Implementation of a psychological online intervention for low to moderate depression in primary care: study protocol
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Otros documentos de la autoría: García-Palacios, Azucena; Lorente Català, Rosa; Gili, Margalida; López-del-Hoyo, Yolanda; Mayoral-Cleries, Fermin; Perez-Aranda, Adrian; Castro, Adoración; Varela Moreno, Esperanza; Roca, Miquel; Monreal-Bartolomé, Alicia; Baños, Rosa Maria
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Título
Implementation of a psychological online intervention for low to moderate depression in primary care: study protocolAutoría
Fecha de publicación
2022-12Editor
ElsevierCita bibliográfica
R. Lorente-Catal`a et al. Implementation of a psychological online intervention for low to moderate depression in primary care: study protocol. Internet Interventions Volume 30, December 2022, 100581Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
https://www.sciencedirect.com/science/article/pii/S2214782922000884Versión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Background: Depression affects millions of people all over the world and implies a great socioeconomic burden.
Despite there are different effective evidence-based interventions for treating depression, only a small ... [+]
Background: Depression affects millions of people all over the world and implies a great socioeconomic burden.
Despite there are different effective evidence-based interventions for treating depression, only a small proportion
of these patients receives an appropriate treatment. In this regard, information and communication technologies
(ICTs) can be used with therapeutic aims and this can contribute to make interventions more accessible. One
example is “Smiling is fun”, an internet-based treatment which has proved to be effective and cost-effective for
treating depression in Spanish Primary Care (PC). However, the “know-do gap” between research and clinical
settings implies that the actual implementation of such interventions could last up to 20 years. To overcome this
obstacle, the implementation research establishes the methodology to implement the advances developed in the
laboratories to the health care services maintaining the validity of the intervention and offering specific stra-
tegies for the implementation process.
Objective: This is the protocol of an implementation study for the Internet-based program “Smiling is fun”, which
will be conducted on patients with mild-to-moderate depression of Spanish PC settings. In the implementation
study, the feasibility, efficacy, cost-efficacy, acceptability, adoption, appropriateness, fidelity, penetration,
normalization, and sustainability will be assessed.
Methods: The current investigation is a Hybrid Effectiveness-Implementation Type II design. A Stepped Wedge
randomized controlled trial design will be used, with a cohort of 420 adults diagnosed with depression (mild-to-
moderate) who will undergo a first control phase (no treatment) followed by the intervention, which will last 16
weeks, and finishing with an optional use of the intervention. All patients will be assessed at baseline, during the
treatment, and at post-treatment. The study will be conducted in three Spanish regions: Andalusia, Aragon, and
the Balearic Islands. Two primary care centers of each region will participate, one located in the urban setting
and the other in the rural setting. The primary outcome will be implementation success of the intervention
assessing the reach, clinical effect, acceptability, appropriateness, adoption, feasibility, fidelity, penetration,
implementation costs and sustainability services.
Discussion: “Smiling is Fun”, which has already been established as effective and cost-effective, will be adapted
according to users' experiences and opinions, and the efficacy and cost-efficacy of the program will again be
assessed. The study will point out barriers and facilitators to consider in the implementation process of internet-
based psychological interventions in health services. The ultimate goal is to break the research-to-practice split,
which would undoubtedly contribute to reduce the high burden of depression in our society [-]
Publicado en
Internet Interventions Volume 30, December 2022, 100581Entidad financiadora
Generalitat Valenciana | Ministerio de Ciencia, Innovación y Universidades (Spain)
Código del proyecto o subvención
ACIF/2020/332 | P19/00723
Derechos de acceso
© 2022 The Authors.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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