Cited by 8Digital Mental Health InterventionsMental Health Treatment and AccessTelemedicine and Telehealth Implementation

Telephone coaching for the prevention of depression in farmers: Results from a pragmatic randomized controlled trial

Thielecke, Janika, Buntrock, Claudia, Titzler, Ingrid, Braun, Lina, Freund, Johanna, Berking, Matthias, Baumeister, Harald, Ebert, David D·2024·Journal of Telemedicine and Telecare

Abstract

Introduction: Farmers have a high risk for depression (MDD). Preventive measures targeting this often remotely living population might reduce depression burden. The study aimed to evaluate the effectiveness of personalized telephone coaching in reducing depressive symptom severity and preventing MDD in farmers compared to enhanced treatment as usual (TAU + ). Methods: In a two-armed, pragmatic randomized controlled trial ( N = 314) with post-treatment at 6 months, farming entrepreneurs, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) were randomized to personalized telephone coaching or TAU + . The coaching was provided by psychologists and consists on average of 13 (±7) sessions a 48 min (±15) over 6 months. The primary outcome was depressive symptom severity (QIDS-SR16). Results: Coaching participants showed a significantly greater reduction in depressive symptom severity compared to TAU + ( d = 0.39). Whereas reliable symptom deterioration was significantly lower in the intervention group compared to TAU + , no significant group differences were found for reliable improvement and in depression onset. Further significant effects in favor of the intervention group were found for stress ( d = 0.34), anxiety ( d = 0.30), somatic symptoms ( d = 0.39), burnout risk ( d = 0.24–0.40) and quality of life ( d = 0.28). Discussion: Limiting, we did not apply an upper cutoff score for depressive symptom severity or controlled for previous MDD episodes, leaving open whether the coaching was recurrence/relapse prevention or early treatment. Nevertheless, personalized telephone coaching can effectively improve mental health in farmers. It could play an important role in intervening at an early stage of mental health problems and reducing disease burden related to MDD. Trial registration number and trial register: German Clinical Trial Registration: DRKS00015655

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Crossref · 10.1177/1357633x221106027

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Authors
Thielecke, J., Buntrock, C., Titzler, I., Braun, L., Freund, J., Berking, M., Baumeister, H., & Ebert, D. D.
Affiliations
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
  • Universität Ulm (DE)
  • Technical University of Munich (DE)
Corresponding author
Thielecke, Janika
Venue
Journal of Telemedicine and Telecare
Published
2022-06-12
Volume
30
Issue
6
Pages
918-930
ISSN
  • 1357-633X (ISSN-L)
  • 1758-1109
OpenAlex
W4282591022
Cited by
8
References
69
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 1
FWCI
1.32
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Telemedicine and Telecare (publishedVersion)
  • PubMed (publishedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
Funders
German social insurance for farmers, foresters, and gardeners
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
telephone coaching, depression prevention, farmers, major depressive disorder, depressive symptoms, remote communities, personalized coaching, burnout, quality of life, anxiety, somatic symptoms, early intervention
MeSH terms
Farmers, Mentoring, Adult, Depression, Female, Humans, Male, Middle Aged, Telephone

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