Background
Blended group therapy (bGT) has been investigated a several times for anxiety and depression, but information on patients’ adherence to and therapists’ perception of the novel format is nonexistent. Furthermore, many studies investigated mainly female and highly educated populations, limiting the validity of previous findings.
Objective
This study aimed to reduce the gaps and limitations of the previous findings by evaluating an integrated internet- and mobile-supported bGT format.
Methods
A total of 27 patients diagnosed with major depression (14/27, 52% female and 7/27, 25.9% compulsory education) participated in a 7-week treatment at a university outpatient clinic. Furthermore, 8 novice therapists participated in semistructured interviews and a subsequent cross-validation survey.
Results
Primary symptom reduction was high (
d
=1.31 to 1.51) and remained stable for the follow-up period. Therapists identified advantages (eg, patient engagement, treatment intensification, and improved therapeutic relation) and disadvantages (eg, increased workload, data issues, and undesired effects) of bGT. The required online guidance time was 10.3 min per patient and week, including guidance on exercises (67% or 6.9 min) and intimate communication (33% or 3.4 min). Concerning patients’ adherence to bGT, tracked completion of all Web-based and mobile tasks was high and comparable with group attendance.
Conclusions
Results suggest high feasibility of bGT in a gender-balanced, moderately educated sample. bGT provides group therapists with tools for individual care, resulting in an optimization of the therapy process, and high completion rates of the implemented bGT elements. The limited work experience of the involved therapists restricts the study findings, and potential drawbacks need to be regarded in the development of future bGT interventions.
Es werden die Einsatzmöglichkeiten der Movement Assessment Battery for Children-2 (Movement ABC-2) zur Einschätzung motorischer Leistungsdefizite bei adipösen Jugendlichen im Alter von 11;0–16;11 Jahren untersucht. Insgesamt wurden 84 Jugendliche, die zur Behandlung einer Adipositas (BMI > 97. Perzentile) einer Rehabilitationsmaßnahme zugeführt wurden, mit der Movement ABC-2 getestet. Die Testergebnisse werden mit den Leistungen einer alters- und geschlechtsparallelisierten Kontrollgruppe verglichen. Im Gesamtgruppenvergleich wurden für alle drei motorischen Dimensionen (Handgeschicklichkeit, Ballfertigkeiten, Balance), die mittels der Movement ABC-2 erfasst werden, signifikante Leistungsunterschiede nachgewiesen. Knapp ein Drittel der adipösen Jugendlichen weist dabei Defizite auf, die als kritisch oder therapiebedürftig klassifiziert werden. Der Einsatz der Movement ABC-2 erweist sich als geeignet, um routinemäßig zu Beginn einer Behandlung zuverlässig und zeitökonomisch motorisch-koordinative Defizite adipöser Jugendlicher aufzudecken.
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