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Übersichtsarbeit

Qualitätskriterien internetbasierter kognitiv-behavioraler Interventionen für Kinder und Jugendliche sowie deren Eltern – Ein systematisches Review

Published Online:December 11, 2018https://doi.org/10.1024/1422-4917/a000640

Abstract

Zusammenfassung.Einleitung: Ziel dieses Reviews war es, einen Überblick über verfügbare empirisch untersuchte internetbasierte kognitiv-behaviorale Interventionen (iCBT) für Kinder und Jugendliche und/oder deren Eltern zu verschaffen und diese anhand von vorläufig definierten Qualitätskriterien hinsichtlich des Einsatzes im Gesundheitssystem zu beurteilen. Methodik: Die vorliegende Übersichtsarbeit wurde anhand der PRISMA-Leitlinien durchgeführt und die wissenschaftliche Literatur bezogen auf iCBT evaluiert. Es wurde eine umfassende Literaturrecherche über PubMed, PsychINFO, PsychARTICLES, PsychNDEX und Science Direct unter Nutzung relevanter Suchbegriffe durchgeführt. Die Studien wurden anhand von vorläufig definierten 10 Qualitätskriterien bewertet. Ergebnisse: Insgesamt wurden 4479 Artikel gescreent; 62 Studien wurden in die weitere Auswertung eingeschlossen. Davon wurden 24 internationale iCBT-Programme mit 50 randomisiert kontrollierten Studien (RCTs) identifiziert und evaluiert, die M = 7.25 (SD = 1.07) Qualitätskriterien erfüllen würden. Für 11 internationale iCBT-Programme liegen bereits 13 Studien zur Beurteilung der präliminieren Wirksamkeit vor. Sie würden M = 7.45 (SD = .82) Qualitätskriterien erfüllen. Es gab keinen signifikanten Unterschied zwischen Programmen mit und ohne RCT-Studiendesign (t[33] = –.56; p = .58. Schlussfolgerungen: Unsere Ergebnisse weisen darauf hin, dass es international bereits eine Vielzahl an Programmen gibt. Da die Wartezeiten auf eine psychotherapeutische oder psychiatrische Behandlung immer noch ca. fünf Monate in Deutschland betragen, haben iCBT-Programme das Potenzial, diese Versorgungslücke zu verkleinern.


Quality criteria of internet-based cognitive-behavioral interventions for children and adolescents and their parents – A systematic review

Abstract.Introduction: This study provides an overview of existing internet-based evidence-based cognitive behavioral interventions (iCBT) for children/adolescents and their parents. The studies were evaluated based on preliminary defined quality criteria regarding their usability in the healthcare system. Methods: The review was performed according to PRISMA guidelines and evaluated the scientific literature concerning to iCBT. We conducted a comprehensive literature search of PubMed, PsychINFO, PsychARTICLES, PsychNDEX and Science Direct using relevant keywords. Studies were rated according to 10 previously predefined quality measures. Results: A total of 4,479 articles were screened, 62 of which were selected for further analysis. Thereof, 24 international iCBT programs with 50 randomized controlled trials (RCTs) were evaluated and met the quality criteria (M = 7.25, SD = 1.07). Further 13 publications showed preliminary efficacy for another 11 international iCBT programs and met the quality criteria (M = 7.45, SD = .82). There was no significant difference between programs evaluated within and without RCTs t(33) = –.56, p = .58. Conclusions: Our results indicate that multiple international iCBT programs exist. Because in Germany the waiting time for psychotherapeutic or psychiatric treatment is still about five months, iCBT programs have the potential to reduce this gap.

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