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BMC Psychiatry. 2015 May 7;15:106. doi: 10.1186/s12888-015-0475-0.

Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial.

Author information

1
Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain. a.castro@uib.es.
2
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. a.castro@uib.es.
3
Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, Castellon, Spain. azucena@uji.es.
4
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain. azucena@uji.es.
5
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. jgarcamp@gmail.com.
6
Department of Psychiatry. Hospital Miguel Servet, University of Zaragoza, Zaragoza, Spain. jgarcamp@gmail.com.
7
Mental Health Department, University Regional Hospital of Málaga, Institute of Biomedicine of Málaga, Málaga, Spain. fermin.mayoral.sspa@juntadeandalucia.es.
8
Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, Castellon, Spain. botella@uji.es.
9
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain. botella@uji.es.
10
Mental Health Department, University Regional Hospital of Málaga, Institute of Biomedicine of Málaga, Málaga, Spain. josemgherrera@gmail.com.
11
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. mcperezy.iacs@aragon.es.
12
Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain. m.vives@uib.es.
13
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. m.vives@uib.es.
14
Department of Psychological, Personality, Evaluation and Treatment, University of Valencia, Valencia, Spain. banos@uv.es.
15
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain. banos@uv.es.
16
Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain. mroca@uib.es.
17
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. mroca@uib.es.
18
Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain. mgili@uib.es.
19
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Instituto de Salud Carlos III, Madrid, Spain. mgili@uib.es.

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.

PMID:
25948287
PMCID:
PMC4429324
DOI:
10.1186/s12888-015-0475-0
[Indexed for MEDLINE]
Free PMC Article

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