Claudia Buntrock

Claudia Buntrock
Friedrich-Alexander-University of Erlangen-Nürnberg | FAU · Department of Clinical Psychology and Psychotherapy

PhD

About

58
Publications
17,453
Reads
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1,676
Citations
Introduction
Evaluating the efficacy and cost-effectiveness of web-based indicated prevention of major depression
Additional affiliations
December 2017 - present
Friedrich-Alexander-University of Erlangen-Nürnberg
Position
  • PostDoc Position
October 2016 - November 2017
Friedrich-Alexander-University of Erlangen-Nürnberg
Position
  • PhD Student
January 2015 - December 2015
Vrije Universiteit Amsterdam
Position
  • PhD Student

Projects

Projects (7)
Project
Chronic pain is a common problem in people working in green professions and impacts the ability to cope with everyday life and work. Specific interventions are indicated to reduce impairment of chronic pain and improve pain-related limitations. In this pragmatic two-armed randomized controlled trial PACT-A (n=286) a guided internet-based intervention is compared against enhanced treatment as usual (TAU+). The study is located at the Department of Clinical Psychology and Psychotherapy of the University of Ulm in cooperation with the Chair of Clinical Psychology and Psychotherapy of the Friedrich-Alexander-University Erlangen-Nuremberg. The target group are agriculturists, foresters and horticulturists (green professions) working as entrepreneurs, as well as collaborating spouses, family members and pensioners with chronic pain symptomology (at least Grade II according to the CPG) for a duration of least 6 months and adequate insurance status. The aim is to evaluate the effectiveness and cost-effectiveness of an internet-based intervention based on acceptance and commitment therapy (ACT) to reduce pain-related impairment. The intervention consisted of 7 modules over the course of 7 weeks and was guided by a trained eCoach. The intervention phase was followed by a 12-month consolidating phase with monthly contact to a trained eCoach. The control group had unrestricted access to standard care and additionally received information material on stress, depression and chronic pain as well as treatment offers in standard care. Assessments take place at baseline (T0), 9 weeks post-randomization (T1), and 6 (T2), 12 (T3), 24 (T4) and 36 months (T5) after randomization. The primary outcome is pain interference (Multidimensional Pain Interference scale; MPI) at T1. Secondary outcomes include depressive symptom severity (QIDS-SR16), psychological flexibility (CPAQ) and quality of life (AQoL-8D). The results of the study will provide valuable insights into short, medium and long-term (cost)effectiveness of an internet intervention for reduction of pain interference in chronic pain in the target group of green professions.
Project
Due to their living and working conditions, farmers are exposed to numerous psychological burdens (e.g. high workload, financial problems, bureaucracy). Depressive disorders often occur and are very stressful for those affected and their relatives. Specific preventive measures are indicated to reduce depressive burden and improve mental health in this occupational group. In this pragmatic two-armed randomized controlled trial PROD-A (n=360) a tailored and therapeutically guided preventive internet-based intervention (IMI) program is compared against enhanced treatment as usual (TAU+). The study is conducted at the Department of Clinical Psychology and Psychotherapy of the University of Ulm in cooperation with the Chair of Clinical Psychology and Psychotherapy of the Friedrich-Alexander-University Erlangen-Nuremberg. The target group are agriculturists, foresters and horticulturists (summarized as “green professions”) working as entrepreneurs, as well as collaborating spouses, family members and pensioners with at least subthreshold depression (PHQ-9 ≥ 5) and adequate insurance status. The aim is to evaluate the effectiveness and cost-effectiveness of a tailored IMI program for indicated prevention of depression consisting of six IMIs provided by an external service provider targeting depressive symptoms (GET.ON Mood Enhancer), depressive symptoms in diabetes (Mood Enhancer Diabetes), perceived stress (GET.ON Stress), insomnia (GET.ON Recovery), panic and agoraphobia (GET.ON Panic) and problematic alcohol consumption (GET.ON Be smart - Drink less). IMIs were assigned based on symptom screening and preference of participants. The intervention phase was followed by a 12-month consolidating phase with monthly contact to a trained eCoach. The control group had unrestricted access to standard care and additionally received information material on stress, depression and chronic pain as well as treatment offers in standard care. Assessments take place at baseline (T0), 9 weeks post-randomization (T1), and 6 (T2), 12 (T3), 24 (T4) and 36 months (T5) after randomization. The primary outcome was depressive symptom severity (QIDS-SR16) at T1. Secondary outcomes include incidence of depression (QIDS-SR16), quality of life (AQoL-8D) and negative effects (INEP). The results will provide valuable insights into short, medium and long-term (cost)effectiveness of an online-based program for depression prevention in the target group of green professions.
Project
The nationwide model project “Mit uns im Gleichgewicht” (With Us In Balance) aims to prevent depression among farmers, forest owners and horticulturists. The project is funded by the Social Insurance for Agriculture, Forestry and Horticulture (SVLFG) and is evaluated by the Friedrich-Alexander University Erlangen-Nürnberg and the University of Ulm. Farmers are a vulnerable population for developing depression or other mental health disorders due to a variety of risk factors in their work context (e.g. high workload, family conflicts, seasonal work). In order to maintain mental health of farmers, forester owners and horticulturists, the SVLFG offers on-site preventive measures such as workshops on stress management to the insured persons. Within the model project, these offers will be expanded to internet and tele-based interventions (guided internet interventions of the GET.ON Institute and personalized telebased coaching by IVPNetworks). It is evaluated in parallel running, randomised controlled trials whether the internet- and tele-based interventions are (cost-)effective in reducing depressive symptoms and other mental health concerns as well as in preventing the onset of clinical depression in this specific target group of farmers, gardeners and foresters. In addition, the implementation study aims to evaluate the implementation of tailored IMIs and a personalised telebased coaching in the routine care. If the clinical effectiveness of the internet- and tele-based services can be shown and the implementation succeeds, these services may be feasible in the long-term and health care in rural areas could be sustainably improved. The Department of Clinical Psychology and Psychotherapy of the FAU and the Department of Clinical Psychology and Psychotherapy University of Ulm, on behalf of SVLFG, are investigating in partly overlapping sub-projects the implementation and (cost-)effectiveness of the preventive interventions among farmers, forest owners and gardeners. Target group of the project: Insured individuals at the SVLFG, their co-insured partners and family members Project duration: 01.06.2017 – 30.05.2021