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Background <p>Digital interventions such as <i>de:)press®</i>, a&#xa0;cognitive control training, increasingly supplement standard depression treatment. Psychological factors, such as treatment expectation (TE), gain importance as they can influence user satisfaction (US).</p> Method <p>In a&#xa0;randomized controlled trial, the relationship between TE and US was examined in 58&#xa0;individuals with unipolar depression. The intervention group used <i>de:)press®</i> for 6 weeks. The factors TE (T1), US and usage frequency (UF; T2) were assessed via questionnaires and app data. Mediation and moderation analyses were conducted.</p> Results <p>The TE had a&#xa0;significant direct effect on US, which was not mediated by UF. No moderating effect of medication was found. The app received high satisfaction ratings, especially regarding its usability, while the perceived therapeutic effect was rated more moderately.</p> Conclusion <p>The findings highlight the relevance of subjective factors such as TE in evaluating digital interventions. Objective usage played a&#xa0;lesser role. Addressing user expectations can enhance the acceptance and effectiveness of digital health applications.</p>

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de:)press®: Steuern Erwartungen die Therapiezufriedenheit?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月13日

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  • Nicole Mauche,
  • Isabel Buchheim,
  • Jue Huang,
  • Simone Weller,
  • Christian Makiol,
  • Christian Plewnia,
  • Maria Strauß

摘要

Background

Digital interventions such as de:)press®, a cognitive control training, increasingly supplement standard depression treatment. Psychological factors, such as treatment expectation (TE), gain importance as they can influence user satisfaction (US).

Method

In a randomized controlled trial, the relationship between TE and US was examined in 58 individuals with unipolar depression. The intervention group used de:)press® for 6 weeks. The factors TE (T1), US and usage frequency (UF; T2) were assessed via questionnaires and app data. Mediation and moderation analyses were conducted.

Results

The TE had a significant direct effect on US, which was not mediated by UF. No moderating effect of medication was found. The app received high satisfaction ratings, especially regarding its usability, while the perceived therapeutic effect was rated more moderately.

Conclusion

The findings highlight the relevance of subjective factors such as TE in evaluating digital interventions. Objective usage played a lesser role. Addressing user expectations can enhance the acceptance and effectiveness of digital health applications.