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Prof. Dr. Fanny Kählke

Fakultät Angewandte Gesundheitswissenschaften

Professorinnen und Professoren

Professorin

LA 25-2.03

0991/3615-8027

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Vortrag
  • Fanny Kählke
  • D. Ebert
  • D. Lehr

Cost‑effectiveness and cost‑benefit of an internet‑based stress management. An economic analysis alongside a randomized controlled trial.

  • European Society for Research on Internet Interventions.

Bergen, Norway 22.-23.09.2016.

(2016)

Zeitschriftenartikel
  • D. Ebert
  • C. Buntrock
  • Fanny Kählke
  • K. Weisel
  • A. Zarski

Attitudes toward, efficacy, cost-effectiveness and moderators of Internet- and mobile-based interventions for promoting mental well-being.

In: The European Health Psychologist (vol. 19)

(2017)

Abstract anzeigen

Aims: The present symposia aim to present recent results on attitudes towards, efficacy, cost-effectiveness and moderators of internet- and mobile-based interventions for promoting mental health and preventing mental health disorder onset. Rationale: A large number of studies have documented the potential of Internet-and mobile-based behavioral health interventions. However, the evidence for the efficacy for the prevention of mental health disorders is still limited. It is also unclear whether more severely affected individuals also can profit from such approaches or if they should be excluded from such approaches. Moreover, although it is often argued that internet-based interventions might be good value for money, empirical evidence on the cost-effectiveness is, for most target groups. Summary: Within this symposium recent results from different international collaboration projects, in different target groups and settings (stressed workers, college students, individuals at risk for developing depression) on these open research questions will be presented. Moreover, as the effects of any behavioral health intervention depends on the number of individuals using them, results on the acceptance and barriers of acceptance based on a large representative survey will. A hands-on activity session will present several of such applications in practice, while attendees will have the possibility to access and explore these interventions on their own computers. Finally, the potential for improving behavioral health, limitations and risks involved with such approaches will be discussed.
Zeitschriftenartikel
  • Fanny Kählke
  • H. Baumeister
  • R. Auerbach
  • R. Bruffaerts
  • P. Mortier
  • P. Cuijpers
  • H. Riper
  • M. Berking
  • R. Kessler
  • D. Ebert

Acceptance of internet- and mobile-based mental health promotion in university students.

In: The European Health Psychologist (vol. 19)

(2017)

Abstract anzeigen

Background:The College years are a peak age period for the first onset of mental disorders (MD). Internet- and mobile based interventions (IMIs) have shown to be effective in reducing risk behavior and preventing MD onset. However, the effects of such interventions on population level depends on the utilization in the target group. Hence, it is crucial to evaluate acceptance of and attitudes towards such approaches to develop strategies to overcome barriers of utilization. Methods: The present study examines acceptance and predictors of acceptance in a representative sample of German first year university students and is part of an ongoing multicenter, prospective cohort study. Propensity scores are used to weight for non-response. Acceptance of IMIs is assessed for different target guidance forms and target-conditions and compared to acceptance of other intervention forms (i.e.face-to-face individual- and group counseling, within-/outside of the university). Findings: 5.6%,28.1%,29.9% of N=1382 students would be interested to take part in pure self-help, guided self-help, respectively blended-(in combination with face-to-face sessions) IMIs. The most accepted types of interventions were procrastination (44.6%), followed by stress-management (43.8%), time-management (43.8%); sleep (37.8%); test-anxiety (34.4%); resilience (33.6%), social-anxiety(32.2%), depression(31.8%); perfectionism (23.2%); body-dissatisfaction (20.2%); problematic internet-use(16.8%). Details on predictors (i.e, 12-months/lifetime prevalence of MDs, previous help seeking behavior ao.), barriers of acceptance (i.e. low outcome expectancies, low perceived risk) and comparisons to other forms of interventions will be presented. Discussion: IMIs are an acceptable form of mental health promotion for many college students, and should implemented in a guided und not unguided self-help format.
Vortrag
  • Fanny Kählke
  • D. Lehr
  • D. Ebert

Kosten-Wirksamkeits-Analysen und Kosten-Nutzenwert-Analyse internetbasierter, geleiteter Selbsthilfeintervention zur Reduktion arbeitsbezogenen Stresses.

Frankfurt am Main 20.03.2017.

(2017)

Vortrag
  • Fanny Kählke
  • D. Ebert

Akzeptanz von Internet und mobilbasierten Intervention zur Förderung der psychischen Gesundheit von Studierenden.

  • Fachgruppe für Gesundheitspsychologie der Deutschen Gesellschaft für Psychologie.

Siegen 22.-25.08.2017.

(2017)

Vortrag
  • Fanny Kählke
  • D. Ebert

Acceptance of Internet- and Mobile-based Mental Health Promotion in College Students.

  • European Health Psychology Society.

Padua, Italy 29.08.-02.09.2017.

(2017)

Vortrag
  • Fanny Kählke
  • D. Ebert

Acceptance of Internet- and Mobile-based Mental Health Promotion in College Students.

  • International Society for Research on Internet Interventions.

Berlin 12.-14.10.2017.

(2017)

Zeitschriftenartikel
  • P. Mortier
  • R. Auerbach
  • J. Alonso
  • J. Bantjes
  • C. Benjet
  • P. Cuijpers
  • et int.
  • Fanny Kählke
  • et al.

Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project.

In: Journal of the American Academy of Child and Adolescent Psychiatry (vol. 57) , pg. 263-273.e1

(2018)

DOI: 10.1016/j.jaac.2018.01.018

Abstract anzeigen

OBJECTIVE College entrance may be a strategically well-placed "point of capture" for detecting late adolescents with suicidal thoughts and behaviors (STB). However, a clear epidemiological picture of STB among incoming college students is lacking. We present the first cross-national data on prevalence as well as socio-demographic and college-related correlates for STB among first-year college students. METHOD Web-based self-report surveys were obtained from 13,984 first-year students (response rate 45.5%) across 19 colleges in 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, and the United States). RESULTS Lifetime prevalence of suicidal ideation, plans, and attempts was 32.7%, 17.5%, and 4.3%, respectively. The 12-month prevalence was 17.2%, 8.8%, and 1.0%, respectively. About three-fourths of STB cases had onset before the age of 16 years (Q3 = 15.8), with persistence figures in the range of 41% to 53%. About one-half (53.4%) of lifetime ideators transitioned to a suicide plan; 22.1% of lifetime planners transitioned to an attempt. Attempts among lifetime ideators without plan were less frequent (3.1%). Significant correlates of lifetime STB were cross-nationally consistent and generally modest in effect size (median adjusted odds ratio [aOR] = 1.7). Nonheterosexual orientation (aOR range 3.3-7.9) and heterosexual orientation with some same-sex attraction (aOR range 1.9-2.3) were the strongest correlates of STB, and of transitioning from ideation to plans and/or attempts (aOR range 1.6-6.1). CONCLUSION The distribution of STB in first-year students is widespread, and relatively independent of socio-demographic risk profile. Multivariate risk algorithms based on a high number of risk factors are indicated to efficiently link high-risk status with effective preventive interventions.
Zeitschriftenartikel
  • D. Ebert
  • T. van Daele
  • T. Nordgreen
  • M. Karekla
  • A. Compare
  • C. Zarbo
  • A. Brugnera
  • S. Øverland
  • G. Trebbi
  • K. Jensen
  • Fanny Kählke
  • H. Baumeister
  • J. Taylor

Internet- and Mobile-Based Psychological Interventions: Applications, Efficacy, and Potential for Improving Mental Health.

In: European Psychologist (vol. 23) , pg. 167-187

(2018)

DOI: 10.1027/1016-9040/a000318

Abstract anzeigen

The majority of mental health disorders remain untreated. Many limitations of traditional psychological interventions such as limited availability of evidence-based interventions and clinicians could potentially be overcome by providing Internet- and mobile-based psychological interventions (IMIs). This paper is a report of the Taskforce E-Health of the European Federation of Psychologists’ Association and will provide an introduction to the subject, discusses areas of application, and reviews the current evidence regarding the efficacy of IMIs for the prevention and treatment of mental disorders. Meta-analyses based on randomized trials clearly indicate that therapist-guided stand-alone IMIs can result in meaningful benefits for a range of indications including, for example, depression, anxiety, insomnia, or posttraumatic stress disorders. The clinical significance of results of purely self-guided interventions is for many disorders less clear, especially with regard to effects under routine care conditions. Studies on the prevention of mental health disorders (MHD) are promising. Blended concepts, combining traditional face-to-face approaches with Internet- and mobile-based elements might have the potential of increasing the effects of psychological interventions on the one hand or to reduce costs of mental health treatments on the other hand. We also discuss mechanisms of change and the role of the therapist in such approaches, contraindications, potential limitations, and risk involved with IMIs, briefly review the status of the implementation into routine health care across Europe, and discuss confidentiality as well as ethical aspects that need to be taken into account, when implementing IMIs. Internet- and mobile-based psychological interventions have high potential for improving mental health and should be implemented more widely in routine care.
Zeitschriftenartikel
  • J. Apolinário-Hagen
  • M. Harrer
  • Fanny Kählke
  • L. Fritsche
  • C. Salewski
  • D. Ebert

Public Attitudes Toward Guided Internet-Based Therapies: Web-Based Survey Study.

In: JMIR Mental Health (vol. 5) , pg. e10735

(2018)

DOI: 10.2196/10735

Abstract anzeigen

BACKGROUND Internet interventions have been proposed to improve the accessibility and use of evidence-based psychological treatments. However, little is known about attitudes toward such treatments, which can be an important barrier to their use. OBJECTIVE This study aimed to (1) determine attitudes toward guided internet interventions, (2) assess its acceptability compared with other internet-based formats, and (3) explore predictors of acceptance. METHODS A convenience-sample Web-based survey (N=646) assessed attitudes toward guided internet therapies (ie, perceived usefulness and helpfulness, and advantage relative to face-to-face therapy), preferences for delivery modes (ie, e-preference: guided internet interventions, unguided internet interventions, or videoconferencing psychotherapy), and potential predictors of attitudes and preferences: sociodemographics, help-seeking-related variables, attachment style, and perceived stress. RESULTS Although most participants perceived internet interventions as useful or helpful (426/646, 65.9%), a few indicated their advantage relative to face-to-face therapy (56/646, 8.7%). Most participants preferred guided internet interventions (252/646, 39.0%) over videoconferencing psychotherapy (147/646, 22.8%), unguided internet interventions (124/646, 19.2%), and not using internet interventions (121/646, 18.8%; missing data: 1/646, 0.2%). Attachment avoidance and stress were related to e-preference (all P<.05). Moreover, preference for therapist-guided internet interventions was higher for individuals who were aware of internet-based treatment (χ26=12.8; P=.046). CONCLUSIONS Participants assessed therapist-guided internet interventions as helpful, but not equivalent to face-to-face therapies. The vast majority (523/646, 81.0%) of the participants were potentially willing to use internet-based approaches. In lieu of providing patients with only one specific low-intensity treatment, implementation concepts should offer several options, including guided internet interventions, but not limited to them. Conversely, our results also indicate that efforts should focus on increasing public knowledge about internet interventions, including information about their effectiveness, to promote acceptance and uptake.
Zeitschriftenartikel
  • D. Ebert
  • Fanny Kählke
  • C. Buntrock
  • M. Berking
  • F. Smit
  • E. Heber
  • H. Baumeister
  • B. Funk
  • H. Riper
  • D. Lehr

A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees.

In: Scandinavian Journal of Work, Environment & Health (vol. 44) , pg. 171-182

(2018)

DOI: 10.5271/sjweh.3691

Abstract anzeigen

Objective This study aimed to estimate and evaluate the cost-effectiveness and cost-benefit of a guided internet- and mobile-supported occupational stress-management intervention (iSMI) for employees from the employer's perspective alongside a randomized controlled trial. Methods A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale, PSS-10 ≥22) was randomly assigned either to the iSMI or a waitlist control (WLC) group with unrestricted access to treatment as usual. The iSMI consisted of seven sessions of problem-solving and emotion-regulation techniques and one booster session. Self-report data on symptoms of perceived stress and economic data were assessed at baseline, and at six months following randomization. A cost-benefit analysis (CBA) and a cost-effectiveness analysis (CEA) with symptom-free status as the main outcome from the employer's perspective was carried out. Statistical uncertainty was estimated using bootstrapping (N=5000). Results The CBA yielded a net-benefit of EUR181 [95% confidence interval (CI) -6043-1042] per participant within the first six months following randomization. CEA showed that at a willingness-to-pay ceiling of EUR0, EUR1000, EUR2000 for one additional symptom free employee yielded a 67%, 90%, and 98% probability, respectively, of the intervention being cost-effective compared to the WLC. Conclusion The iSMI was cost-effective when compared to WLC and even lead to cost savings within the first six months after randomization. Offering stress-management interventions can present good value for money in occupational healthcare.
Vortrag
  • Fanny Kählke
  • A.-M. Küchler

Learning Café. Das StudiCare Projekt – Psychische Gesundheit bei Studierenden erforschen und durch internet- und mobil-basierte Interventionen (IMIs) fördern.

Berlin 20.-21.03.2018.

(2018)

Vortrag
  • Fanny Kählke
  • T. Berger
  • A. Schulz
  • et al.

Efficacy of an unguided, internet- and mobile-based self-help intervention (IMI) for social anxiety disorder (SAD) in university students: results of a randomized controlled trial.

  • European Society for Research on Internet Interventions.

Dublin, Ireland 19.-20.04.2018.

(2018)

Vortrag
  • Fanny Kählke

Stress im Studium. Psychische Gesundheit Studierender aus wissenschaftlicher Sicht.

  • Friedrich-Ebert-Stiftung.

Würzburg 30.11.2018.

(2018)

Zeitschriftenartikel
  • Fanny Kählke
  • A.-M. Küchler
  • H. Baumeister
  • D. Ebert

StudiCare erfolgreich und gesund studieren – ein umfassendes deutsches und internationales Projekt zur Förderung der psychischen Gesundheit von Studierenden.

In: e-beratungsjournal.net - Fachzeitschrift für Onlineberatung und computervermittelte Kommunikation (vol. 15)

(2019)

Abstract anzeigen

Stress und psychische Belastungen sind unter Studierenden weit verbreitet und können sich negativ auf das Wohlbefinden und die Studienleistung auswirken. Das StudiCare-Projekt ist Teil der World Mental Health International College Student Initiative (WMH-ICS) der Weltgesundheitsorganisation (WHO). Die Initiative dient der Erhebung weltweiter Daten zur psychischen Gesundheit Studierender sowie deren Inanspruchnahme von Unterstützungsangeboten. Auf Basis der längsschnittlichen Befragungsdaten können multivariate Vorhersagemodelle negativer Zielparameter (z. B. psychische Störungen, Studienabbruch) erstellt werden. In Deutschland wird das StudiCare-Projekt von der Friedrich-Alexander-Universität Erlangen-Nürnberg und der Universität Ulm durchgeführt. Innerhalb des Projektes werden zudem internet- und mobilbasierte Trainings zu verschiedensten Themenbereichen (z. B. Stress, Achtsamkeit, soziale Angst, Depression und körperliche Aktivität) entwickelt und an Studierenden hinsichtlich Akzeptanz, Wirksamkeit und Kosteneffektivität evaluiert. Die Rekrutierung erfolgt dabei innerhalb eines einzigartigen Netzwerkes von derzeit bereits fast 20 Universitäten in Deutschland, Österreich und der Schweiz. Der vorliegende Artikel gibt einen Überblick über die Hintergründe, Methodik und ersten Ergebnisse des StudiCare-Projekts.
Zeitschriftenartikel
  • Fanny Kählke
  • T. Berger
  • A. Schulz
  • H. Baumeister
  • M. Berking
  • P. Cuijpers
  • R. Bruffaerts
  • R. Auerbach
  • R. Kessler
  • D. Ebert

Efficacy and cost-effectiveness of an unguided, internet-based self-help intervention for social anxiety disorder in university students: protocol of a randomized controlled trial.

In: BMC Psychiatry (vol. 19) , pg. 197

(2019)

DOI: 10.1186/s12888-019-2125-4

Abstract anzeigen

BACKGROUND Social anxiety disorder (SAD) is highly prevalent among university students, but the majority of affected students remain untreated. Internet- and mobile-based self-help interventions (IMIs) may be a promising strategy to address this unmet need. This study aims to investigate the efficacy and cost-effectiveness of an unguided internet-based treatment for SAD among university students. The intervention is optimized for the treatment of university students and includes one module targeting fear of positive evaluations that is a neglected aspect of SAD treatment. METHODS The study is a two arm randomized controlled trial in which 200 university students with a primary diagnosis of SAD will be assigned randomly to either a wait-list control group (WLC) or the intervention group (IG). The intervention consists of 9 sessions of an internet-based cognitive-behavioral treatment, which also includes a module on fear of positive evaluation (FPE). Guidance is delivered only on the basis of standardized automatic messages, consisting of positive reinforcements for session completion, reminders, and motivational messages in response to non-adherence. All participants will additionally have full access to treatment as usual. Diagnostic status will be assessed through Structured Clinical Interviews for DSM Disorders (SCID). Assessments will be completed at baseline, 10 weeks and 6-month follow-up. The primary outcome will be SAD symptoms at post-treatment, assessed via the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Secondary outcomes will include diagnostic status, depression, quality of life and fear of positive evaluation. Cost-effectiveness and cost-utility analyses will be evaluated from a societal and health provider perspective. DISCUSSION Results of this study will contribute to growing evidence for the efficacy and cost-effectiveness of unguided IMIs for the treatment of SAD in university students. Consequently, this trial may provide valuable information for policy makers and clinicians regarding the allocation of limited treatment resources to such interventions. TRIAL REGISTRATION DRKS00011424 (German Clinical Trials Register (DRKS)) Registered 14/12/2016.
Zeitschriftenartikel
  • Fanny Kählke
  • C. Buntrock
  • F. Smit
  • M. Berking
  • D. Lehr
  • E. Heber
  • B. Funk
  • H. Riper
  • D. Ebert

Economic Evaluation of an Internet-Based Stress Management Intervention Alongside a Randomized Controlled Trial.

In: JMIR Mental Health (vol. 6) , pg. e10866

(2019)

DOI: 10.2196/10866

Abstract anzeigen

BACKGROUND Work-related stress is widespread among employees and associated with high costs for German society. Internet-based stress management interventions (iSMIs) are effective in reducing such stress. However, evidence for their cost-effectiveness is scant. OBJECTIVE The aim of this study was to assess the cost-effectiveness of a guided iSMI for employees. METHODS A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale≥22) was assigned to either the iSMI or a waitlist control condition (WLC) with unrestricted access to treatment as usual. Participants were recruited in Germany in 2013 and followed through 2014, and data were analyzed in 2017. The iSMI consisted of 7 sessions plus 1 booster session. It was based on problem-solving therapy and emotion regulation techniques. Costs were measured from the societal perspective, including all direct and indirect medical costs. We performed a cost-effectiveness analysis and a cost-utility analysis relating costs to a symptom-free person and quality-adjusted life years (QALYs) gained, respectively. Sampling uncertainty was handled using nonparametric bootstrapping (N=5000). RESULTS When the society is not willing to pay anything to get an additional symptom-free person (eg, willingness-to-pay [WTP]=€0), there was a 70% probability that the intervention is more cost-effective than WLC. This probability rose to 85% and 93% when the society is willing to pay €1000 and €2000, respectively, for achieving an additional symptom-free person. The cost-utility analysis yielded a 76% probability that the intervention is more cost-effective than WLC at a conservative WTP threshold of €20,000 (US $25,800) per QALY gained. CONCLUSIONS Offering an iSMI to stressed employees has an acceptable likelihood of being cost-effective compared with WLC. TRIAL REGISTRATION German Clinical Trials Register DRKS00004749; https://www.drks.de/DRKS00004749. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.1186/1471-2458-13-655.
Zeitschriftenartikel
  • D. Ebert
  • P. Mortier
  • Fanny Kählke
  • R. Bruffaerts
  • H. Baumeister
  • R. Auerbach
  • et al.

Barriers of mental health treatment utilization among first-year college students: First cross-national results from the WHO World Mental Health International College Student Initiative.

In: International Journal of Methods in Psychiatric Research (vol. 28) , pg. e1782

(2019)

DOI: 10.1002/mpr.1782

Abstract anzeigen

BACKGROUND Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university students, the majority of students with these problems remain untreated. It is unclear what the barriers are to these students seeking treatment. AIMS The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year college students. METHOD As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, college-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. RESULTS Only 24.6% of students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. CONCLUSIONS The majority of first-year college students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to student who report hesitation about seeking treatment.
Zeitschriftenartikel
  • D. Ebert
  • M. Franke
  • Fanny Kählke
  • A.-M. Küchler
  • R. Bruffaerts
  • P. Mortier
  • et al.

Increasing intentions to use mental health services among university students. Results of a pilot randomized controlled trial within the World Health Organization's World Mental Health International College Student Initiative.

In: International Journal of Methods in Psychiatric Research (vol. 28) , pg. e1754

(2019)

DOI: 10.1002/mpr.1754

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BACKGROUND The majority of university students with mental health problems are untreated. Only a small empirical literature exists on strategies to increase mental health service use. AIMS To investigate the effects and moderators of a brief acceptance-facilitating intervention on intention to use mental health services among university students. METHOD Within the German site of the World Health Organization's World Mental Health International College Student (WMH-ICS) initiative, 1,374 university students were randomized to an intervention condition (IC; n = 664) or a control condition (CC; n = 710) that was implemented in the survey itself. Both conditions received the questions assessing mental disorders and suicidality that were included in other WMH-ICS surveys. The IC group then additionally received: Internet-based personalized feedback based on subject symptom severity in the domains of depression, anxiety, substance use, suicidal thoughts and behaviors, and nonsuicidal self-injury; psychoeducation tailored to the personal symptom profile; and information about available university and community mental health services. The primary outcome was reported intention to use psychological interventions in the next semester, which was the last question in the survey. A broad range of potential moderating factors was explored. RESULTS There was a significant main effect of the intervention with students randomized to IC, reporting significantly higher intentions to seek help in the next semester than students in the CC condition (d = 0.12, 95% CI: 0.02 to 0.23). Moderator analyses indicated that the intervention was more effective among students that fulfilled the criteria for lifetime (d = 0.34; 95% CI: -0.08 to 0.7) and 12-month panic-disorder (d = 0.32; 95% CI: -0.10 to 0.74) compared with those without lifetime (d = 0.11; 95% CI: 0.00 to 0.22) or 12-month panic disorder (d = 0.11; 95% CI: 0.00 to 0.22), students with lower (d = 0.37; 95% CI: -0.77 to 1.51) than higher (d = -0.01; 95% CI: -0.36 to 0.34) self-reported physical health, and students with nonheterosexual (d = 0.38; 95% CI: 0.08 to 0.67) compared with heterosexual (d = 0.06; 95% CI: -0.06 to 0.17) sexual orientation. The intervention had no effects among students who reported that they recognized that they had an emotional problem and "are already working actively to change it" (Stage 4 "stages of change"). CONCLUSIONS A simple acceptance-facilitating intervention can increase intention to use mental health services, although effects, are on average, small. Future studies should investigate more personalized approaches with interventions tailored to barriers and clinical characteristics of students. In order to optimize intervention effects, the development and evaluation should be realized in designs that are powered to allow incremental value of different intervention components and tailoring strategies to be evaluated, such as in multiphase optimization designs.
Zeitschriftenartikel
  • Fanny Kählke
  • T. Berger
  • A. Schulz
  • H. Baumeister
  • M. Berking
  • R. Auerbach
  • R. Bruffaerts
  • P. Cuijpers
  • R. Kessler
  • D. Ebert

Efficacy of an unguided internet-based self-help intervention for social anxiety disorder in university students: A randomized controlled trial.

In: International Journal of Methods in Psychiatric Research (vol. 28) , pg. e1766

(2019)

DOI: 10.1002/mpr.1766

Abstract anzeigen

OBJECTIVES Internet- and mobile-based interventions (IMIs) offer the opportunity to deliver mental health treatments on a large scale. This randomized controlled trial evaluated the efficacy of an unguided IMI (StudiCare SAD) for university students with social anxiety disorder (SAD). METHODS University students (N = 200) diagnosed with SAD were randomly assigned to an IMI or a waitlist control group (WLC) with full access to treatment as usual. StudiCare SAD consists of nine sessions. The primary outcome was SAD symptoms at posttreatment (10 weeks), assessed via the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Secondary outcomes included depression, quality of life, fear of positive evaluation, general psychopathology, and interpersonal problems. RESULTS Results indicated moderate to large effect sizes in favor of StudiCare SAD compared with WLC for SAD at posttest for the primary outcomes (SPS: d = 0.76; SIAS: d = 0.55, p < 0.001). Effects on all secondary outcomes were significant and in favor of the intervention group. CONCLUSION StudiCare SAD has proven effective in reducing SAD symptoms in university students. Providing IMIs may be a promising way to reach university students with SAD at an early stage with an effective treatment.
Zeitschriftenartikel
  • S. Paganini
  • J. Lin
  • Fanny Kählke
  • C. Buntrock
  • D. Leiding
  • D. Ebert
  • H. Baumeister

A guided and unguided internet- and mobile-based intervention for chronic pain: health economic evaluation alongside a randomised controlled trial.

In: BMJ Open (vol. 9) , pg. e023390

(2019)

DOI: 10.1136/bmjopen-2018-023390

Abstract anzeigen

OBJECTIVE This study aims at evaluating the cost-effectiveness and cost-utility of a guided and unguided internet-based intervention for chronic pain patients (ACTonPainguided and ACTonPainunguided) compared with a waitlist control group (CG) as well as the comparative cost-effectiveness of the guided and the unguided version. DESIGN This is a health economic evaluation alongside a three-arm randomised controlled trial from a societal perspective. Assessments were conducted at baseline, 9 weeks and 6 months after randomisation. SETTING Participants were recruited through online and offline strategies and in collaboration with a health insurance company. PARTICIPANTS 302 adults (≥18 years, pain for at least 6 months) were randomly allocated to one of the three groups (ACTonPainguided, ACTonPainunguided, CG). INTERVENTIONS ACTonPain consists of seven modules and is based on Acceptance and Commitment Therapy. ACTonPainguided and ACTonPainunguided only differ in provision of human support. PRIMARY AND SECONDARY OUTCOME MEASURES Main outcomes of the cost-effectiveness and the cost-utility analyses were meaningful change in pain interference (treatment response) and quality-adjusted life years (QALYs), respectively. Economic evaluation estimates were the incremental cost-effectiveness and cost-utility ratio (ICER/ICUR). RESULTS At 6-month follow-up, treatment response and QALYs were highest in ACTonPainguided (44% and 0.280; mean costs = €6,945), followed by ACTonPainunguided (28% and 0.266; mean costs = €6,560) and the CG (16% and 0.244; mean costs = €6,908). ACTonPainguided vs CG revealed an ICER of €45 and an ICUR of €604.ACTonPainunguided dominated CG. At a willingness-to-pay of €0 the probability of being cost-effective was 50% for ACTonPainguided (vs CG, for both treatment response and QALY gained) and 67% for ACTonPainunguided (vs CG, for both treatment response and QALY gained). These probabilities rose to 95% when society's willingness-to-pay is €91,000 (ACTonPainguided) and €127,000 (ACTonPainunguided) per QALY gained. ACTonPainguided vs ACTonPainunguided revealed an ICER of €2,374 and an ICUR of €45,993. CONCLUSIONS Depending on society's willingness-to-pay, ACTonPain is a potentially cost-effective adjunct to established pain treatment. ACTonPainunguided (vs CG) revealed lower costs at better health outcomes. However, uncertainty has to be considered. Direct comparison of the two interventions does not indicate a preference for ACTonPainguided. TRIAL REGISTRATION NUMBER DRKS00006183.
Vortrag
  • Fanny Kählke
  • T. Berger
  • A. Schulz
  • et al.

Efficacy and cost-effectiveness of an unguided, internet-based self-help intervention (IMI) for social anxiety disorder (SAD) in university students: results of a randomized controlled trial.

  • International Society for Research on Internet Interventions.

Auckland, New Zealand 12.-15.09.2019.

(2019)

Zeitschriftenartikel
  • C. Buntrock
  • Fanny Kählke
  • F. Smit
  • D. Ebert

A systematic review of trial-based economic evaluations of internet- and mobile-based interventions for substance use disorders.

In: European Journal of Public Health (vol. 31) , pg. i19-i28

(2021)

DOI: 10.1093/eurpub/ckz022

Abstract anzeigen

BACKGROUND Substance use disorders (SUDs) contribute significantly to global rates of morbidity and mortality. Internet- and mobile-based interventions (IMIs) have been suggested as an adjunct to face-to-face health services. However, the evidence for the cost-effectiveness of IMIs for SUDs is scant. METHODS A comprehensive literature search in PubMed, PsycINFO, the Cochrane Central Register of Controlled Trials, NHS Economic Evaluations Database, NHS Health Technology Assessment Database, Office of Health Economics Evaluations Database and EconLit was conducted. We included economic evaluations alongside randomized controlled trials of IMIs for SUDs compared with a control group. RESULTS Of 1687 abstracts identified, 11 studies met the inclusion criteria. Targeted conditions were alcohol use disorder (four studies) and tobacco smoking (five studies) whereas two studies included any SUD. Cost-effectiveness results demonstrated that IMIs had a firm probability of being more cost-effective than TAU (e.g. less costs per additional abstinent person). Compared with (online) psycho-education, evidence towards an additional benefit of IMIs was less clear. Regarding cost-utility (e.g. costs per quality-adjusted life year gained), except for one study, results suggested that TAU and online psycho-education would probably be more preferable than IMIs. Quality of study reporting was at least adequate. CONCLUSIONS The likelihood of IMIs being more cost-effective than TAU looks promising but more economic evaluations are needed in order to determine the economic merit of IMIs. With an increasing pressure on health care budgets, strategies to disseminate effective interventions at affordable costs are required. This review suggests that IMIs might carry that promise and have potential as a cost-effective strategy to scale-up existing evidence-based treatments for SUDs. SYSTEMATIC REVIEW REGISTRATION The systematic review has been registered in the PROSPERO database (no. CRD42018099486).
Zeitschriftenartikel
  • M. Harrer
  • H. Baumeister
  • Fanny Kählke
  • M. Franke
  • A.-M. Küchler
  • D. Ebert

StudiCare -Results of Randomized-Controlled Trials Evaluating Online Interventions Delivered at German-Speaking Universities as Part of the WHO-WMH International College Student Initiative. Meeting Abstract.

In: International Journal of Behavioral Medicine (vol. 28) , pg. S134-S134

(2021)

Zeitschriftenartikel
  • Fanny Kählke
  • C. Buntrock
  • F. Smit
  • D. Ebert

Systematic review of economic evaluations for internet- and mobile-based interventions for mental health problems.

In: NPJ Digital Medicine (vol. 5) , pg. 175

(2022)

DOI: 10.1038/s41746-022-00702-w

Abstract anzeigen

In view of the staggering disease and economic burden of mental disorders, internet and mobile-based interventions (IMIs) targeting mental disorders have often been touted to be cost-effective; however, available evidence is inconclusive and outdated. This review aimed to provide an overview of the cost-effectiveness of IMIs for mental disorders and symptoms. A systematic search was conducted for trial-based economic evaluations published before 10th May 2021. Electronic databases (including MEDLINE, PsycINFO, CENTRAL, PSYNDEX, and NHS Economic Evaluations Database) were searched for randomized controlled trials examining IMIs targeting mental disorders and symptoms and conducting a full health economic evaluation. Methodological quality and risk of bias were assessed. Cost-effectiveness was assumed at or below £30,000 per quality-adjusted life year gained. Of the 4044 studies, 36 economic evaluations were reviewed. Guided IMIs were likely to be cost-effective in depression and anxiety. The quality of most evaluations was good, albeit with some risks of bias. Heterogeneity across studies was high because of factors such as different costing methods, design, comparison groups, and outcomes used. IMIs for anxiety and depression have potential to be cost-effective. However, more research is needed into unguided (preventive) IMIs with active control conditions (e.g., treatment as usual) and longer time horizon across a wider range of disorders.Trial registration: PROSPERO Registration No. CRD42018093808.
Zeitschriftenartikel
  • A.-M. Küchler
  • Fanny Kählke
  • D. Vollbrecht
  • K. Peip
  • D. Ebert
  • H. Baumeister

Effectiveness, Acceptability, and Mechanisms of Change of the Internet-Based Intervention StudiCare Mindfulness for College Students: a Randomized Controlled Trial.

In: Mindfulness (vol. 13) , pg. 2140-2154

(2022)

DOI: 10.1007/s12671-022-01949-w

Abstract anzeigen

Objectives: College is an exhilarating but stressful time often associated with mental distress. The StudiCare project offers Internet- and mobile-based interventions (IMI) for college student mental health promotion. Within this framework, we evaluated the IMI StudiCare Mindfulness, and examined potential moderators and mediators of effectiveness. Methods: In this randomized controlled trial, 150 college students with low to moderate mindfulness were randomly assigned to StudiCare Mindfulness or a waitlist control group (WL). StudiCare Mindfulness comprises 5 weekly online modules based on Acceptance Commitment Therapy and stress management. Assessments took place before (t0) and 6 weeks after (t1) randomization. Primary outcome was mindfulness. Secondary outcomes were stress, depression, anxiety, quality of life, intervention satisfaction, and adherence. Sociodemographic variables, pre-intervention symptomatology, personality traits, and attitudes towards IMI were examined as potential moderators. Results: Intention-to-treat analyses (N = 149) showed a large effect of StudiCare Mindfulness on mindfulness (d = 1.37; 95% CI: 1.01–1.73) compared to WL at t1 (β = 1.18; 95% CI: 0.96–1.40). Effects on secondary outcomes were significant in favor of the intervention group except for physical quality of life. Mindfulness was found to mediate intervention effectiveness on depression, anxiety, and stress. Moderation analysis was non-significant except for baseline openness to experience, with lower openness associated with larger intervention effects on mindfulness. Conclusions: This trial suggests that StudiCare Mindfulness may enhance mindfulness and reduce mental health problems. Its potential applicability as low-threshold prevention and treatment option on a population level should be subject to future trials.
Beitrag in Sammelwerk/Tagungsband
  • Fanny Kählke
  • A.-M. Küchler
  • H. Baumeister
  • D. Ebert

The impact of COVID-19 on student mental health. Results of a representative survey of first-semester students in Germany.

Georg Thieme Verlag

DOI: 10.1055/s-0042-1753729

(2022)

Vortrag
  • Fanny Kählke

Wirksamkeit und Kosteneffektivität einer unbegleiteten internet- und mobilbasierten Selbsthilfeintervention (StudiCare soziale Ängste) zur Behandlung der sozialen Angststörung bei Studierenden: Ergebnisse einer randomisiert-kontrollierten Studie.

  • Deutsche Gesellschaft für Psychologe.

Berlin 09.06.2022.

(2022)

Sonstiges
  • Fanny Kählke

1. Deutscher Psychotherapie Kongress Berlin: Leitung des Symposiums "StudiCare: Ergebnisse des deutschen Netzwerkes zur Förderung der psychischen Gesundheit Studierender im Rahmen der WHO-World Mental Health International College Student Initiative".

Berlin: Deutsche Gesellschaft für Psychologe (DGPs).

(2022)

Vortrag
  • Fanny Kählke
  • A.-M. Küchler

Evaluating various features of internet-based interventions: Results of a procrastination and a mindfulness-based intervention.

Boston, MA, USA; Online 29.06.2022.

(2022)

Zeitschriftenartikel
  • A.-M. Küchler
  • Fanny Kählke
  • L. Bantleon
  • Y. Terhorst
  • D. Ebert
  • H. Baumeister

Moderators and mediators of change of an internet-based mindfulness intervention for college students: secondary analysis from a randomized controlled trial.

In: Frontiers in Digital Health (vol. 5) , pg. 1179216

(2023)

DOI: 10.3389/fdgth.2023.1179216

Abstract anzeigen

BACKGROUND Existing evidence suggests internet- and mobile-based interventions (IMIs) improve depressive symptoms in college students effectively. However, there is far less knowledge about the potential mechanisms of change of mindfulness-based IMIs, which could contribute to optimizing target groups and interventions. Hence, within this secondary analysis of data from a randomized controlled trial (RCT), potential moderators and mediators of the effectiveness of the IMI StudiCare Mindfulness were investigated. METHODS Moderation and mediation analyses were based on secondary data from a RCT that examined the effectiveness of the 7-module IMI StudiCare Mindfulness in a sample of college students (intervention group: n = 217; waitlist control group: n = 127). Assessments were collected before (t0; baseline), 4 weeks after (t1; during intervention), and 8 weeks after (t2; post-intervention) randomization. Longitudinal mediation analyses using structural equation modeling were employed, with depressive symptom severity as the dependent variable. For moderation analyses, bilinear interaction models were calculated with depressive symptom severity and mindfulness at t2 as dependent variables. All data-analyses were performed on an intention-to-treat basis. RESULTS Mediation analyses showed a significant, full mediation of the intervention effect on depressive symptom severity through mindfulness (indirect effect, a*b = 0.153, p < 0.01). Only the number of semesters (interaction: β = 0.24, p = 0.035) was found to moderate the intervention's effectiveness on depressive symptom severity at t2, and only baseline mindfulness (interaction: β = -0.20, p = 0.047) and baseline self-efficacy (interaction: β = -0.27, p = 0.012) were found to be significant moderators of the intervention effect on mindfulness at t2. CONCLUSION Our results suggest a mediating role of mindfulness. Moderation analyses demonstrated that the intervention improved depressive symptom severity and mindfulness independent of most examined baseline characteristics. Future confirmatory trials will need to support these findings. CLINICAL TRIAL REGISTRATION The trial was registered a priori at the WHO International Clinical Trials Registry Platform via the German Clinical Studies Trial Register (TRN: DRKS00014774; registration date: 18 May 2018).
Zeitschriftenartikel
  • Fanny Kählke
  • C. Buntrock
  • F. Smit
  • T. Berger
  • H. Baumeister
  • D. Ebert

Long-Term Outcomes and Cost-Effectiveness of an Internet-Based Self-Help Intervention for Social Anxiety Disorder in University Students: Results of a Randomized Controlled Trial.

In: Depression and Anxiety (vol. 2023) , pg. 1-16

(2023)

DOI: 10.1155/2023/7912017

Abstract anzeigen

Social anxiety disorder (SAD) is widespread among university students and is associated with high costs for the society. While unguided internet- and mobile-based interventions (IMIs) may have short-term effects in reducing SAD symptoms, evidence for their long-term efficacy and cost-effectiveness is still limited. The aim of this study is to examine the 6-month outcomes of an IMI for university students with SAD. Participants were recruited via mass mails sent to enrolled students and included if they were at least 18 years old, met the diagnostic criteria of SAD in a structured clinical interview for DSM-IV axis I disorders (SCID-I), and provided written informed consent. In a prospective study designed as a two-armed randomized-controlled trial, 200 students (mean age 26.7 years) diagnosed with SAD were randomly assigned to an IMI or a waitlist control (WLC) condition. The IMI consisted of nine weekly sessions based on the cognitive-behavioral treatment model for social phobia by Clark and Wells. The primary outcome was SAD symptom severity assessed via the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). A health economic evaluation from a societal and healthcare perspective examined the costs related to the symptom-free status and quality-adjusted life years (QALYs) gained. Statistically significant differences in SAD symptom severity previously found at posttreatment favoring the IMI were maintained at a 6-month follow-up [SIAS (Cohen’s d = 0.59; 95% CI, 0.30, 0.87) and SPS (Cohen’s d = 0.83; 95% CI, 0.54, 1.1)]. From a societal perspective, at a willingness to pay (WTP) of €0, the intervention was found to have a 92% and 93% probability of cost-effectiveness compared with the WLC per symptom-free status and QALY gained, respectively. From a healthcare perspective, the likelihood of cost-effectiveness of the intervention was 97% per symptom-free status at a WTP of €1000 (US$1326) and 96% per QALY gained at a WTP of €6000 (US$7956). This IMI is effective in treating university students with SAD and has an acceptable likelihood of cost-effectiveness compared with WLC from a societal perspective. This intervention can be integrated into university healthcare to reach students with SAD as it is scalable, shows a high probability of cost-effectiveness, and overcomes known treatment barriers.
Vortrag
  • Fanny Kählke

Psychische Gesundheit und die Lebenswelt Hochschule – Einflussfaktoren und Präventionsstrategien.

Berlin 08.-09.011.2023.

(2023)

Zeitschriftenartikel
  • A. Mutter
  • A.-M. Küchler
  • A. Idrees
  • Fanny Kählke
  • Y. Terhorst
  • H. Baumeister

StudiCare procrastination - Randomized controlled non-inferiority trial of a persuasive design-optimized internet- and mobile-based intervention with digital coach targeting procrastination in college students.

In: BMC Psychology (vol. 11) , pg. 273

(2023)

DOI: 10.1186/s40359-023-01312-1

Abstract anzeigen

BACKGROUND Academic procrastination is widespread among college students. Procrastination is strongly negatively correlated with psychological well-being, thus early interventions are needed. Internet- and mobile-based cognitive behavioral therapy (iCBT) could provide a low-threshold treatment option. Human guidance seems to be a decisive mechanism of change in iCBT. Persuasive design optimization of iCBT and guidance by a digital coach might represent a resource-saving alternative. The study evaluated the non-inferiority of a digital coach in comparison to human guidance with regard to the primary outcome procrastination. METHODS The iCBT StudiCare procrastination was optimized by principles of the Persuasive System Design (PSD). A total of 233 college students were randomly assigned to either StudiCare procrastination guided by a digital coach (intervention group, IG) or by a human eCoach (control group, CG). All participants were assessed at baseline, 4-, 8- and 12-weeks post-randomization. Symptom change and between-group differences were assessed with latent growth curve models and supported by effect size levels. The non-inferiority margin was set at Cohen's d = - 0.3. RESULTS The primary outcome procrastination measured by the Irrational Procrastination scale (IPS) significantly decreased across groups (γ = - 0.79, p < .001, Cohen's d = -0.43 to -0.89) from baseline to 12-weeks post-randomization. There were no significant differences between groups (γ = -0.03, p = .84, Cohen's d = -0.03 to 0.08). Regarding symptoms of depression, no significant time x group effect was found (γ = 0.26, p = .09; Cohen's d = -0.15 to 0.21). There was also no significant time x group effect on the improvement of symptoms of anxiety (γ = 0.25, p = .09). However, Cohen's ds were above the non-inferiority margin 8-weeks (Cohen's d = 0.51) and 12-weeks post-randomization (Cohen's d = 0.37), preferring the CG. Of the IG, 34% and of the CG, 36% completed 80% of the modules. CONCLUSIONS The PSD optimized version of StudiCare procrastination is effective in reducing procrastination. The digital coach was not inferior to human guidance. Guidance by a digital coach in iCBT against procrastination for college students could be a resource-saving alternative to human guidance. TRIAL REGISTRATION The trial was registered at the WHO International Clinical Trials Registry Platform via the German Clinical Trial Register (ID: DRKS00025209, 30/04/2021).
Radio-/Fernsehsendung
  • Fanny Kählke

Interview zur Vorbereitung eines Infovideos. Gespräch zum Thema: psychische Gesundheit Studierender (Verbreitung, Ursachen, Stressmanagement, Prüfungsängste).

(2023)

Vortrag
  • Fanny Kählke
  • A.-M. Küchler
  • H. Baumeister

Increasing the efficacy of e-mental-health interventions in health promotion and prevention.

Boston, MA, USA 10.-14.07.2023.

(2023)

Hochschulschrift
  • Fanny Kählke

Are Internet- and Mobile-Based Interventions in Mental Health a Good Value for Money?. Efficacy and Cost-Effectiveness of Internet- and Mobile-based Interventions in Prevention and Treatment of Mental Disorders.

Technische Universität München, München. TUM School of Medicine and Health

(2023)

Vortrag
  • Fanny Kählke
  • C. Buntrock
  • F. Smit
  • et al.

Systematic review of economic evaluations for internet- and mobile-based interventions for mental health problems. Poster presentation.

  • European Society for Research on Internet Interventions.

Amsterdam, The Netherlands 31.08.-01.09.2023.

(2023)

Vortrag
  • Fanny Kählke

E-Mental health and individual coping strategies. Workshop für Fach- und Führungskräfte in internationalen deutschen Bildungseinrichtungen im Master of „Vocational Education and Innovation“.

  • Technische Universität München.

München 13.09.2023.

(2023)

Zeitschriftenartikel
  • Fanny Kählke
  • P. Hasking
  • A.-M. Küchler
  • H. Baumeister

Mental health services for German university students: acceptance of intervention targets and preference for delivery modes.

In: Frontiers in Digital Health (vol. 6) , pg. 1284661

(2024)

DOI: 10.3389/fdgth.2024.1284661

Abstract anzeigen

INTRODUCTION Most university students with mental disorders remain untreated. Evaluating the acceptance of intervention targets in mental health treatment, promotion, and prevention, as well as mental health service delivery modes is crucial for reducing potential barriers, increasing healthcare utilization, and efficiently allocating resources in healthcare services. AIM The study aimed to evaluate the acceptance of various intervention targets and delivery modes of mental health care services in German first-year university students. METHODS In total, 1,376 first-year students from two German universities from the 2017-2018 multi-center cross-sectional cohort of the StudiCare project, the German arm of the World Mental Health International College Student Survey initiative, completed a web-based survey assessing their mental health. Mental disorder status was based on self-reported data fulfilling the DSM-IV criteria. We report frequencies of accepted delivery modes [categories: group or in-person therapy with on or off campus services, self-help internet- or mobile-based intervention (IMI) with or without coaching, or a combination of a in-person and IMI (blended)]. In a multinomial logistic regression, we estimate correlates of the preference for in-person vs. IMI vs. a combination of both modes (blended) modalities. Additionally, we report frequencies of intervention targets (disorder specific: e.g., social phobia, depressive mood; study-related: test anxiety, procrastination; general well-being: sleep quality, resilience) their association with mental disorders and sex, and optimal combinations of treatment targets for each mental illness. RESULTS German university students' acceptance is high for in-person (71%-76%), moderate for internet- and mobile-based (45%-55%), and low for group delivery modes (31%-36%). In-person treatment (72%) was preferred over IMI (19%) and blended modalities (9%). Having a mental disorder [odds ratio (OR): 1.56], believing that digital treatments are effective (OR: 3.2), and showing no intention to use services (OR: 2.8) were associated with a preference for IMI compared to in-person modes. Students with prior treatment experience preferred in-person modes (OR: 0.46). In general, treatment targets acceptance was higher among female students and students with mental disorders. However, this was not true for targets with the highest (i.e., procrastination) and the lowest (i.e., substance-use disorder) acceptance. If only two intervention targets were offered, a combination of study-related targets (i.e., procrastination, stress, time management) would reach 85%-88% of the students. CONCLUSION In-person services are preferred, yet half of the students consider using IMI, preferably aiming for a combination of at least two study-related intervention targets. Student mental health care services should offer a combination of accepted targets in different delivery modes to maximize service utilization.
Zeitschriftenartikel
  • Fanny Kählke
  • A. Pyttlik
  • A.-M. Küchler
  • H. Baumeister

Die psychische Gesundheit Studierender mit digitalen Angeboten fördern.

In: Public Health Forum (vol. 32) , pg. 88-92

(2024)

DOI: 10.1515/pubhef-2024-0013

Abstract anzeigen

Die Förderung der psychischen Gesundheit ist zentral für Lebensqualität, körperliches Wohlbefinden, akademische Leistungsfähigkeit und soziale Teilhabe von Studierenden. Evidenzbasierte Internet- und mobilbasierte Interventionen (IMI) können klassische psychosoziale Beratungsangebote ergänzen und eröffnen neue Wege der Versorgung. Anhand des StudiCare Projekts werden die Wirksamkeit, Adhärenz, Inanspruchnahme(-barrieren), Limitationen und zukünftige Entwicklungen vorgestellt und diskutiert.
Vortrag
  • Fanny Kählke

Mental health services for German university students: acceptance of intervention targets and preference for delivery modes. Poster presentation.

  • International Society for Research on Internet Interventions.

Limerick, Ireland 02.-05.06.2024.

(2024)

Vortrag
  • Fanny Kählke

The agony of choice. Which intervention targets and delivery modes are of most interest to students?.

Boston, MA, USA 10.-14.07.2024.

(2024)

Projekte

Verzahnte Internet-basierte Intervention zur Reduktion von Prokrastination bei Studierenden (TUM Center for Study and Teaching)

Kernkompetenzen

Lehre

  • Digitalisierung im Gesundheitswesen
  • Digitale Gesundheitsanwendungen
  • Wissenschaftliches Arbeiten
  • Digitale Gesundheitskompetenz
  • Modelle des Gesundheitsverhaltens

Forschungs- und Lehrgebiete

Themenschwerpunkte:

  • Interventionsstudien & Digitale Gesundheitsanwendungen im Bereich der Förderung und Behandlung von psychischen Erkrankungen
  • Studierendengesundheit /Studentisches Gesundheitsmanagement
  • Gesundheitsförderung und Prävention
  • Digitale Gesundheitskompetenz der Gesundheitsfachberufe

Methodische Schwerpunkte:

  • Akzeptanz, Wirksamkeit und Kosten-Effektvitäts-Analysen von Interventionsstudien
  • Randomisierte klinische Studien
  • Längsschnittserhebungen & Panelbefragungen
  • Qualitative Untersuchungen der Akzeptanz von DiGAs

Vita

  • 2007-2013: Lehramtsstudium für Berufsbildende Schulen (Gesundheit & Pflege, Wirtschafts- und Sozialkunde), TU Dresden
  • 2007-2010: 1 jährige Vollzeitätigkeit in der stationären Heilerziehungs- und Altenpflege, Apotheke, Physiotherapie
  • 2013-2014: Internationaler Master of Science in Public Health (Universität Umeå, Schweden)
  • 2014-2016: Referendariat am Oberstufenzentrum Johanna Just, Potsdam, Brandenburg
  • 2016-2020: Wissenschaftliche Mitarbeiterin, Lehrstuhl für Klinische Psychologie und Psychotherapie (Prof. Matthias Berking) FAU Erlangen-Nürnberg
  • 2019 Forschungsaufenthalt an der Curtin University, Prof. Penelope Hasking, School of Psychology, Perth, Australien
  • Elternzeit: 2019-2021
  • 2020-2024: Wissenschaftliche Mitarbeitein / Postdoc, Professorship Psychology and Digital Mental Health Care (Prof. David Ebert), TU München
  • Promotion (2017-2023) (Kosten-) Effektivität von internet-basierten Interventionen zur Behandlung und Förderung der psychischen Gesundheit (Summa cum laude)
  • seit 2024 Professorin für das Lehrgebiet „E-Health” an der TH Deggendorf

Sonstiges

Mitgliedschaften:

  • DGSMP
  • ISRII
  • Münchner Lokalgruppe des überregionalen Netzwerks „Mutterschaft und Wissenschaft“
  • HLB