Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial
| Autor: | Adoración Castro, Fermín Mayoral, Javier García-Campayo, José María García-Herrera, Miquel Roca, Margalida Vives, Rosa M. Baños, Cristina Botella, Azucena García-Palacios, Mari-Cruz Pérez-Yus, Margalida Gili |
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| Přispěvatelé: | [Castro,A, Pérez-Yus,MC, Vives,M, Roca,M, Gili,M] Institut Universitari d′Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain. [Castro.A, García-Campayo,J, Gili,M] Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. [García-Palacios,A, Botella,C] Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, Castellon, Spain. [García-Campayo,J] Department of Psychiatry, Hospital Miguel Servet. University of Zaragoza, Zaragoza, Spain. [Mayoral,F, García-Herrera,JM] Mental Health Department, University Regional Hospital of Málaga. Institute of Biomedicine of Málaga, Málaga, Spain. [Baños, RM] Department of Psychological, Personality, Evaluation and Treatment, University of Valencia, Valencia, Spain. [García-Palacios,A, Botella,C, Baños,C] CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain., The study will be funded by a grand from the Carlos III Health Institute of the Spanish Ministry Economy and Competitiveness (ETES n° PI13/0117, PSI2010-17563), co-financed with European Union ERDF funds. We thank 'Red de Investigación en Actividades de Prevención y Promoción de la Salud' (Research Network on Preventative Activities and Health Promotion) (RD12/0005/0003), and 'CIBER Fisiopatología de la Obesidad y Nutrición'. |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Mindfulness humanos Psychological intervention depresión law.invention Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] Study Protocol Randomized controlled trial Clinical Protocols law Economic cost Depresión Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Clinical Protocols [Medical Subject Headings] Young adult Tratamiento asistido por ordenador Depression (differential diagnoses) Primary health care Depression Promoción de la salud adulto Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [Medical Subject Headings] adulto joven Psychiatry and Mental health Psicoterapia Atención plena Health Care::Health Care Facilities Manpower and Services::Health Promotion [Medical Subject Headings] Female Clinical psychology Atención primaria de la salud Adult medicine.medical_specialty Named Groups::Persons::Age Groups::Adult::Young Adult [Medical Subject Headings] Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy [Medical Subject Headings] Check Tags::Male [Medical Subject Headings] Health Promotion Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Therapy Computer-Assisted [Medical Subject Headings] Young Adult atención plena parasitic diseases medicine Named Groups::Persons::Age Groups::Adult [Medical Subject Headings] Humans Psychiatry Computer-delivered psychotherapy psicoterapia Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Mindfulness [Medical Subject Headings] protocolos clínicos business.industry Psychotherapy Health promotion Check Tags::Female [Medical Subject Headings] Therapy Computer-Assisted Protocolos clínicos ICTS business Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression [Medical Subject Headings] |
| Zdroj: | Repositori Universitat Jaume I Universitat Jaume I BMC Psychiatry |
| Popis: | Background: Depression is one of the most common disorders in Psychiatric and Primary Care settings and is associated with significant disability and economic costs. Low-intensity psychological interventions applied by Information and Communication Technologies (ICTs) could be an efficacious and cost-effective therapeutic option for the treatment of depression. The aim of this study is to assess 3 low-intensity psychological interventions applied by ICTs (healthy lifestyle, positive affect and mindfulness) in Primary Care; significant efficacy for depression treatment has previously showed in specialized clinical settings by those interventions, but ICTs were not used. Method: Multicenter controlled randomized clinical trial in 4 parallel groups. Interventions have been designed and on-line device adaptation has been carried out. Subsequently, the randomized controlled clinical trial will be conducted. A sample of N = 240 mild and moderate depressed patients will be recruited and assessed in Primary Care settings. Patients will be randomly assigned to a) healthy lifestyle psychoeducational program + improved primary care usual treatment (ITAU), b) focused program on positive affect promotion + ITAU c) mindfulness + ITAU or d) ITAU. The intervention format will be one face to face session and four ICTs on-line modules. Patients will be diagnosed with MINI psychiatric interview. Main outcome will be PHQ-9 score. They will be also assessed by SF-12 Health Survey, Client Service Receipt Inventory, EuroQoL-5D questionnaire, Positive and Negative Affect Scale, Five Facet Mindfulness Questionnaire and the Pemberton Happiness Index. Patients will be assessed at baseline, post, 6 and 12 post-treatment months. An intention to treat and per protocol analysis will be performed. Discussion: Low-intensity psychological interventions applied by Information and Communication Technologies have been not used before in Spain and could be an efficacious and cost-effective therapeutic option for depression treatment. The strength of the study is that it is the first multicenter controlled randomized clinical trial of three low intensity and self-guided interventions applied by ICTs (healthy lifestyle psychoeducational program; focused program on positive affect promotion and brief intervention based on mindfulness) in Primary Care settings. The study will be funded by a grand from the Carlos III Health Institute of the Spanish Ministry Economy and Competitiveness (ETES no PI13/0117; PSI2010-17563), co-financed with European Union ERDF funds. We thank Red de Investigacion en Actividades de Prevencion y Promocion de la Salud (Research Network on Preventative Activities and Health Promotion) (RD12/0005/0003), and CIBER Fisiopatologia de la Obesidad y Nutricion for its support in the development of this study. |
| Databáze: | OpenAIRE |
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