |
Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study |
title_short |
Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study |
title_full |
Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study |
title_fullStr |
Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study |
title_full_unstemmed |
Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study |
title_sort |
evaluation of a blended relapse prevention program for anxiety and depression in general practice: qualitative study |
publisher |
JMIR Publications |
series |
JMIR Formative Research |
issn |
2561-326X |
publishDate |
2021-02-01 |
description |
BackgroundExisting studies have yet to investigate the perspectives of patients and professionals concerning relapse prevention programs for patients with remitted anxiety or depressive disorders in primary care. User opinions should be considered when optimizing the use and implementation of interventions.
ObjectiveThis study aimed to evaluate the GET READY relapse prevention programs for patients with remitted anxiety or depressive disorders in general practice.
MethodsSemistructured interviews (N=26) and focus group interviews (N=2) with patients and mental health professionals (MHPs) in the Netherlands were performed. Patients with remitted anxiety or depressive disorders and their MHPs who participated in the GET READY study were interviewed individually. Findings from the interviews were tested in focus group interviews with patients and MHPs. Data were analyzed using thematic analysis.
ResultsParticipants were positive about the program because it created awareness of relapse risks. Lack of motivation, lack of recognizability, lack of support from the MHP, and symptom severity (too low or too high) appeared to be limiting factors in the use of the program. MHPs play a crucial role in motivating and supporting patients in relapse prevention. The perspectives of patients and MHPs were largely in accordance, although they had different perspectives concerning responsibilities for taking initiative.
ConclusionsThe implementation of the GET READY program was challenging. Guidance from MHPs should be offered for relapse prevention programs based on eHealth. Both MHPs and patients should align their expectations concerning responsibilities in advance to ensure optimal usage. Usage of blended relapse prevention programs may be further enhanced by diagnosis-specific programs and easily accessible support from MHPs.
International Registered Report Identifier (IRRID)RR2-10.1186/s12888-019-2034-6 |
url |
http://formative.jmir.org/2021/2/e23200/ |
work_keys_str_mv |
AT krijnendebruinesther evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT geerlingsjasmijna evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT muntinghannadt evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT scholtenwillemijnd evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT maarsinghottor evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT vanstratenannemieke evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT batelaanneeltjem evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy AT vanmeijelberno evaluationofablendedrelapsepreventionprogramforanxietyanddepressioningeneralpracticequalitativestudy |
_version_ |
1721544937799942144 |