Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/3198
Title: Efficacy of a blended low-intensity internet-delivered psychological programme in patients with multimorbidity in primary care: study protocol for a randomized controlled trial
Authors: Monreal-Bartolomé, Alicia
Barceló-Soler, Alberto
Castro, Adoración
Pérez-Ara, Mª. Ángeles
Gili, Margalida
Mayoral, Fermín
Hurtado, María Magdalena
Varela Moreno, Esperanza
Botella, Cristina
García-Palacios, Azucena
Baños, Rosa M.
López-Del-Hoyo, Yolanda
García-Campayo, Javier
metadata.dc.contributor.authoraffiliation: [Monreal-Bartolomé,A] Primary Care Prevention and Health Promotion Research Network, RedIAPP, Carlos III Health Institute, Madrid, Spain. [Monreal-Bartolomé,A; Barceló-Soler,A; López-Del-Hoyo,Y] Aragon Institute for Health Research, IIS Aragon, Zaragoza, Spain. [Barceló-Soler,A; Castro,A; Pérez-Ara,MA; Gili,M; López-Del-Hoyo,Y; García-Campayo,J] Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain. [Castro,A; Pérez-Ara,MA; Gili,M] Institut Universitari d’Investigació en Ciències de la Salut, IUNICS-IDISPA, University of the Balearic Islands, Palma, Spain. [Mayoral,F; Hurtado,MM; Varela Moreno,E] Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, Malaga, Spain. [Botella,C] Jaume I University, Castellon de la Plana, Spain. [Botella,C; García-Palacios,A; Baños,RM] CIBER Physiopathology Obesity and Nutrition (CIBERobn) Carlos III Health Institute, Madrid, Spain. [García-Palacios,A] Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, Castellon, Spain. [Baños,RM] Department of Psychological, Personality, Evaluation and Treatment, University of Valencia, Valencia, Spain. [López-Del-Hoyo,Y] Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain. [García-Campayo,J] Instituto de Investigación Sanitaria Aragón, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Keywords: Randomized controlled trial (RCT);Primary care;Multimorbidity;Depression;Information and communication technologies (ICTs);Ensayo clínico controlado aleatorio;Atención primaria de salud;Multimorbilidad;Depresión;Tecnología de la información
metadata.dc.subject.mesh: Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Physicians::Physicians, Primary Care
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Chronic Disease
Medical Subject Headings::Persons::Persons::Age Groups::Adult
Medical Subject Headings::Diseases::Endocrine System Diseases::Diabetes Mellitus::Diabetes Mellitus, Type 2
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Pain::Back Pain::Low Back Pain
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::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Evaluation Studies as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Issue Date: 11-Feb-2019
Publisher: BioMed Central Ltd.
Citation: Monreal-Bartolomé A, Barceló-Soler A, Castro A, Pérez-Ara MÁ, Gili M, Mayoral F, et al. Efficacy of a blended low-intensity internet-delivered psychological programme in patients with multimorbidity in primary care: study protocol for a randomized controlled trial. BMC Psychiatry. 2019 Feb 11;19(1):66.
Abstract: Background: The World Health Organization (WHO) has included comorbidity between depression and a chronic disease among the 10 leading global health priorities. Although there is a high prevalence of multimorbidity, health care systems are mainly designed for the management of individual diseases. Given the difficulty in delivering face-to-face psychological treatments, alternative models of treatment delivery have been proposed, emphasizing the role of technologies such as the Internet. The aim of this study is to assess the efficacy in Primary Care (PC) of a blended low-intensity psychological intervention applied using information and communication technologies (ICTs) for the treatment of multimorbidity in PC (depression and type 2 diabetes/low back pain) by means of a randomized controlled trial (RCT). Our main hypothesis is that improved usual care combined with psychological therapy applied using ICTs will be more efficacious for improvement in the symptomatology of multimorbidity, compared to a group with only improved treatment as usual six months after the end of treatment. Methods: A protocol has been designed combining a face-to-face intervention with a supporting online programme that will be tested by an RCT conducted in three different regions (Andalusia, Aragon and the Balearic Islands). The RCT will evaluate three hundred participants diagnosed with depression and type 2 diabetes/low back pain. Four highly experienced research groups specializing in clinical psychology are involved in this trial, and there will be ample possibilities for translation and transfer to usual clinical practice. Discussion: This clinical trial will lead to improvement in financial sustainability, maximizing the use of resources and responding to principles of efficiency and effectiveness. Furthermore, based on the evaluation of the feasibility of implementing this intervention in primary care facilities, we expect to be able to suggest the intervention for incorporation into public policy. In conclusion, positive results of this study could have a significant impact on one of the most important health-related problems, multimorbidity. Trial registration: ClinicalTrials.gov, NCT03426709 . Registered retrospectively on 08 February 2018.
URI: http://hdl.handle.net/10668/3198
metadata.dc.relation.publisherversion: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2037-3
metadata.dc.identifier.doi: 10.1186/s12888-019-2037-3
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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