Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project
BackgroundThe community-based, 4-level intervention of the European Alliance Against Depression (EAAD) is simultaneously addressing depression and suicidal behavior. Intervention activities target primary care health professionals (level 1), the general public (level 2), comm...
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JMIR Publications
2025-01-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2025/1/e64218 |
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| author | Katharina Schnitzspahn Kahar Abdulla Ella Arensman Chantal Van Audenhove Rainer Mere Victor Pérez Sola Merike Sisask András Székely Piotr Toczyski Ulrich Hegerl |
| author_facet | Katharina Schnitzspahn Kahar Abdulla Ella Arensman Chantal Van Audenhove Rainer Mere Victor Pérez Sola Merike Sisask András Székely Piotr Toczyski Ulrich Hegerl |
| author_sort | Katharina Schnitzspahn |
| collection | DOAJ |
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BackgroundThe community-based, 4-level intervention of the European Alliance Against Depression (EAAD) is simultaneously addressing depression and suicidal behavior. Intervention activities target primary care health professionals (level 1), the general public (level 2), community facilitators (level 3), and patients and their relatives (level 4). Activities comprise the digital iFightDepression tool, a guided self-management tool based on cognitive behavioral therapy.
ObjectiveThis study aimed to present the European Union–cofunded EAAD-Best study protocol, aiming at the implementation, dissemination, and evaluation of the 4-level intervention and the iFightDepression tool in several countries across Europe.
MethodsThe 4-level intervention has been implemented for the first time in Bulgaria, Estonia, Greece, and Poland. In 3 countries that have already implemented the 4-level intervention (Hungary, Ireland, and Spain), activities have been extended to new regions. In addition, the nationwide uptake of the iFightDepression tool by patients with depression has been promoted in all mentioned countries and Italy.
ResultsTo evaluate the implementation of the 4-level intervention and the iFightDepression tool, data related to the process, output, and outcome were collected between 2022 and 2024. Data processing and analyses started in 2023. Analyses are expected to be completed in 2024. Results are expected to be published in 2025.
ConclusionsThis paper informs researchers, practitioners, and stakeholders on how to implement best practices in mental health promotion and evaluate their effectiveness.
International Registered Report Identifier (IRRID)DERR1-10.2196/64218 |
| format | Article |
| id | doaj-art-25b1a9ba4eb2447daf7ca8adb09b2613 |
| institution | Kabale University |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj-art-25b1a9ba4eb2447daf7ca8adb09b26132025-01-10T19:00:44ZengJMIR PublicationsJMIR Research Protocols1929-07482025-01-0114e6421810.2196/64218Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation ProjectKatharina Schnitzspahnhttps://orcid.org/0000-0001-6539-8185Kahar Abdullahttps://orcid.org/0009-0005-9387-5598Ella Arensmanhttps://orcid.org/0000-0003-0376-1203Chantal Van Audenhovehttps://orcid.org/0000-0002-5504-5439Rainer Merehttps://orcid.org/0009-0003-5058-0920Victor Pérez Solahttps://orcid.org/0000-0002-5825-2337Merike Sisaskhttps://orcid.org/0000-0001-6821-6367András Székelyhttps://orcid.org/0000-0001-8728-1420Piotr Toczyskihttps://orcid.org/0000-0003-1218-5623Ulrich Hegerlhttps://orcid.org/0000-0002-3039-7470 BackgroundThe community-based, 4-level intervention of the European Alliance Against Depression (EAAD) is simultaneously addressing depression and suicidal behavior. Intervention activities target primary care health professionals (level 1), the general public (level 2), community facilitators (level 3), and patients and their relatives (level 4). Activities comprise the digital iFightDepression tool, a guided self-management tool based on cognitive behavioral therapy. ObjectiveThis study aimed to present the European Union–cofunded EAAD-Best study protocol, aiming at the implementation, dissemination, and evaluation of the 4-level intervention and the iFightDepression tool in several countries across Europe. MethodsThe 4-level intervention has been implemented for the first time in Bulgaria, Estonia, Greece, and Poland. In 3 countries that have already implemented the 4-level intervention (Hungary, Ireland, and Spain), activities have been extended to new regions. In addition, the nationwide uptake of the iFightDepression tool by patients with depression has been promoted in all mentioned countries and Italy. ResultsTo evaluate the implementation of the 4-level intervention and the iFightDepression tool, data related to the process, output, and outcome were collected between 2022 and 2024. Data processing and analyses started in 2023. Analyses are expected to be completed in 2024. Results are expected to be published in 2025. ConclusionsThis paper informs researchers, practitioners, and stakeholders on how to implement best practices in mental health promotion and evaluate their effectiveness. International Registered Report Identifier (IRRID)DERR1-10.2196/64218https://www.researchprotocols.org/2025/1/e64218 |
| spellingShingle | Katharina Schnitzspahn Kahar Abdulla Ella Arensman Chantal Van Audenhove Rainer Mere Victor Pérez Sola Merike Sisask András Székely Piotr Toczyski Ulrich Hegerl Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project JMIR Research Protocols |
| title | Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project |
| title_full | Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project |
| title_fullStr | Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project |
| title_full_unstemmed | Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project |
| title_short | Community-Based 4-Level Intervention Targeting Depression and Suicidal Behavior in Europe: Protocol for an Implementation Project |
| title_sort | community based 4 level intervention targeting depression and suicidal behavior in europe protocol for an implementation project |
| url | https://www.researchprotocols.org/2025/1/e64218 |
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