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Title: Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial.
Authors: Castro, Adoración
García-Palacios, Azucena
García-Campayo, Javier
Mayoral, Fermín
Botella, Cristina
García-Herrera, José María
Pérez-Yus, Mari-Cruz
Vives, Margalida
Baños, Rosa M
Roca, Miquel
Gili, Margalida
metadata.dc.contributor.authoraffiliation: [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; Pérez-Yus,MC; Vives,M; Roca,M; 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.
Keywords: Depression;Primary health care;Computer-delivered psychotherapy;Randomized controlled trial;Protocolos clínicos;Depresión;Promoción de la salud;Atención plena;Atención primaria de la salud;Psicoterapia;Tratamiento asistido por ordenador
metadata.dc.subject.mesh: Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Clinical Protocols
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Promotion
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
Medical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Therapy, Computer-Assisted
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Young Adult
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult
Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Mindfulness
Issue Date: 7-May-2015
Publisher: Biomed Central
Citation: Castro A, García-Palacios A, García-Campayo J, Mayoral F, Botella C, García-Herrera JM, 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; 15:106
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 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. TRIAL REGISTRATION Current Controlled Trials ISRCTN82388279 . Registered 16 April 2014.
Description: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't;
metadata.dc.identifier.doi: 10.1186/s12888-015-0475-0
ISSN: 1471-244X (Online)
Appears in Collections:01- Artículos - Hospital Regional de Málaga
01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

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