000101137 001__ 101137 000101137 005__ 20210902121935.0 000101137 0247_ $$2doi$$a10.2196/18220 000101137 0248_ $$2sideral$$a123193 000101137 037__ $$aART-2020-123193 000101137 041__ $$aeng 000101137 100__ $$0(orcid)0000-0002-3749-3756$$aGonzález-Robles, Alberto$$uUniversidad de Zaragoza 000101137 245__ $$aEffectiveness of a Transdiagnostic Guided Internet-Delivered Protocol for Emotional Disorders Versus Treatment as Usual in Specialized Care: Randomized Controlled Trial 000101137 260__ $$c2020 000101137 5060_ $$aAccess copy available to the general public$$fUnrestricted 000101137 5203_ $$aBackground: Anxiety disorders and depression (emotional disorders) are highly prevalent mental disorders. Extensive empirical evidence supports the efficacy of cognitive behavioral therapy (CBT) for the treatment of these disorders. However, there are still some barriers related to their dissemination and implementation, which make it difficult for patients to receive these treatments,especially in public health care settings where resources are limited. Recent advances in improving CBT dissemination encompass different perspectives. One is the transdiagnostic approach, which offers treatment protocols that can be used for a range of emotional disorders. Another approach is the use of the internet to reach a larger number of people who could benefit from CBT. Objective: This study aimed to analyze the effectiveness and acceptability of a transdiagnostic internet-delivered protocol(EmotionRegulation) with human and automated guidance in patients from public specialized mental health care settings. Methods: A 2-armed randomized controlled trial (RCT) was conducted to compare the effectiveness of EmotionRegulation with treatment as usual (TAU) in specialized mental health care. In all, 214 participants were randomly assigned to receive either EmotionRegulation (n=106) or TAU (n=108). Measurement assessments were conducted at pre- and postintervention and at a3-month follow-up. Results: The results revealed the superiority of EmotionRegulation over TAU on measures of depression (d=0.41), anxiety(d=0.35), and health-related quality of life (d=−0.45) at posttreatment, and these gains were maintained at the 3-month follow-up.Furthermore, the results for expectations and opinions showed that EmotionRegulation was well accepted by participants. Conclusions: EmotionRegulation was more effective than TAU for the treatment of emotional disorders in the Spanish publicmental health system. The implications of this RCT, limitations, and suggestions for future research are discussed. 000101137 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/CB06-03-0052$$9info:eu-repo/grantAgreement/ES/MEC/FPU13-00576 000101137 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000101137 590__ $$a5.428$$b2020 000101137 591__ $$aMEDICAL INFORMATICS$$b5 / 30 = 0.167$$c2020$$dQ1$$eT1 000101137 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b10 / 108 = 0.093$$c2020$$dQ1$$eT1 000101137 592__ $$a1.446$$b2020 000101137 593__ $$aHealth Informatics$$c2020$$dQ1 000101137 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000101137 700__ $$aDíaz-García, Amanda 000101137 700__ $$aGarcía-Palacios, Azucena 000101137 700__ $$aRoca, Pablo 000101137 700__ $$aRamos-Quiroga, Josep Antoni 000101137 700__ $$aBotella, Cristina 000101137 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló. 000101137 773__ $$g22, 7 (2020), e18220 [23 pp.]$$pJMIR, J. med. internet res.$$tJournal of Medical Internet Research$$x1438-8871 000101137 8564_ $$s616163$$uhttps://zaguan.unizar.es/record/101137/files/texto_completo.pdf$$yVersión publicada 000101137 8564_ $$s2486284$$uhttps://zaguan.unizar.es/record/101137/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000101137 909CO $$ooai:zaguan.unizar.es:101137$$particulos$$pdriver 000101137 951__ $$a2021-09-02-10:57:47 000101137 980__ $$aARTICLE