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
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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 TrialAuthor (s)
Date
2019-05-10Publisher
Frontiers MediaBibliographic 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. 10Type
info:eu-repo/semantics/articlePublisher version
https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00325/fullVersion
info:eu-repo/semantics/publishedVersionSubject
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 ... [+]
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 [-]
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