%0 Journal Article
%A Castro, Adoración
%A García-Palacios, Azucena
%A García-Campayo, Javier
%A Mayoral, Fermín
%A Botella, Cristina
%A García-Herrera, José María
%A Pérez-Yus, Mari-Cruz
%A Vives, Margalida
%A Baños, Rosa M
%A Roca, Miquel
%A Gili, Margalida
%T Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial.
%D 2015
%U http://hdl.handle.net/10668/2343
%X BACKGROUNDDepression 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.METHODMulticenter 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.DISCUSSIONLow-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 REGISTRATIONCurrent Controlled Trials ISRCTN82388279 . Registered 16 April 2014.
%K Depression
%K Primary health care
%K Computer-delivered psychotherapy
%K Randomized controlled trial
%K Protocolos clínicos
%K Depresión
%K Promoción de la salud
%K Atención plena
%K Atención primaria de la salud
%K Psicoterapia
%K Tratamiento asistido por ordenador
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