Dirk Lehr

Dirk Lehr
Leuphana University Lüneburg ·  Institute of Psychology

PhD

About

201
Publications
94,134
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
4,506
Citations

Publications

Publications (201)
Chapter
Digitale Interventionen für Berufstätige greifen die Potenziale neuer Technologien auf und können genutzt werden, um auf neue Anforderungen in einer digitalisierten Arbeitswelt zu reagieren. In diesem Kapitel stellen wir verschiedene digitale Interventionen zur Gesundheitsförderung vor und gehen auf Unterschiede im Übungsformat, der Dauer der Inter...
Article
Full-text available
Digital learning platforms (DLP) provide various types of information about student learning when used for learning and practice. This learning data holds potential for individualized instruction, which has become increasingly necessary for adequately addressing learners’ individual needs. For primary schools in particular, this is important for de...
Article
Full-text available
Introduction It is unclear how internet-delivered cognitive-behavioural therapy for insomnia (CBT-I) can be integrated into healthcare systems, and little is known about the optimal level of therapist guidance. The aim of this study is to investigate three different versions of a stepped care model for insomnia (IG1, IG2, IG3) versus treatment as u...
Article
Background: University students are susceptible to excessive stress. A web-based stress management intervention holds promise to improve stress but is still at a novel stage in Indonesia. Objective: The aim of this paper was to report the feasibility of the intervention we developed-Rileks-among university students in Indonesia in terms of accep...
Preprint
BACKGROUND Work stress is highly prevalent and puts employees at risk for adverse health consequences. Web-based stress management interventions promoting occupational self-efficacy might be a feasible approach to aid employees to alleviate this burden. OBJECTIVE The first aim of this randomized controlled trial (RCT) was to investigate the effica...
Chapter
Digitalisierung verändert die Art und Weise, wie Prävention und betriebliche Gesundheitsförderung gestaltet werden. Digitale Anwendungen ermöglichen eine vergleichsweise einfache Erfassung von gesundheitlich bedeutsamen Merkmalen des Arbeitsplatzes, von Gesundheitsverhalten, gesundheitlichen Ressourcen oder Beschwerden. Es werden Qualitätsanforderu...
Article
Full-text available
Zusammenfassung Zielsetzung Trotz der Effektivität verschiedener E‑Mental-Health-Interventionen wurden bislang verhältnismäßig geringe Nutzungsraten, selbst unter Digital Natives wie Studierenden, identifiziert. Ziel dieser Studie ist daher, das Verhältnis der generellen Akzeptanz, dem konkreten Interesse und der tatsächlichen Registrierung für au...
Article
Full-text available
Background Workplace-related stress is a major risk factor for mental and physical health problems and related sickness absence and productivity loss. Despite evidence regarding the effectiveness of different workplace-based interventions, the implementation of stress prevention interventions is rare, especially in micro and small-sized enterprises...
Article
Full-text available
Refugees are exposed to multiple stressors affecting their mental health. Given various barriers to mental healthcare in the arrival countries, innovative healthcare solutions are needed. One such solution could be to offer low-threshold treatments, for example by culturally adapting treatments, providing them in a scalable format, and addressing t...
Preprint
BACKGROUND University students are susceptible to excessive stress. A web-based stress management intervention holds promise to improve stress but is still at a novel stage in Indonesia. OBJECTIVE The aim of this paper was to report the feasibility of the intervention we developed—Rileks—among university students in Indonesia in terms of acceptabi...
Article
Full-text available
Introduction: The mental health burden for the general population due to the COVID-19 pandemic has been highlighted. Evidence on effective, easily accessible public health interventions to reduce worry, a major transdiagnostic risk-factor for, e.g., anxiety and depression, is scarce. Objective: In a pragmatic randomized controlled trial, we aime...
Article
Full-text available
The aim of this study was to investigate employees' self-reported creativity before and after vacation and to examine the impact of recovery experiences (detachment, relaxation, mastery, meaning, autonomy, affiliation) on changes in creativity. The DRAMMA model of Newman et al. provides the theoretical background of our approach. Longitudinal data...
Article
Full-text available
Background Occupational stress is a major public health challenge that requires a variety of evidence-based preventative approaches to increase their reach within the working population. Behavioral stress management interventions are considered an established approach for occupational stress prevention. Both in-person group-based stress management...
Article
Full-text available
Aims: To perform an economic evaluation of guided and unguided internet-based interventions to reduce problematic alcohol consumption in employees compared with a waitlist control condition (WLC) with unrestricted access to treatment-as-usual. Design: A cost-effectiveness analysis (CEA) and cost-utility analysis (CUA) from a societal and a cost-...
Article
Full-text available
Objective: This experiment aims to investigate the influence of narrative information varying in the degree of perceived similarity and source credibility in supplemented testimonials on the acceptance of digital mental health services (digi-MHSs). Methods: In fall 2020, n =231 university students were randomly assigned to an active control group (...
Article
Full-text available
Sleep difficulties are widespread among international students. Internet-based interventions are suggested as a low-threshold treatment option but may require cultural adaptation among culturally diverse populations. The present pilot study investigated the effectiveness and acceptance of an internet-based intervention to improve sleep difficulties...
Preprint
Full-text available
Background University students are susceptible to excessive stress. A web-based stress management intervention holds promise to improve stress but is still at a novel stage in Indonesia. This present paper reports the feasibility of the intervention we developed ( ‘Rileks’ ) among university students in Indonesia in terms of acceptability and usabi...
Article
Full-text available
Background: Web-based stress management interventions (SMI) fit increasingly digital lifestyles, reduce barriers of uptake and are easily scalable. SMIs might lower levels of stress in employees and thereby contribute to the prevention of depressive symptomatology. Different guidance formats can impact the efficacy of SMIs, with higher intensity a...
Article
Full-text available
Background Work-related stress shows steadily increasing prevalence rates and has tangible consequences for individual workers, their organizations, and society as a whole. One mechanism that may help offset the negative outcomes of work-related stress on employees’ well-being is recovery. Recovery refers to the experience of unwinding from one's j...
Article
Full-text available
Background: Depression and harmful alcohol use are two of the top five leading causes of years of life lost to disability in high-income countries. Integrated treatment targeting both at the same time is often considered more complicated and difficult and, therefore, more expensive. Consequently, integrated internet-based interventions could be a v...
Article
Full-text available
Electronic mental health services (eMHSs) offer additional options for the dissemination of psychological interventions for university students. Still, many university students are reluctant to use eMHSs. Narrative messages may help increase the awareness and acceptance of quality-approved programs. However, little is known about the usefulness of...
Article
Background The evidence base for internet-based cognitive behavioral therapy for insomnia (iCBT-I) is firm; however, little is known about iCBT-I’s health-economic effects. Objective This study aimed to evaluate the cost-effectiveness and cost–utility of iCBT-I in reducing insomnia among schoolteachers. Methods Schoolteachers (N=128) with clinica...
Article
Full-text available
Background: Simulation study results suggest that COVID-19 contact-tracing apps have the potential to achieve pandemic control. Concordantly, high app adoption rates were a stipulated prerequisite for success. Early studies on potential adoption were encouraging. Several factors predicting adoption rates were investigated, especially pertaining to...
Preprint
BACKGROUND Simulation study results suggest that COVID-19 contact-tracing apps have the potential to achieve pandemic control. Concordantly, high app adoption rates were a stipulated prerequisite for success. Early studies on potential adoption were encouraging. Several factors predicting adoption rates were investigated, especially pertaining to u...
Article
In order to better understand sleep initiation and maintenance disorders research into human chronobiology is necessary. Some patients suffering from insomnia seem to show abnormal circadian rhythms of core body temperature and melatonin onset. These circadian rhythm angles are associated with difficulties falling asleep and with complaints of earl...
Article
Full-text available
In recent years, there has been an increasing interest in psychological need satisfaction and its role in promoting optimal functioning. The DRAMMA model integrates existing need and recovery models to explain why leisure is connected to optimal functioning (i.e., high well-being and low ill-being). It encompasses six psychological needs: detachmen...
Article
Full-text available
Depression is highly prevalent among university students. Internet-based interventions have been found to be effective in addressing depressive symptoms, but it is open if this also applies to interventions directed at academic stress. It is also largely unclear if the techniques employed in such programs provide significant additional benefits whe...
Chapter
Digitale Interventionen für Berufstätige greifen die Potentiale neuer Technologien auf und können genutzt werden, um auf neue Anforderungen in einer digitalisierten Arbeitswelt zu reagieren. In diesem Kapitel stellen wir verschiedene digitale Interventionen zur Gesundheitsförderung vor und gehen auf Unterschiede im Übungsformat, der Dauer der Inter...
Article
b> Introduction: There is neither strong evidence on effective treatments for patients with chronic back pain (CBP) and depressive disorder nor sufficiently available mental health care offers. Objective: The aim is to assess the effectiveness of internet- and mobile-based interventions (IMI) as a scalable approach for treating depression in a rout...
Preprint
BACKGROUND The evidence base for internet-based cognitive behavioral therapy for insomnia (iCBT-I) is firm; however, little is known about iCBT-I’s health-economic effects. OBJECTIVE This study aimed to evaluate the cost-effectiveness and cost–utility of iCBT-I in reducing insomnia among schoolteachers. METHODS Schoolteachers (N=128) with clinica...
Article
Full-text available
Background: While work-related rumination increases the risk of acute stressors developing into chronic load reactions and adverse health, mental detachment has been suggested as a way to interrupt this chain. Despite the importance of mentally detaching from work during leisure time, workers seem to struggle to disengage and, instead, experience...
Preprint
UNSTRUCTURED Background: Emerging evidence indicates the effectiveness of Internet-based mobile supported stress management (iSMIs) in highly stressed employees. It is yet unclear, however, whether iSMIs are also effective without a preselection process in a universal prevention approach which more closely resembles routine occupational health care...
Article
Background: Emerging evidence indicates the effectiveness of internet-based mobile-supported stress management interventions (iSMIs) in highly stressed employees. It is yet unclear, however, whether iSMIs are also effective without a preselection process in a universal prevention approach, which more closely resembles routine occupational health c...
Article
Full-text available
Introduction: Evidence on effects of Internet-based interventions to treat subthreshold depression (sD) and prevent the onset of major depression (MDD) is inconsistent. Objective: We conducted an individual participant data meta-analysis to determine differences between intervention and control groups (IG, CG) in depressive symptom severity (DSS...
Preprint
BACKGROUND Previous studies provide evidence for the effectiveness of web-based interventions for panic disorder with and without agoraphobia (PD). Smartphone-based technologies hold significant potential for further enhancing accessibility and efficacy of such interventions. OBJECTIVE The aim of the present randomized controlled trial (RCT) was t...
Article
Full-text available
Background Previous studies provide evidence for the effectiveness of web-based interventions for panic disorder with and without agoraphobia. Smartphone-based technologies hold significant potential for further enhancing the accessibility and efficacy of such interventions. Objective This randomized controlled trial aims to evaluate the efficacy...
Article
Full-text available
Background Chronic back pain (CBP) is linked to a higher prevalence and higher occurrence of major depressive disorder (MDD) and can lead to reduced quality of life. Unfortunately, individuals with both CBP and recurrent MDD are underidentified. Utilizing health care insurance data may provide a possibility to better identify this complex populatio...
Article
In diesem Beitrag hat sich unter „Einhaltung ethischer Richtlinien“ ein Fehler bei der Angabe der Interessenkonflikte eingeschlichen. Korrekt ist: David D. Ebert und Dirk Lehr sind Gesellschafter des GET.ON Instituts. Die fehlende Nennung dieses Interessenkonflikts wurde durch einen …
Article
Full-text available
Zusammenfassung Digital angebotene psychologische Interventionen gegen Schlafstörungen sind aktuell ein sehr intensiv bearbeitetes Forschungsthema. In dieser Übersichtsarbeit werden Originalarbeiten und Metaanalysen zu diesem Thema zusammengefasst. Hierbei zeigt sich, dass die internetbasierte kognitive Verhaltenstherapie für Insomnie (KVT-I) bei E...
Article
Full-text available
Background: Sleep complaints are among the most prevalent health concerns especially amongst workers which may lead to adverse effects on health and work. Internet-delivered cognitive-behavioral therapy for insomnia (iCBT-I) offers the opportunity to deliver effective solutions on a large scale. The efficacy of iCBT-I for clinical samples has been...
Article
Digital angebotene psychologische Interventionen gegen Schlafstörungen sind aktuell ein sehr intensiv bearbeitetes Forschungsthema. In dieser Übersichtsarbeit werden Originalarbeiten und Metaanalysen zu diesem Thema zusammengefasst. Hierbei zeigt sich, dass die internetbasierte kognitive Verhaltenstherapie für Insomnie (KVT-I) bei Erwachsenen durch...
Chapter
Full-text available
Wenn - entsprechend dem programmatischen Willen berufener Politiker bzw. der Industrie - die Zukunft online ist (Schülerinnen und Schüler im Alter um die 14 Jahre sind aktuell bereits mehr als vier Stunden/Tag online und werden es ähnlich einschätzen), dann ist nichts näherliegend, als auch die „Stress"-belastete Lehrergesundheit über dieses Medium...
Article
Full-text available
The aim of this study was to investigate whether beneficial vacation effects can be strengthened and prolonged with a smartphone-based intervention. In a four-week longitudinal study among 79 Finnish teachers, we investigated the development of recovery, well-being, and job performance before, during, and after a one-week vacation in three groups:...
Article
Full-text available
Background Panic disorder with and without agoraphobia (PD) is a common psychological disorder. Internet-based interventions have the potential to offer highly scalable low-threshold evidence-based care to people suffering from PD. GET.ON Panic is a newly developed internet-based intervention addressing symptoms of PD. In order to transfer the trai...
Poster
Full-text available
Internet-based and mobile interventions (IMIs) can help students to effectively cope with stress, but lacking awareness represents a barrier for adoption. While research suggests acceptance-facilitating effects of information, little is known about the additional value of testimonials in improving the uptake of IMIs for students. Objective: The aim...
Article
Repetitive negative thinking (RNT) has been identified as a transdiagnostic process that is involved in various forms of psychopathology, including anxiety and depression. This randomized controlled trial compared a 5-week internet and app-based gratitude intervention (intervention group; IG) with adherence-focused guidance against a wait list cont...
Article
Full-text available
Background: Mental disorders are highly prevalent among university students. Distance- learning students are particularly burdened and have limited access to conventional university health services. Interventions for stress are sought after in distance learners and may help increase treatment coverage. Internet-based interventions have been shown t...
Article
Full-text available
Introduction: Diabetes mellitus type 1 and type 2 are linked to higher prevalence and occurrences of depression. Internet-based depression- and diabetes-specific cognitive behavioral therapies (CBT) can be effective in reducing depressive symptom severity and diabetes-related emotional distress. The aim of the study was to test whether disease-spe...
Article
Full-text available
Background: The estimated number of refugees worldwide resulting from persecution, conflict, violence, or human rights violations reached 25.4 million in 2017. An increased prevalence of mental disorders combined with language and socio-cultural barriers pose a challenge for healthcare systems. Internet-based interventions can help to meet this cha...
Article
Background The number of university students experiencing stress is increasing, which often leads to adverse effects such as poor grades, academic probation, and emotional problems. Unfortunately, most of these problems remain untreated because of limited professional resources and fear of stigma. Several Web-based stress management interventions a...
Preprint
Full-text available
BACKGROUND Sleep complaints are among the most prevalent health concerns especially amongst workers which may lead to adverse effects on health and work. Internet-delivered cognitive-behavioral therapy for insomnia (iCBT-I) offers the opportunity to deliver effective solutions on a large scale. While, the efficacy of iCBT-I for clinical samples has...
Article
Full-text available
Background: Sleep complaints are among the most prevalent health concerns, especially among workers, which may lead to adverse effects on health and work. Internet-delivered cognitive behavioral therapy for insomnia (iCBT-I) offers the opportunity to deliver effective solutions on a large scale. The efficacy of iCBT-I for clinical samples has been...
Chapter
The analysis of diary data can increase insights into patients suffering from mental disorders and can help to personalize online interventions. We propose a two-step approach for such an analysis. We first categorize free text diary data into activity categories by applying a bag-of-words approach and explore recurrent neuronal networks to support...
Chapter
Chronically ill people have to find ways of living with their illness and overcoming the multifarious challenges they face in everyday life that suit their individual needs. In the field of medicine, the use of self-management and its corresponding programmes is becoming increasingly important. Indeed, the first approaches to promoting self-managem...
Article
Background: This study's aims were to compare the efficacy and negative effects of guided Internet-based cognitive behavior therapy (iCBT) and online psychoeducation (OPE) in people with major depression. Methods: A total of 131 individuals were randomized. Assessments took place at baseline (T1), six weeks (T2), and three months (T3). The primary...
Article
The treatment of choice for obsessive-compulsive disorders is cognitive behavioral therapy, including exposure and response prevention (ERP). Therapist-supervised ERP is more effective than self-controlled ERP, and exposure should take place at the patient's home. This standard might be achieved with ERPs at home via videoconference supervision fro...