Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial
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Other documents of the author: Castro, Adoración; Díaz-García, Amanda; Garcia-Campayo, Javier; Mayoral-Cleries, Fermin; Botella, Cristina; García Herrera, José María; Pérez Yus, Mari-Cruz; Vives, Margalida; Baños, Rosa Maria; Roca, Miquel; Gili, Margalida
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comunitat-uji-handle2:10234/8033
comunitat-uji-handle3:10234/8636
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Title
Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trialAuthor (s)
Date
2015-05-07Publisher
BioMed CentralISSN
1471-244XBibliographic citation
CASTRO, Adoración, et al. Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial. BMC psychiatry, 2015, vol. 15, no 1, p. 1.Type
info:eu-repo/semantics/articleVersion
info:eu-repo/semantics/publishedVersionSubject
Abstract
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 ... [+]
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. [-]
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BMC psychiatry, 2015, vol. 15, no 1Rights
http://rightsstatements.org/vocab/InC/1.0/
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