In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic

Background: The COVID-19 pandemic and its consequences has been found to negatively affect the general population’s psychological well-being.Objective: The objectives of this paper are to report on the development and clinical effects of a self-guided Internet-delivered intervention for adults in No...

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Main Authors: Tine Nordgreen, Emilie Sektnan Nordby, Sunniva Burok Myklebost, Eivind Flobak, Smiti Kahlon
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.705383/full
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author Tine Nordgreen
Tine Nordgreen
Emilie Sektnan Nordby
Emilie Sektnan Nordby
Sunniva Burok Myklebost
Eivind Flobak
Smiti Kahlon
author_facet Tine Nordgreen
Tine Nordgreen
Emilie Sektnan Nordby
Emilie Sektnan Nordby
Sunniva Burok Myklebost
Eivind Flobak
Smiti Kahlon
author_sort Tine Nordgreen
collection DOAJ
description Background: The COVID-19 pandemic and its consequences has been found to negatively affect the general population’s psychological well-being.Objective: The objectives of this paper are to report on the development and clinical effects of a self-guided Internet-delivered intervention for adults in Norway who suffer from mild to moderate psychological distress during the COVID-19 pandemic.Methods: The participants, recruited between April and December 2020, were randomized to receive a new treatment module either every third or every fifth day. The clinical outcomes were self-reported depressive and anxiety symptoms and change in positive and negative emotions.Results: A total of 1256 individuals accessed the pre-screening survey, 407 were eligible and 92 provided contact information, where 82 were included in the study, n = 44 in the 3-day group and n = 38 in the 5-day group. Overall, the statistical analyses showed a significant decrease in depressive and anxiety symptoms and an increase in positive emotions, with small and moderate within group effect sizes. No significant differences between the groups were identified in clinical outcomes or adherence.Conclusion: These findings indicate that psychological distress in the general population during the COVID-19 pandemic may be reduced through the use of a scalable self-guided Internet-delivered intervention. Furthermore, the lack of significant differences between the 5-day and 3-day group may indicate that the intervention can be delivered at a more intensive pace without negatively affecting treatment outcomes. The results need to be interpreted with caution as the sample was self-selected, as well as the lack of passive control group. Hence the results may be attributed to external factors.
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spelling doaj.art-94384f089594401797140028469df86f2022-12-21T23:12:00ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-11-011210.3389/fpsyg.2021.705383705383In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 PandemicTine Nordgreen0Tine Nordgreen1Emilie Sektnan Nordby2Emilie Sektnan Nordby3Sunniva Burok Myklebost4Eivind Flobak5Smiti Kahlon6Division of Psychiatry, Haukeland University Hospital, Bergen, NorwayDepartment of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, NorwayDivision of Psychiatry, Haukeland University Hospital, Bergen, NorwayDepartment of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, NorwayDepartment of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, NorwayDepartment of Information Science and Media Studies, Faculty of Social Sciences, University of Bergen, Bergen, NorwayDivision of Psychiatry, Haukeland University Hospital, Bergen, NorwayBackground: The COVID-19 pandemic and its consequences has been found to negatively affect the general population’s psychological well-being.Objective: The objectives of this paper are to report on the development and clinical effects of a self-guided Internet-delivered intervention for adults in Norway who suffer from mild to moderate psychological distress during the COVID-19 pandemic.Methods: The participants, recruited between April and December 2020, were randomized to receive a new treatment module either every third or every fifth day. The clinical outcomes were self-reported depressive and anxiety symptoms and change in positive and negative emotions.Results: A total of 1256 individuals accessed the pre-screening survey, 407 were eligible and 92 provided contact information, where 82 were included in the study, n = 44 in the 3-day group and n = 38 in the 5-day group. Overall, the statistical analyses showed a significant decrease in depressive and anxiety symptoms and an increase in positive emotions, with small and moderate within group effect sizes. No significant differences between the groups were identified in clinical outcomes or adherence.Conclusion: These findings indicate that psychological distress in the general population during the COVID-19 pandemic may be reduced through the use of a scalable self-guided Internet-delivered intervention. Furthermore, the lack of significant differences between the 5-day and 3-day group may indicate that the intervention can be delivered at a more intensive pace without negatively affecting treatment outcomes. The results need to be interpreted with caution as the sample was self-selected, as well as the lack of passive control group. Hence the results may be attributed to external factors.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.705383/fullself-guided Internet-delivered interventionCOVID-19positive psychologycognitive behavioral therapyperson-based approach
spellingShingle Tine Nordgreen
Tine Nordgreen
Emilie Sektnan Nordby
Emilie Sektnan Nordby
Sunniva Burok Myklebost
Eivind Flobak
Smiti Kahlon
In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic
Frontiers in Psychology
self-guided Internet-delivered intervention
COVID-19
positive psychology
cognitive behavioral therapy
person-based approach
title In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic
title_full In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic
title_fullStr In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic
title_full_unstemmed In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic
title_short In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic
title_sort in case of an emergency the development and effects of a digital intervention for coping with distress in norway during the covid 19 pandemic
topic self-guided Internet-delivered intervention
COVID-19
positive psychology
cognitive behavioral therapy
person-based approach
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.705383/full
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