Aklile Semu Tefera, Ermiyas Endewunet Melaku, Besufekad Mulugeta Urgie, Erzik Muhammed Hassen, Tilahun Deresse Tamene, Enguday Demeke Gebeyaw
Barriers to implementing problem-based learning at the school of medicine of Debre Berhan University, Ethiopia
BMC medical education
study aimed evaluate effects online selfhelp intervention generalized anxiety disorder gad primary outcomes generalized anxiety symptoms measured using generalized anxiety disorder 7 gad7 spitzer et al 2006 wellbeing based world health organization wellbeing index 5 who5 topp et al 2015 total 156 germanspeaking patients aged 18 65 diagnosis gad internet access included randomized controlled trial intervention group n 78 received access 12week online selfhelp program waitlist control group n 78 received access 12week waiting period intervention group showed significant improvement generalized anxiety symptoms compared control group tdf 12373 452 p 001 large effect size 088 95 ci 050 126 additionally intervention group demonstrated significant increase wellbeing compared control group tdf 8786 348 p 001 moderate effect size 062 95 ci 027 098 however significant effects observed secondary outcomes functional impairments work productivity mental health literacy healthcare demands exploratory outcomes improvement found anxiety worry symptoms findings suggest onlinebased selfhelp intervention effectively reduces gad symptoms improves overall wellbeing future research explore longterm effects intervention investigate potential mechanisms underlying efficacy onlinebased selfhelp programs provide promising treatment option individuals gad face barriers traditional facetoface therapy