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. 2023 Nov 24;120(47):797–803. doi: 10.3238/arztebl.m2023.0208

eTable 2. Application content and information for treatment providers.

Digital health application (DiGA) Panel doctor participation required (designated activities) Application content/ therapeutic principles Proof of patient-relevant improvements of structure and processes Trial access for treatment providers
Depression
Deprexis No ● Interactive online-based self-help program to complement care as usual
● Based on methods of psychotherapy, especially cognitive behavioral therapy (CBT)
No For 3 days
(https://ehealth.servier.de/diga-manager/suche)
Selfapy’s online course for depression No ● Personalized online course, based on CBT
● Therapeutic content is worked on independently by the patient
● Individual lessons (e.g., dealing with negative thoughts, creating a positive daily structure, relaxation techniques, sleep problems, strategies for preventing relapse)
● Teaching by means of audio and video clips, texts, and exercises
● Customization of content to the user‘s personal situation
● Continuous monitoring by a personal psychologist (via messaging function)
No Tel.: +49 30 120834114
E-mail: aerzte@selfapy.de
Novego:
Coping with depression
No ● Online support program based on CBT
● Customization on personal circumstances of the participants
● Teaching content in the form of texts, videos, audio, and interactive exercises
● The Novego psychologist team can be contacted by a message once a week
● 24-hour crisis hotline
No E-mail: info@novego.de
Edupression.com No ● Digital health application, based on CBT
● User-adapted delivery of therapy content between regular therapy sessions
● Teaching in the form of texts, videos, audio, and interactive exercises
● „”Interlinked” therapy offering alongside ongoing outpatient therapy
● Improvement in level of functioning
● Improvement in treatment adherence
Online dummy:
(https://app.edupression.com/welcome?lang=1
Free basic version:
https://app.edupression.com/register)
Elona therapy
Depression
● Personalization of the treatment program for patients
● Monitoring + evaluation
● Digital health application, based also on CBT
● (Psychoeducational) therapy content in a “playful” way
● Monitoring of therapy using a proprietary emotional state diagram
No Online form
(https://www.elona.health/elona-therapy-fachkreise)
Anxiety disorder
Invirto – The Therapy for Anxiety ● Manualized therapy, free advanced training (approx. 2 h with certificate), provision of accompanying therapy hours in accordance with the current legal requirements
● Overview of patient progress and care data
● Learning with an app and virtual reality glasses, under the guidance of psychotherapists or physicians, to deal with high levels of tension, anxious thoughts and fearful situations, among others
● Based on CBT with exposure training
No Trial access upon participation in a free 1.5-hour training session
(https://invirto.de/fuer-behandler/)
Mindable:
Panic Disorder and Agoraphobia
No ● Based on CBT
● Psychoeducation, getting used to physical symptoms (habituation through targeted symptom provocation), in vivo confrontation
● Live recording of the progression of anxiety during confrontation exercises
● Self-monitoring of anxiety-related symptoms, events, and behavior
● Autonomous health action (patient sovereignty)
● Coping with illness-related difficulties in daily life
Online form
(https://www.mindable.health/fachkreise/)
Selfapy’s online course for generalized anxiety disorder No ● Online course, based on CBT
● Independent processing of therapeutic content through lessons (e. g., dealing with automatic thoughts, anxiety reactions and physical symptoms; exposure exercises and mindfulness exercises)
● Teaching by means of audio and video clips, texts, and exercises
● Customization of content
● Continuous monitoring by a psychologist (can be contacted via messaging function)
No Online form
(https://www.selfapy.com/fuer-aerzte)
Velibra No ● Based on CBT, consists of 6 modules in addition to care as usual Reducing treatment-related expenses and burdens for patients and relatives Online form
(https://de.velibra.com/kontakt/#bob-frame)
HelloBetter Panic No ● Web application based on CBT
● Psychoeducation on anxiety, panic disorder and agoraphobia
● Independent practice of exercises (interoceptive and in vivo exposures, cognitive restructuring, relaxation exercises, and relapse prevention)
● Diary, fictitious cases
No Online form
(https://hellobetter.de/fachkreise/)
Substance use disorders
NichtraucherHelden app No ● Non-smoking coaching with learning modules, relaxation techniques, distraction options, and motivation, based on CBT No Online form
(https://www.nichtraucherhelden.de/pages/doctors-info.jsf)
Vorvida No ● Based on CBT
● Virtual dialogue
Autonomous health action (patient sovereignty) Online form
(https://de.vorvida.com/#bob-frame)
Sleep disorders
Somnio ● Step 1: Motivation
● Step 2: Monitoring (optional, by discussion or report of the application 5–10 min);
● Step 3: Analysis (reviewing the report and evaluating the treatment success and initiating further measures, if needed (5–10 min)
● Behavioral therapy self-help program, sleep diary, relaxation techniques, sleep hygiene
● Learning e.g. how to optimize sleep times and the sleep-wake rhythm, management of sleep-preventing thoughts, relaxation techniques
No Online form
(https://somn.io/fachpersonen/)
HelloBetter Sleep No ● Behavioral therapy self-help program, sleep diary, relaxation techniques, sleep hygiene, fictitious persons as a reference for therapy
● Psychoeducation
No Online form
(https://hellobetter.de/fachkreise/)
Other offerings
HelloBetter Stress and Burnout No ● Interactive, psychological therapy program in the format of an online course
● Seven units to be completed weekly; one refresher unit after the end of the course
● Psychoeducation by means of text, videos and audio
● Teaching of CBT strategies (problem-solving techniques, behavioral activation, emotion regulation strategies, among others)
● Online diary, companion app, repeated symptom checks, monitoring progress
● Written feedback from psychologists within 24 h after completion of a unit
● Psychologists can be reached via messaging function
No Online form
(https://hellobetter.de/fachkreise/)
HelloBetter Vaginismus Plus No ● Online program based on CBT (strategies for dealing with distressing thoughts and feelings, relaxation and pelvic floor exercises, sensuality training [“sensate focus”], as well as step-by-step exercises involving vaginal insertion of dilators, among others)
● Psychoeducation by means of text, videos and audio
● Special focus on step-by-step exercises, involving vaginal insertion of dilators with the associated reduction of avoidance behavior and development of positive sexual experiences
● Online diary, symptom checks, companion app
● Fictitious course partners accompany users through the online program and serve as inspiration and assistance in completing the exercises
● Written feedback from psychologists
● Psychologists can be reached via messaging function
No Online form
(https://hellobetter.de/fachkreise/)
HelloBetter ratiopharm Chronic Pain No ● Interactive psychological online program, based on acceptance and commitment therapy (ACT) and CBT (mindfulness techniques, cognitive restructuring, values work, and instructions for self-reflection, among others)
● Psychoeducation by means of text, videos and audio
● Teaching exercises to be integrated into everyday life
● In addition: online diary, companion app and repeated symptom checks to monitor personal progress
No Online form
(https://hellobetter.de/fachkreise/)