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Individual differences associated with treatment adherence and transfer effects following gamified web-based cognitive control training for repetitive negative thinking

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Abstract
Recent research suggests beneficial effects of cognitive control training (CCT) on repetitive negative thinking (RNT), a key risk factor for internalizing symptomatology. However, relatively little is known regarding predictors of adherence to internet-delivered CCT as well as moderators of treatment effects for this intervention. Answering these questions could improve efficiency of clinical implementation of CCT as an eHealth intervention. The current pre-registered single-arm trial set-out to address these questions using a web-based gamified CCT procedure based on the adaptive Paced Auditory Serial Addition Task. Participants (N = 382) entered the internet-based study, where we observed considerable drop-out during the assessment phase and the first training sessions. Emotional stability and resilience emerged as predictors for deciding not to commence the intervention. Drop-out throughout the course of CCT was explained by age, emotion regulation-, and personality factors. We used latent profile analysis, a probabilistic modeling approach, to identify clusters of participants (User Profiles) based on indicators of baseline cognitive- and emotional functioning, training progress, and user experience. We obtained three User Profiles, reflecting low-, moderate-, and high-risk status. Effortful control, emotion regulation, internalizing symptomatology, resilience, and emotional stability played a central role in these User Profiles. Interestingly, User Profile predicted training related cognitive gains, as well as effects of CCT on anxiety- and stress symptoms, and reappraisal. Our findings suggest that CCT is most effective for the moderate- and high-risk groups. In addition, the high-risk group would likely benefit from a more intensive training procedure or repeated administration of the training procedure over time to foster long-term retention of training related gains.
Keywords
Health Informatics, Cognitive control training, Moderators, Repetitive negative thinking, Prevention, Internalizing, Paced Auditory Serial Addition Task, CONNOR-DAVIDSON RESILIENCE, MAJOR DEPRESSIVE DISORDER, EMOTION REGULATION, RANDOMIZED-TRIAL, RUMINATION, PERSONALITY, SCALE, INTERVENTION, THERAPY, ANXIETY

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Citation

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MLA
Hoorelbeke, Kristof, et al. “Individual Differences Associated with Treatment Adherence and Transfer Effects Following Gamified Web-Based Cognitive Control Training for Repetitive Negative Thinking.” INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH, vol. 27, 2022, doi:10.1016/j.invent.2022.100507.
APA
Hoorelbeke, K., Vervaeke, J., Siegle, G. J., Baeken, C., & Koster, E. (2022). Individual differences associated with treatment adherence and transfer effects following gamified web-based cognitive control training for repetitive negative thinking. INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH, 27. https://doi.org/10.1016/j.invent.2022.100507
Chicago author-date
Hoorelbeke, Kristof, Jasmien Vervaeke, Greg J. Siegle, Chris Baeken, and Ernst Koster. 2022. “Individual Differences Associated with Treatment Adherence and Transfer Effects Following Gamified Web-Based Cognitive Control Training for Repetitive Negative Thinking.” INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH 27. https://doi.org/10.1016/j.invent.2022.100507.
Chicago author-date (all authors)
Hoorelbeke, Kristof, Jasmien Vervaeke, Greg J. Siegle, Chris Baeken, and Ernst Koster. 2022. “Individual Differences Associated with Treatment Adherence and Transfer Effects Following Gamified Web-Based Cognitive Control Training for Repetitive Negative Thinking.” INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH 27. doi:10.1016/j.invent.2022.100507.
Vancouver
1.
Hoorelbeke K, Vervaeke J, Siegle GJ, Baeken C, Koster E. Individual differences associated with treatment adherence and transfer effects following gamified web-based cognitive control training for repetitive negative thinking. INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH. 2022;27.
IEEE
[1]
K. Hoorelbeke, J. Vervaeke, G. J. Siegle, C. Baeken, and E. Koster, “Individual differences associated with treatment adherence and transfer effects following gamified web-based cognitive control training for repetitive negative thinking,” INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH, vol. 27, 2022.
@article{8744553,
  abstract     = {{Recent research suggests beneficial effects of cognitive control training (CCT) on repetitive negative thinking (RNT), a key risk factor for internalizing symptomatology. However, relatively little is known regarding predictors of adherence to internet-delivered CCT as well as moderators of treatment effects for this intervention. Answering these questions could improve efficiency of clinical implementation of CCT as an eHealth intervention. The current pre-registered single-arm trial set-out to address these questions using a web-based gamified CCT procedure based on the adaptive Paced Auditory Serial Addition Task. Participants (N = 382) entered the internet-based study, where we observed considerable drop-out during the assessment phase and the first training sessions. Emotional stability and resilience emerged as predictors for deciding not to commence the intervention. Drop-out throughout the course of CCT was explained by age, emotion regulation-, and personality factors. We used latent profile analysis, a probabilistic modeling approach, to identify clusters of participants (User Profiles) based on indicators of baseline cognitive- and emotional functioning, training progress, and user experience. We obtained three User Profiles, reflecting low-, moderate-, and high-risk status. Effortful control, emotion regulation, internalizing symptomatology, resilience, and emotional stability played a central role in these User Profiles. Interestingly, User Profile predicted training related cognitive gains, as well as effects of CCT on anxiety- and stress symptoms, and reappraisal. Our findings suggest that CCT is most effective for the moderate- and high-risk groups. In addition, the high-risk group would likely benefit from a more intensive training procedure or repeated administration of the training procedure over time to foster long-term retention of training related gains.}},
  articleno    = {{100507}},
  author       = {{Hoorelbeke, Kristof and Vervaeke, Jasmien and Siegle, Greg J. and Baeken, Chris and Koster, Ernst}},
  issn         = {{2214-7829}},
  journal      = {{INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH}},
  keywords     = {{Health Informatics,Cognitive control training,Moderators,Repetitive negative thinking,Prevention,Internalizing,Paced Auditory Serial Addition Task,CONNOR-DAVIDSON RESILIENCE,MAJOR DEPRESSIVE DISORDER,EMOTION REGULATION,RANDOMIZED-TRIAL,RUMINATION,PERSONALITY,SCALE,INTERVENTION,THERAPY,ANXIETY}},
  language     = {{eng}},
  pages        = {{14}},
  title        = {{Individual differences associated with treatment adherence and transfer effects following gamified web-based cognitive control training for repetitive negative thinking}},
  url          = {{http://doi.org/10.1016/j.invent.2022.100507}},
  volume       = {{27}},
  year         = {{2022}},
}

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