دورية أكاديمية
Efficacy of Three Low-Intensity, Internet-Based Psychological Interventions for the Treatment of Depression in Primary Care: Randomized Controlled Trial
| العنوان: | Efficacy of Three Low-Intensity, Internet-Based Psychological Interventions for the Treatment of Depression in Primary Care: Randomized Controlled Trial |
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| المؤلفون: | Gili, Margalida, Castro, Adoración, García-Palacios, Azucena, Mayoral-Cleries, Fermin, Botella, Cristina, Roca, Miquel, Barceló-Soler, Alberto, Hurtado, María M., Navarro, MªTeresa, Villena, Amelia, Pérez-Ara, M. Ángeles, RIERA, PAU, Baños, Rosa Maria |
| بيانات النشر: | JMIR |
| سنة النشر: | 2020 |
| المجموعة: | Repositori Universitat Jaume I (Repositorio UJI) |
| مصطلحات موضوعية: | depression, primary care, internet-based interventions, randomized controlled trial |
| الوصف: | Background: Primary care is a major access point for the initial treatment of depression, but the management of these patients is far from optimal. The lack of time in primary care is one of the major difficulties for the delivery of evidence-based psychotherapy. During the last decade, research has focused on the development of brief psychotherapy and cost-effective internet-based interventions mostly based on cognitive behavioral therapy (CBT). Very little research has focused on alternative methods of treatment for depression using CBT. Thus, there is a need for research into other therapeutic approaches. Objective: This study aimed to assess the effectiveness of 3 low-intensity, internet-based psychological interventions (healthy lifestyle psychoeducational program [HLP], focused program on positive affect promotion [PAPP], and brief intervention based on mindfulness [MP]) compared with a control condition (improved treatment as usual [iTAU]). Methods: A multicenter, 4-arm, parallel randomized controlled trial was conducted between March 2015 and March 2016, with a follow-up of 12 months. In total, 221 adults with mild or moderate major depression were recruited in primary care settings from 3 Spanish regions. Patients were randomly distributed to iTAU (n=57), HLP (n=54), PAPP (n=56), and MP (n=54). All patients received iTAU from their general practitioners. The main outcome was the Spanish version of the Patient Health Questionnaire-9 (PHQ-9) from pretreatment (time 1) to posttreatment (time 2) and up to 6 (time 3) and 12 (time 4) months’ follow-up. Secondary outcomes included the visual analog scale of the EuroQol, the Short-Form Health Survey (SF-12), the Positive and Negative Affect Schedule (PANAS), and the Pemberton Happiness Index (PHI). We conducted regression models to estimate outcome differences along study stages. Results: A moderate decrease was detected in PHQ-9 scores from HLP (β=–3.05; P=.01) and MP (β=–3.00; P=.01) compared with iTAU at posttreatment. There were significant differences ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | Instituto de Salud Carlos III of the Spanish Ministry of Economy and Competitiveness with the PI13/01171 grant (Efficacy and cost-effectiveness of the low-intensity psychological interventions applied by ICTs for the treatment of depression in primary care: a controlled trial); https://www.jmir.org/2020/6/e15845Test/; Gili M, Castro A, García-Palacios A, Garcia-Campayo J, Mayoral-Cleries F, Botella C, Roca M, Barceló-Soler A, Hurtado MM, Navarro M, Villena A, Pérez-Ara M, Riera-Serra P, Baños RM Efficacy of Three Low-Intensity, Internet-Based Psychological Interventions for the Treatment of Depression in Primary Care: Randomized Controlled Trial J Med Internet Res 2020;22(6):e15845; http://hdl.handle.net/10234/189070Test; https://doi.org/10.2196/15845Test |
| DOI: | 10.2196/15845 |
| الإتاحة: | https://doi.org/10.2196/15845Test http://hdl.handle.net/10234/189070Test |
| حقوق: | ©Margalida Gili, Adoración Castro, Azucena García-Palacios, Javier Garcia-Campayo, Fermin Mayoral-Cleries, Cristina Botella, Miquel Roca, Alberto Barceló-Soler, María M. Hurtado, MªTeresa Navarro, Amelia Villena, M Ángeles Pérez-Ara, Pau Riera-Serra, Rosa Mª Baños. Originally published in the Journal of Medical Internet Research (http://www.jmir.orgTest), 05.06.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0Test/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.orgTest/, as well as this copyright and license information must be included. ; Atribución 4.0 Internacional ; http://creativecommons.org/licenses/by-sa/4.0Test/ ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.ACA8023 |
| قاعدة البيانات: | BASE |
| DOI: | 10.2196/15845 |
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