Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Implemented New Technologies within the Complexity of Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service Effects

Version 1 : Received: 16 July 2021 / Approved: 19 July 2021 / Online: 19 July 2021 (09:32:39 CEST)

A peer-reviewed article of this Preprint also exists.

Keller, F.M.; Dahmen, A.; Derksen, C.; Kötting, L.; Lippke, S. Implementing Digital Trainings within Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service. Int. J. Environ. Res. Public Health 2021, 18, 8936. Keller, F.M.; Dahmen, A.; Derksen, C.; Kötting, L.; Lippke, S. Implementing Digital Trainings within Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service. Int. J. Environ. Res. Public Health 2021, 18, 8936.

Journal reference: Int. J. Environ. Res. Public Health 2021, 18, 8936
DOI: 10.3390/ijerph18178936

Abstract

The need for new technologies into healthcare services has been stressed. However, little is known about the effectiveness of digital interventions integrated in psychosomatic rehabilitation processes. Data from 724 patients from psychosomatic rehabilitation clinics were analyzed for effectiveness of digital trainings examined by a change in symptoms related to depression, anxiety, stress and loneliness from pre- to post-rehabilitation. Rehabilitation satisfaction was examined in association with reaching rehabilitation goals and satisfaction with communication. Mixed repeated measures analysis of covariances, analysis of covariances, and hierarchical stepwise regression analyses were performed. Results indicated a superior effectiveness for the intervention group receiving all offered digital treatments in addition to the regular face-to-face rehabilitation program with regard to symptoms of depression, F(2,674)=3.93, p<.05, ηp2=.01), and anxiety, F(2,678)=3.68, p<.05, ηp2=.01), post-rehabilitation with large effect sizes for both depression (d=1.28) and anxiety (d=1.08). In addition, rehabilitation satisfaction was positively associated with reaching rehabilitation goals and perceived communication with healthcare workers. Digital interventions appeared effective in supporting mental health of psychosomatic rehabilitation patients post-rehabilitation. This finding supports the inclusion of multidisciplinary and interdisciplinary digital and face-to-face treatment programs and call for more implementations of new technologies in a context of complexity to improve health and healthcare service.

Keywords

mental health; psychosomatic rehabilitation; internet delivered digital trainings; multidisciplinary and interdisciplinary interventions

Subject

BEHAVIORAL SCIENCES, Clinical Psychology

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