Comparing human and automated support for depression: Fractional factorial randomized controlled trial

Kelders, Saskia M.; Bohlmeijer, Ernst T.; Pots, Wendy T.M.; van Gemert-Pijnen, Julia E.W.C.

doi:10.1016/j.brat.2015.06.014

Cited by 105Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Research Topics

Comparing human and automated support for depression: Fractional factorial randomized controlled trial

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Kelders, Saskia M., Bohlmeijer, Ernst T., Pots, Wendy T.M., van Gemert-Pijnen, Julia E.W.C.·2015·Behaviour Research and Therapy

DOI 10.1016/j.brat.2015.06.014

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Abstract

Web-based interventions for people with depressive symptoms are needed and show promising effects. However, it is a consistent finding that human support is needed and this makes implementation costly. This study investigates the adherence and effectiveness of a human-supported and automated-supported web-based intervention for people with mild to moderate depressive symptomatology, and studies the impact of four persuasive technology components. People with mild to moderate depressive symptoms according to the Center of Epidemiological Studies depression scale self-report questionnaire were included, but no diagnosis was made for the study. Participants (n = 239) were randomized into one of eight intervention arms, where each level of each component is present in half of the intervention arms. On clinical outcomes, there was a significant interaction effect between support condition and time, but there was no difference on the extent of improvement from baseline to follow-up, only a difference in the time-path of improvement. Effect sizes from baseline to follow-up were 0.89 for automated and 1.00 for human support. There was no significant difference on adherence between support condition. We conclude that an automated-supported web-based intervention for treatment of depression with persuasive technology may achieve similar adherence and effectiveness as the same intervention with human support.

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Automated (and personalized) support has been shown to produce equivalent clinical outcomes to human support in RCTs of computerized treatments.
“Automated (and personalized) support has been shown to produce equivalent clinical outcomes to human support in RCTs of computerized treatments 67”
From The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials (2019) · cites this paper as [67]
The Clinical outcomes section reports no significant difference between support conditions at follow-up, and the Implications section suggests automated support can be as effective at six months in this web-based depression intervention. But the Limitations section explicitly says this was not an equivalence trial and that equivalence cannot be stated with certainty; the claim also generalizes from this study to RCTs of computerized treatments. (LLM, conf=0.90)
Experimental — accuracy not yet measured
Our findings contradict previous research in which a Web-based intervention with automated feedback for people with depression and anxiety was as effective as the same intervention with personal feedback.
“Our findings contradict previous research in which a Web-based intervention with automated feedback for people with depression and anxiety was as effective as the same intervention with personal feedback [22].”
From Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback (2021) · cites this paper as [22]
The Implications section reports that automated support may be as effective as human support at six-month follow-up, but calls for a larger study. Recruitment and participants (§2.2) shows that participants were selected for mild to moderate depressive symptoms, not for both diagnosed depression and anxiety; severe anxiety was an exclusion criterion. The claim captures the comparison but overstates its certainty and population. (LLM, conf=0.85)
Experimental — accuracy not yet measured
An automated feedback Web-based intervention for people with mild depressive symptoms can be as effective and reach similar adherence as the same intervention with personal feedback.
“Also, research showed that an automated feedback Web-based intervention for people with mild depressive symptoms can be as effective and reach similar adherence as the same intervention with personal feedback [22].”
From Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback (2021) · cites this paper as [22]
The effectiveness of the web-based intervention Living to the Full, both with and without support from a counselor, in reducing depression and associated anxiety in adults has been established in randomized controlled trials.
“The effectiveness of this web-based intervention (both with and without support from a counselor) in reducing depression and associated anxiety in adults has been established in RCTs [21, 40, 41, 61].”
From An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized controlled trial. (2018) · cites this paper as [61]
CBT for depression can be effectively administered in web-based settings.
“More recently, studies have shown that CBT for depression can be effectively administered in web-based settings (Andersson and Cuijpers, 2009, Andrews et al., 2010, Kelders et al., 2015, Richards and Richardson, 2012).”
From Development and initial evaluation of blended cognitive behavioural treatment for major depression in routine specialized mental health care (2016) · cites this paper as Kelders et al., 2015

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Hunt, M. G., Miguez, S. M., Dukas, B., Onwude, O., & White, S. J. (2021) · JMIR mhealth and uhealth · doi:10.2196/26152 · Cited by 98 · see citing works
Assessing Patient Adherence to and Engagement With Digital Interventions for Depression in Clinical Trials: Systematic Literature Review
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Web-Based Fully Automated Self-Help With Different Levels of Therapist Support for Individuals With Eating Disorder Symptoms: A Randomized Controlled Trial
Aardoom, J. J., Dingemans, A. E., Spinhoven, P., van Ginkel, J. R., de Rooij, M., & van Furth, E. F. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5709 · Cited by 94 · see citing works
Treating to target in major depressive disorder: response to remission to functional recovery
McIntyre, R. S., Lee, Y. L., & Mansur, R. B. (2015) · CNS Spectrums · doi:10.1017/s1092852915000826 · Cited by 83 · see citing works
Technology-supported strategies for promoting user engagement with digital mental health interventions: A systematic review
Gan, D. Z. Q., McGillivray, L., Larsen, M. E., Christensen, H. M., & Torok, M. H. (2022) · Digital Health · doi:10.1177/20552076221098268 · Cited by 81 · see citing works
Adherence to e-mental health among youth: Considerations for intervention development and research design
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A scoping review of human-support factors in the context of Internet-based psychological interventions (IPIs) for depression and anxiety disorders
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An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
Mira, A., Bretón-López, J., García-Palacios, A., Quero, S., Baños, R. M., & Botella, C. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s130994 · Cited by 71 · see citing works
“63 However, in order to draw more definitive conclusions about differences between the two intervention groups, they would need more statistical power, as in the present study.”
Influential
Therapist behaviours in internet-based cognitive behaviour therapy (ICBT) for depressive symptoms
Holländare, F., Gustafsson, S. A., Berglind, M., Grape, F., Carlbring, P., Andersson, G., Hadjistavropoulos, H., & Tillfors, M. (2016) · Internet Interventions · doi:10.1016/j.invent.2015.11.002 · Cited by 65 · see citing works
A meta-analysis: Internet mindfulness-based interventions for stress management in the general population
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Evaluation of a recommender app for apps for the treatment of depression and anxiety: an analysis of longitudinal user engagement
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Online-based interventions for sexual health among individuals with cancer: a systematic review
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Acceptability of Digital Mental Health Interventions for Depression and Anxiety: Systematic Review
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A Web- and Mobile App–Based Mental Health Promotion Intervention Comparing Email, Short Message Service, and Videoconferencing Support for a Healthy Cohort: Randomized Comparative Study
Renfrew, M. E., Morton, D. P., Morton, J. K., Hinze, J. S., Beamish, P., Przybylko, G., & Craig, B. A. (2020) · Journal of Medical Internet Research · doi:10.2196/15592 · Cited by 53 · see citing works
Free choice of treatment content, support on demand and supervision in internet-delivered CBT for adults with depression: A randomized factorial design trial
Andersson, G., Käll, A., Juhlin, S., Wahlström, C., de Fine Licht, E., Färdeman, S., Franck, A., Tholcke, A., Nachtweij, K., Fransson, E., et al. (2023) · Behaviour Research and Therapy · doi:10.1016/j.brat.2023.104265 · Cited by 51 · see citing works
Technological State of the Art of Electronic Mental Health Interventions for Major Depressive Disorder: Systematic Literature Review
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Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback
Köhle, N., Drossaert, C. H. C., ten Klooster, P. M., Schreurs, K. M. G., Hagedoorn, M., Van Uden-Kraan, C. F., Verdonck-de Leeuw, I. M., & Bohlmeijer, E. T. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06051-w · Cited by 45 · see citing works
“Our findings contradict previous research in which a Webbased intervention with automated feedback for people with depression and anxiety was as effective as the same intervention with personal feedback [22].”
BackgroundResultInfluentialSelf-citation
The preparation phase in the multiphase optimization strategy (MOST): a systematic review and introduction of a reporting checklist
Landoll, R. R., Vargas, S. E., Samardzic, K. B., Clark, M. F., & Guastaferro, K. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibab146 · Cited by 42 · see citing works
Investigation of Active Ingredients Within Internet-Delivered Cognitive Behavioral Therapy for Depression: A Randomized Optimization Trial
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Automated Mobile Phone–Based Mental Health Resource for Homeless Youth: Pilot Study Assessing Feasibility and Acceptability
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The CeHRes Roadmap 2.0: Update of a Holistic Framework for Development, Implementation, and Evaluation of eHealth Technologies
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Holistic development of eHealth technology
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“[26,35,38,63,64] and problem-solving therapy (4/52, 8”
Influential
Complaint-Directed Mini-Interventions for Depressive Complaints: A Randomized Controlled Trial of Unguided Web-Based Self-Help Interventions
Lokman, S., Leone, S. S., Sommers‐Spijkerman, M., van der Poel, A., Smit, F., & Boon, B. J. F. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6581 · Cited by 37 · see citing works
A Smartphone-Based Self-management Intervention for Bipolar Disorder (LiveWell): User-Centered Development Approach
Jonathan, G., Dopke, C. A., Michaels, T., Bank, A., Martin, C. R., Adhikari, K., Krakauer, R. L., Ryan, C., McBride, A., Babington, P., et al. (2021) · JMIR Mental Health · doi:10.2196/20424 · Cited by 36 · see citing works
Efficacy of an internet-based exposure treatment for flying phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
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Remote Psychological Interventions for Fear of Cancer Recurrence: Scoping Review.
Cincidda, C., Pizzoli, S. F. M., & Pravettoni, G. (2022) · JMIR Cancer · doi:10.2196/29745 · Cited by 34 · see citing works
“To date, the literature has demonstrated that blended therapy displays encouraging effects [48,62] and has shown efficacy in reducing FCR among early-stage survivors of cancer [63].”
Background
The acceptability of an Internet-based exposure treatment for flying phobia with and without therapist guidance: patients&rsquo; expectations, satisfaction, treatment preferences, and usability
Campos, D., Mira, A., Bretón-López, J., Castilla, D., Botella, C., Baños, R. M., & Quero, S. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s153041 · Cited by 30 · see citing works
Health Behavior Change Support Systems as a research discipline; A viewpoint
Kelders, S. M., Oinas-Kukkonen, H., Oörni, A., & van Gemert-Pijnen, J. E. W. C. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.06.022 · Cited by 32 · see citing works
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eHealth Technology in Forensic Mental Healthcare: Recommendations for Achieving Benefits and Overcoming Barriers
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Assessing the Efficacy and Acceptability of a Web-Based Intervention for Resilience Among College Students: Pilot Randomized Controlled Trial
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Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state‐of‐the‐art review
Cuijpers, P. J., Harrer, M., & Furukawa, T. A. (2026) · World Psychiatry · doi:10.1002/wps.70002 · Cited by 31 · see citing works
An open trial of internet-based cognitive behavioral therapy for first year medical students
Lattie, E. G., Kashima, K. J., & Duffecy, J. L. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100279 · Cited by 29 · see citing works
Technology-Supported Interventions for Pregnant Women: A Systematic Review
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Involvement as a Working Mechanism for Persuasive Technology
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Moderators of change in an Internet-based intervention for eating disorders with different levels of therapist support: What works for whom?
Aardoom, J. J., Dingemans, A. E., Fokkema, M., Spinhoven, P., & van Furth, E. F. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.11.012 · Cited by 26 · see citing works
An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized controlled trial.
Witlox, M., Kraaij, V., Garnefski, N., de Waal, M. W. M., Smit, F., Hoencamp, E., Gussekloo, J., Bohlmeijer, E. T., & Spinhoven, P. (2018) · Trials · doi:10.1186/s13063-018-2731-3 · Cited by 23 · see citing works
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Completion of a Stand‐Alone Versus Coach‐Supported Trial of a Web‐Based Program for Distressed Relationships
Rothman, K., Roddy, M. K., & Doss, B. D. (2019) · Family Relations · doi:10.1111/fare.12378 · Cited by 25 · see citing works
Facilitator Contact, Discussion Boards, and Virtual Badges as Adherence Enhancements to a Web-Based, Self-guided, Positive Psychological Intervention for Depression: Randomized Controlled Trial
Moskowitz, J. T., Addington, E. L., Shiu, E. W., Bassett, S. M., Schuette, S., Kwok, I., Freedman, M. E., Leykin, Y., Saslow, L. R., Cohn, M., et al. (2021) · Journal of Medical Internet Research · doi:10.2196/25922 · Cited by 21 · see citing works
Integrating Top-down and Bottom-up Requirements in eHealth Development: The Case of a Mobile Self-compassion Intervention for People With Newly Diagnosed Cancer
Austin, J., Drossaert, C. H. C., van Dijk, J., Sanderman, R., Børøsund, E., Mirković, J., Schotanus-Dijkstra, M., Peeters, N. J., Klooster, J. W. J. R. V. '., Schroevers, M. J., et al. (2022) · JMIR Cancer · doi:10.2196/37502 · Cited by 23 · see citing works
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StudiCare procrastination - Randomized controlled non-inferiority trial of a persuasive design-optimized internet- and mobile-based intervention with digital coach targeting procrastination in college students
Mutter, A., Küchler, A., Idrees, A. R., Kählke, F., Terhorst, Y., & Baumeister, H. (2023) · BMC Psychology · doi:10.1186/s40359-023-01312-1 · Cited by 22 · see citing works
Usability Evaluation of a Cognitive-Behavioral App-Based Intervention for Binge Eating and Related Psychopathology: A Qualitative Study
Linardon, J., King, T., Shatte, A. B. R., & Fuller‐Tyszkiewicz, M. (2021) · Behavior Modification · doi:10.1177/01454455211021764 · Cited by 20 · see citing works
Design for Engagement of Online Positive Psychology Interventions
Kelders, S. M. (2019) · Springer eBooks · doi:10.1007/978-3-030-20020-6_13 · Cited by 20 · see citing works
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Recommender System Based on Collaborative Filtering for Personalized Dietary Advice: A Cross-Sectional Analysis of the ELSA-Brasil Study
da Silva, V. C., Gorgulho, B. M., Marchioni, D. M. L., Matos, S. M. A., Giatti, L., de Araújo, T. A., Alonso, A. C., Santos, I. S., Lotufo, P. A., & Benseñor, I. M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214934 · Cited by 16 · see citing works
Internet Interventions in Clinical Psychology
Andersson, G., & Carlbring, P. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00211-9 · Cited by 15 · see citing works
Yuva: An e-health model for dealing with psychological issues of adolescents
Srivastava, S., Pant, M., & Nagar, A. K. (2017) · Journal of Computational Science · doi:10.1016/j.jocs.2017.05.030 · Cited by 15 · see citing works
Feasibility of a stratified blended physiotherapy intervention for patients with non-specific low back pain: a mixed methods study
van Tilburg, M. L., Kloek, C. J. J., Staal, J. B., Bossen, D., & Veenhof, C. (2020) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2020.1756015 · Cited by 14 · see citing works
Development of Coaching Support for LiveWell: A Smartphone-Based Self-Management Intervention for Bipolar Disorder
Dopke, C. A., McBride, A., Babington, P., Jonathan, G., Michaels, T., Ryan, C., Duffecy, J. L., Mohr, D. C., & Goulding, E. H. (2021) · JMIR Formative Research · doi:10.2196/25810 · Cited by 14 · see citing works
An Internet-based treatment for flying phobia (NO-FEAR Airlines): Study protocol for a randomized controlled trial
Campos, D., Bretón-López, J., Botella, C., Mira, A., Castilla, D., Baños, R., Tortella-Feliu, M., & Quero, S. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0996-1 · Cited by 13 · see citing works
Efficacy of an Internet- and Mobile-Based Intervention for Subclinical Anxiety and Depression (ICare Prevent) with Two Guidance Formats: Results from a Three-Armed Randomized Controlled Trial
Zarski, A.-C., Weisel, K. K., Berger, T., Krieger, T., Schaub, M. P., Berking, M., Görlich, D., Jacobi, C., & Ebert, D. D. (2024) · Psychotherapy and Psychosomatics · doi:10.1159/000536149 · Cited by 13 · see citing works
Are Digitally Delivered Psychological Interventions for Depression the Way Forward? A Review
Stefanopoulou, E., Lewis, D., Taylor, M., Broscombe, J., Ahmad, J., & Larkin, J. (2018) · Psychiatric Quarterly · doi:10.1007/s11126-018-9576-5 · Cited by 11 · see citing works
A systematic review on personalization of treatment components in IBIs for mental disorders
Schaeuffele, C., Zagorscak, P., Langerwisch, V., Wilke, J., Medvedeva, Y., & Knaevelsrud, C. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100840 · Cited by 11 · see citing works
Regaining Mental Well-Being in the Aftermath of the Covid-19 Pandemic with a Digital Multicomponent Positive Psychology Intervention: A Randomized Controlled Trial
Tönis, K. J. M., Kraiss, J. T., Drossaert, C. H. C., Karreman, J., Oostinga, M. S. D., Kloos, N., Austin, J., & Bohlmeijer, E. T. (2024) · Journal of Happiness Studies · doi:10.1007/s10902-024-00793-0 · Cited by 9 · see citing works
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Internet-based self-help using automatic messages and support on demand for generalized anxiety disorder: an open pilot study
Dahlin, M., Carlbring, P., Håkansson, A., & Andersson, G. (2020) · Digital Psychiatry · doi:10.1080/2575517x.2020.1822730 · Cited by 9 · see citing works
Application of the Supportive Accountability Model in Digital Health Interventions: Scoping Review
Kwok, G., Cheung, S., Duffecy, J. L., & Devine, K. A. (2025) · Journal of Medical Internet Research · doi:10.2196/72639 · Cited by 8 · see citing works
An online program with individualized vs automated support for significant others of depressed individuals – study protocol of a randomized controlled trial
Schramm, E., Breuninger, C., Zehender, N., Hegerl, U., Elsner, A., Maun, A., Schmölz, M., Roick, C., Grodd, M., & Graf, E. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04035-6 · Cited by 4 · see citing works
Implementation of persuasive design principles in mobile application development: a qualitative study
Shafin, N. A., Saedudin, R. R., & Abdullah, N. H. (2020) · Indonesian Journal of Electrical Engineering and Computer Science · doi:10.11591/ijeecs.v18.i3.pp1464-1473 · Cited by 5 · see citing works
Mobile app use and the mental health of elite athletes
Collins, R., Yang, R., D’Souza, B. N., Gore, A., Bay, C., Erondu, I., & Menon, S. N. (2025) · Sports Psychiatry · doi:10.1024/2674-0052/a000104 · Cited by 5 · see citing works
Human Cues in eHealth to Promote Lifestyle Change: an Experimental Field Study to Examine Adherence to Self-help Interventions (Preprint)Preprint
Rodrigues, T. C., Reijnders, T., de Buisonjé, D. R., Santhanam, P., Kowatsch, T., Breeman, L. D., Janssen, V. R., Kraaijenhagen, R. A., Atsma, D. E., & Evers, A. W. M. (2021) · doi:10.2196/preprints.30057 · Cited by 4 · see citing works
Social Media and Mental Health in Youth During COVID-19: A Narrative Review
(2021) · International Journal of Psychological Research and Reviews · doi:10.28933/ijprr-2021-08-2905 · Cited by 3 · see citing works
Àgora de salut vol. V (número complet)
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Application of persuasive system design in mobile health interventions for chronic disease management: a mini review
Zhang, K., Jiang, Y., Xi, K., & Sun, N. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1718371 · Cited by 3 · see citing works
Towards a social practice of digital health: suggestions for engagement and implementation research in the context of digital health
Bastoni, S., Doğan, K., & Kelders, S. M. (2026) · Behaviour and Information Technology · doi:10.1080/0144929x.2026.2619650 · Cited by 2 · see citing works
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The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map
Maher, A. R., Apaydin, E. A., Raaen, L. B., Motala, A., Shanman, R., & Hempel, S. (2019) · RAND Corporation eBooks · doi:10.7249/rr2177 · Cited by 2 · see citing works
Human cues in eHealth to promote lifestyle change: An experimental field study to examine adherence to self-help interventions
Rodrigues, T. C., de Buisonjé, D. R., Reijnders, T., Santhanam, P., Kowatsch, T., Breeman, L. D., Janssen, V. R., Kraaijenhagen, R. A., Atsma, D. E., & Evers, A. W. M. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100726 · Cited by 1 · see citing works
Emotional Eating in Primary Care: Considerations for Assessment and Management
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User Experience and Therapeutic Alliance of Treatment Completers of Clinician‐Supported Versus Self‐Help Online Intervention for Eating Disorders: A Mixed Methods Approach
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Digital Mental Health Treatments for Depression
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Does human support add value to persuasive design-based digital mental health interventions? A propensity score matching study of a digital parenting program
Saar, C. R., Brandes, O., & Baumel, A. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1586668 · Cited by 1 · see citing works
Advancing Scalable Psychological Interventions for Non‐Underweight Eating Disorders: An Overview of Key Delivery Formats, Their Evidence Base, and Research Priorities
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Improving adherence to an online intervention for low mood by a virtual coach or personalized motivational feedback messages: A three-arm pilot randomized controlled trial
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Influencia del apoyo por parte del terapeuta en la satisfacción de un programa auto-aplicado a través de Internet para la depresión
Sanz, C. M., Díaz-Sanahuja, L., Pastor, A. M., Bretón-López, J. M., & Arbona, C. B. (2018) · Àgora de salut · doi:10.6035/agorasalut.2018.5.29 · Cited by 1 · see citing works
Distributive randomization: a pragmatic fractional factorial design to screen or evaluate multiple simultaneous interventions in a clinical trial
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Comparing Email Versus Text Messaging as Delivery Platforms for Supporting Patients With Major Depressive Disorder: Noninferiority Randomized Controlled Trial
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Exploring experiences with an internet-delivered ACT intervention among individuals with a personal history of depression: A thematic analysis
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The added value of eHealth
Kip, H. (2021) · doi:10.3990/1.9789036551311 · Cited by 1 · see citing works
Exploring the use behaviour in web-based complaint-directed mini-interventions for people with depressive symptoms through log data analysis.
Dalen, I. (2019)
Het verbeteren en uitbreiden van relatie- en gezinsinterventies met technologie: conceptuele en methodologische overwegingen
Doss, B. D., Feinberg, L. K., Rothman, K., Roddy, M. K., & Comer, J. S. (2019) · Gezinstherapie Wereldwijd · doi:10.1007/s12440-019-00096-4
Aplicação de algoritmos de machine learning na avaliação do consumo alimentar: resultados da linha de base do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil)
da Silva, V. C. (2021) · doi:10.11606/t.6.2021.tde-23042021-163016
The potential of embodied conversational agents to stimulate adherence to ehealth interventions : steps towards a more dynamical approach
Scholten, M. R. (2021) · doi:10.3990/1.9789036552929
Human Cues in Ehealth to Promote Lifestyle Change: An Experimental Field Study to Examine Adherence to Self-Help InterventionsPreprint
Rodrigues, T. C., de Buisonjé, D. R., Reijnders, T., Santhanam, P., Kowatsch, T., Breeman, L. D., Janssen, V. R., Kraaijenhagen, R. A., Atsma, D. E., & Evers, A. W. M. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4592380
Improving Adherence to an Online Intervention for Low Mood by a Virtual Coach or Personalized Motivational Feedback Messages: A Three-Arm Pilot Randomized Controlled TrialPreprint
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Authors: Kelders, S. M., Bohlmeijer, E. T., Pots, W. T. M., & van Gemert-Pijnen, J. E. W. C.
Affiliations: University of Twente (NL)
Corresponding author: Kelders, Saskia M.
ORCID: Kelders, Saskia M.
Bohlmeijer, Ernst T.
Pots, Wendy T.M.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2015-09
Volume: 72
Pages: 72-80
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2015.06.014
OpenAlex: W855558648
Cited by: 105
References: 63
Citations by year: 2026: 4 · 2025: 10 · 2024: 11 · 2023: 7 · 2022: 7 · 2021: 16 · 2020: 9 · 2019: 12 · 2018: 9 · 2017: 8 · 2016: 9 · 2015: 3
FWCI: 15.73
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
University of Twente Research Information (submittedVersion, other-oa)
University of Twente Research Information (submittedVersion)
Funders: University of Twente
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: depression, online intervention, automated support, human support, persuasive technology, medication adherence, intervention effectiveness, digital mental health
MeSH terms: Adult, Depression, Female, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, Social Support, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Text Messaging

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