A collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease at primary care: protocol for a cluster randomized controlled trial

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dc.contributor.authorRojas Castillo, María Graciela
dc.contributor.authorMartínez, Pablo
dc.contributor.authorGuajardo, Viviana
dc.contributor.authorCampos Romero, Solange
dc.contributor.authorHerrera Salinas, Pablo
dc.contributor.authorVöhringer, Paul
dc.contributor.authorGómez, Víctor
dc.contributor.authorSzabo, Wilsa
dc.contributor.authorAraya, Ricardo
dc.date.accessioned2021-08-25T15:56:34Z
dc.date.available2021-08-25T15:56:34Z
dc.date.issued2021
dc.date.updated2021-08-22T00:02:11Z
dc.description.abstractAbstract 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 .
dc.format.extent13 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationBMC Psychiatry. 2021 Aug 21;21(1):418
dc.identifier.doi10.1186/s12888-021-03380-2
dc.identifier.urihttps://doi.org/10.1186/s12888-021-03380-2
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/61959
dc.information.autorucEscuela de Enfermería ; Campos Romero, Solange ; 0000-0002-8838-7697 ; 638
dc.issue.numeroNo. 418
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final13
dc.pagina.inicio1
dc.revistaBMC Psychiatryes_ES
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectStudy protocoles_ES
dc.subjectCluster randomized triales_ES
dc.subjectDepressiones_ES
dc.subjectHypertensiones_ES
dc.subjectDiabeteses_ES
dc.subjectPrimary carees_ES
dc.subjectCognitive behaviorales_ES
dc.subjectPsychotherapyes_ES
dc.subject.ddc616.8914
dc.subject.deweyMedicina y saludes_ES
dc.titleA collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease at primary care: protocol for a cluster randomized controlled triales_ES
dc.typeartículo
dc.volumenVol. 21
sipa.codpersvinculados638
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