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Exploring the Relationship Between the Acceptability of an InternetBased Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial
dc.contributor.author | Mira, Adriana | |
dc.contributor.author | Soler, Carla | |
dc.contributor.author | Alda Diez, Marta Maria | |
dc.contributor.author | Baños, Rosa Maria | |
dc.contributor.author | Castilla, Diana | |
dc.contributor.author | Castro, Adoración | |
dc.contributor.author | Garcia-Campayo, Javier | |
dc.contributor.author | Díaz-García, Amanda | |
dc.contributor.author | Gili, Margalida | |
dc.contributor.author | Hurtado, Mariena | |
dc.contributor.author | Mayoral-Cleries, Fermin | |
dc.contributor.author | Montero-Marín, Jesús | |
dc.contributor.author | Botella, Cristina | |
dc.date.accessioned | 2019-06-06T10:40:56Z | |
dc.date.available | 2019-06-06T10:40:56Z | |
dc.date.issued | 2019-05-10 | |
dc.identifier.citation | MIRA PASTOR, Adriana; SOLER, Carla; ALDA DIEZ, Marta Maria; BAÑOS, Rosa; CASTILLA, Diana; CASTRO, Adoración; GARCÍA-CAMPAYO, Javier; GARCÍA-PALACIOS, Azucena; GILI, Margalida; HURTADO, Mariena; MAYORAL, Fermín; MONTERO MARÍN, Jesús; BOTELLA, Cristina (2019). Exploring the Relationship Between the Acceptability of an InternetBased Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial. Frontiers in Psychiatry, v. 10 | ca_CA |
dc.identifier.uri | http://hdl.handle.net/10234/182718 | |
dc.description.abstract | Background: Depression is one of the most prevalent psychological disorders worldwide. Although psychotherapy for depression is effective, there are barriers to its implementation in primary care in Spain. The use of the Internet has been shown to be a feasible solution. However, the acceptability of Internet-based interventions has not been studied suffciently. Objective: To assess the acceptability of an Internet-based intervention (IBI) for depression in primary care, and explore the relationship between expectations and satisfaction and the improvement in the clinical variables in primary care patients receiving this intervention. Furthermore, it offers data about the effects of some sociodemographic characteristics on these acceptability variables and analyzes whether the expectations are related to fnalizing the intervention. Methods: Data were based on depressive patients who were participants in a randomized controlled trial. In the present study, we present the data from all the participants in the Internet intervention groups (N = 198). All the participants flled out the expectation and satisfaction scales (six-item scales regarding treatment logic, satisfaction, recommending, usefulness for other disorders, usefulness for the patient, and unpleasantness), the Beck Depression Inventory-II, and the secondary outcome measures: depression and anxiety impairment, and positive and negative affect. Results: Results showed that participants’ expectations and satisfaction with the program were both high and differences in expectations and satisfaction depended on some sociodemographic variables (age: older people have higher expectations; sex: women have greater satisfaction). A positive relationship between these variables and intervention effcacy was found: expectations related to “usefulness for the patient” were a statistically related predictor to the results on the BDI-II (Beta = 0.364), and the perception of how logical the treatment is (Beta = 0.528) was associated with change in the clinical variable. Furthermore, the higher the expectations, the higher the improvements exhibited by the patients in all measures evaluated during the ten intervention modules. High expectations were also directly related to fnalizing the intervention. Conclusions: This is the frst study in Spain to address this issue in the feld of IBIs for depression in primary care. The IBI showed high acceptance related to the intervention’s effcacy and completion. Research on IBI acceptability could help to implement the treatment offered. Clinical Trial Registration: www.ClinicalTrials.gov, identifer NCT01611818 | ca_CA |
dc.format.extent | 13 p. | ca_CA |
dc.format.mimetype | application/pdf | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | Frontiers Media | ca_CA |
dc.relation.isPartOf | Frontiers in Psychiatry (2019), v. 10 | ca_CA |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-sa/4.0/ | * |
dc.subject | Depression | ca_CA |
dc.subject | Internet-based intervention | ca_CA |
dc.subject | Acceptability | ca_CA |
dc.subject | Primary care | ca_CA |
dc.subject | Expectations | ca_CA |
dc.subject | Satisfaction | ca_CA |
dc.title | Exploring the Relationship Between the Acceptability of an InternetBased Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | https://doi.org/10.3389/fpsyt.2019.00325 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca_CA |
dc.relation.publisherVersion | https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00325/full | ca_CA |
dc.contributor.funder | 1) Instituto de Salud Carlos III of the Spanish Ministry of Economy and Competitiveness with the PI10/01083 grant and of the Ministry of Economy and Competitiveness (Plan Nacional I + D + I. PSI2014- 54172-R); 2) Network for Prevention and Health Promotion in Primary Care (RD12/0005) grant from the Instituto de Salud Carlos III of the Ministry of Economy and Competitiveness (Spain); 3) European Union ERDF funds, and the PSI2014-54172-R grant from the Ministry of Economy and Competitiveness (Spain) | |
dc.type.version | info:eu-repo/semantics/publishedVersion | ca_CA |
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