E-mental health mindfulness-based and skills-based “CoPE It” intervention to reduce psychological distress in times of COVID-19: Study protocol for a bicentre longitudinal study
Open accessAbstract
INTRODUCTION: The SARS-CoV-2 (COVID-19) pandemic poses immense challenges for national and international healthcare systems. Especially in times of social isolation and governmental restrictions, mental health should not be neglected. Innovative approaches are required to support psychologically burdened people. The e-mental health intervention 'CoPE It' has been developed to offer manualised and evidence-based psychotherapeutic support adapted to COVID-19-related issues in order to overcome psychological distress. In our study, we aim to assess the efficacy of the e-mental health intervention 'CoPE It' in terms of reducing distress (primary outcome), depression and anxiety symptoms as well as improving self-efficacy, quality of life and mindfulness (secondary outcomes). Furthermore, we want to evaluate the programme's usability, feasibility and participants' satisfaction with 'CoPE It' (tertiary outcome). METHODS AND ANALYSIS: The e-mental health intervention 'CoPE It' consists of four 30 min modules, conducted every other day, involving psychotherapeutic techniques of mindfulness-based stress reduction and cognitive-behavioural therapy. The widely applied and previously established content has been adapted to the context of the COVID-19 pandemic by experts in psychosomatic medicine and stress prevention. In our longitudinal study, adult participants-with adequate German language and computer skills, and who have provided informed consent-will be recruited via emergency support hotlines in Germany. Flyers will be distributed, and online channels will be used. Participants will complete a baseline assessment (T0), a postintervention assessment (T1) and assessments 1 and 3 months later (T2 and T3, respectively). We will perform repeated measures analysis of covariance, mixed linear models, standard analyses of variance and regression, and correlation coefficients. In case of binary outcome variables, either mixed logistic regression or χ² tests will be used. ETHICS AND DISSEMINATION: The Ethics Committees of the University of Duisburg-Essen (20-9243-BO) and University of Tübingen (469/2020BO) approved the study. Results will be published in peer-reviewed journals and conference presentations. TRIAL REGISTRATION NUMBER: DRKS00021301.
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MBSR courses are effective in managing psychological suffering when face-to-face meetings are suspended during the COVID-19 pandemic.
“more recently, the effectiveness of MBSR courses in managing psychological suffering when face-to-face meetings are suspended were reported during the COVID-19 pandemic [68,69,70].”
From Beneficial effects of mindfulness-based stress reduction training on the well-being of a female sample during the first total lockdown due to covid-19 pandemic in italy (2021) · cites this paper as [70]
The Methods and analysis section says CoPE It incorporates mindfulness-based stress reduction and cites evidence that it can relieve distress after man-made disasters. But this is a study protocol: its Introduction says the authors aim to assess CoPE It’s efficacy, not that MBSR courses were shown effective during COVID-19 when face-to-face meetings were suspended. The Introduction discusses comparable outcomes for online interventions generally, not specifically MBSR courses in that setting. (LLM, conf=0.88)
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Forouzi, M. A., Baghbani, F., Arashlouei, A. Z., Nataj, A. H., Pooredalati, M., Khajooi, F., Pourafrouz, E., Ahmadi, A., & Arabfaridy, V. (2024) · Coronaviruses · doi:10.2174/0126667975320112240822043731 · Cited by 1 · see citing works
Mental health aspects of epidemics and pandemics
Ojagbemi, A., & Gureje, O. (2025) · doi:10.1093/med/9780198898818.003.0042
Acceptance, needs and demands of e-mental health interventions in adolescent elite athletes
Geiger, S., Viehweger, S., Nguyen, V. T. M., Seitz, J., Gradl-Dietsch, G., Muehlbauer, T., Paslakis, G., Skoda, E., Teufel, M., Bäuerle, A., et al. (2026) · Discover Mental Health · doi:10.1007/s44192-026-00474-9 · Cited by 1 · see citing works
- Authors
- Bäuerle, A., Graf, J., Jansen, C., Musche, V., Schweda, A., Hetkamp, M., Weismüller, B., Dörrie, N., Junne, F., Teufel, M., & Skoda, E.-M.
- Affiliations
- University of Duisburg-Essen (DE)
- Universitätsklinikum Tübingen (DE)
- Corresponding author
- Bäuerle, Alexander
- ORCID
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2020-08
- Volume
- 10
- Issue
- 8
- Pages
- e039646
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC7430186
- OpenAlex
- W3048899800
- Cited by
- 47
- References
- 47
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 13 · 2021: 22 · 2020: 1
- FWCI
- 9.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HighWire Press Open Archive (acceptedVersion)
- DuEPublico (University of Duisburg-Essen) (submittedVersion, cc-by-nc)
- Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- digital mental health interventions, COVID-19 pandemic, psychological distress, depression, anxiety, mindfulness-based stress reduction, cognitive behavioral therapy, self-efficacy, quality of life, stress prevention, psychotherapeutic support
- MeSH terms
- Distance Counseling, Betacoronavirus, COVID-19, SARS-CoV-2, Adaptation, Psychological, Anxiety, Depression, Humans, Pneumonia, Viral, Quality of Life, Stress, Psychological, Cognitive Behavioral Therapy, Patient Satisfaction, Coronavirus Infections, Self Efficacy, Pandemics, Mindfulness
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