Browsing by Author "Martínez, Pablo"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- ItemA collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease at primary care: protocol for a cluster randomized controlled trial(2021) Rojas Castillo, María Graciela; Martínez, Pablo; Guajardo, Viviana; Campos Romero, Solange; Herrera Salinas, Pablo; Vöhringer, Paul; Gómez, Víctor; Szabo, Wilsa; Araya, RicardoAbstract Background Depression and chronic diseases are frequently comorbid public health problems. However, clinical guidelines often fail to consider comorbidities. This study protocol describes a cluster randomized trial (CRT) aimed to compare the effectiveness of a collaborative, computer-assisted, psycho-educational intervention versus enhanced usual care (EUC) in the treatment of depressed patients with hypertension and/or diabetes in primary care clinics (PCC) in Santiago, Chile. Methods Two-arm, single-blind, CRT carried out at two municipalities in Santiago, Chile. Eight PCC will be randomly assigned (1:1 ratio within each municipality, 4 PCC in each municipality) to the INTERVENTION or EUC. A total of 360 depressed patients, aged at least 18 years, with Patient Health Questionnaire-9 Item [PHQ-9] scores ≥15, and enrolled in the Cardiovascular Health Program at the participating PCC. Patients with alcohol/substance abuse; current treatment for depression, bipolar disorder, or psychosis; illiteracy; severe impairment; and resident in long-term care facilities, will be excluded. Patients in both arms will be invited to use the Web page of the project, which includes basic health education information. Patients in the INTERVENTION will receive eight sessions of a computer-assisted, psycho-educational intervention delivered by trained therapists, a structured telephone calls to monitor progress, and usual medical care for chronic diseases. Therapists will receive biweekly and monthly supervision by psychologist and psychiatrist, respectively. A monthly meeting will be held between the PCC team and a member of the research team to ensure continuity of care. Patients in EUC will receive depression treatment according to clinical guidelines and usual medical care for chronic diseases. Outcome assessments will be conducted at 3, 6, and 12 months after enrollment. The primary outcome will be depression improvement at 6 months, defined as ≥50% reduction in baseline PHQ-9 scores. Intention-to-treat analyses will be performed. Discussion This study will be one of the first to provide evidence for the effectiveness of a collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease at primary care in a Latin American country. Trial registration retrospectively registered in ClinicalTrials.gov , first posted: November 3, 2020, under identifier: NCT04613076 .
- ItemFlexible Robotic Production in Off-Site Construction: A Lean Approac(2023) Cardenas Castaneda, Jennifer Alejandra; Barkokebas, Beda; Martínez, Pablo; Ahmad, RafiqThe integration of robotics into flexible manufacturing systems (FMS) has been identified as a potential strategy for increasing modular construction flexibility. The purpose of this paper is to present a conceptual framework for investigating the relationship between FMS and robotics in modular construction. The framework proposes that by incorporating robotics into FMS, prefabricated building component manufacturing systems will gain flexibility. The two key variables of the framework are robotics (as the independent variable) and FMS (as the dependent variable). Moderator variables such as controlled environment and variability are also considered, as are mediator variables such as real-time adjustments, productivity, equipment utilization, set-up times, varying speeds, and reduced manpower. The purpose of this paper is to set the theoretical foundation for further studies on robotics integration into FMS in modular construction. The paper concludes with a discussion of the proposed implications of the framework for modular construction practitioners and researchers.
- ItemUnderstanding the Relationship between Depression and Chronic Diseases Such as Diabetes and Hypertension: A Grounded Theory Study(2021) Campos Romero, Solange; Herrera Salinas, Pablo; Szabo, Wilsa; Martínez, Pablo; Guajardo, Viviana; Rojas Castillo, María Graciela