000148838 001__ 148838
000148838 005__ 20250122151649.0
000148838 0247_ $$2doi$$a10.1016/j.invent.2022.100581
000148838 0248_ $$2sideral$$a130968
000148838 037__ $$aART-2022-130968
000148838 041__ $$aeng
000148838 100__ $$aLorente-Català, Rosa
000148838 245__ $$aImplementation of a psychological online intervention for low to moderate depression in primary care: study protocol
000148838 260__ $$c2022
000148838 5060_ $$aAccess copy available to the general public$$fUnrestricted
000148838 5203_ $$aBackground
Depression affects millions of people all over the world and implies a great socioeconomic burden. Despite there are different effective evidence-based interventions for treating depression, only a small proportion of these patients receives an appropriate treatment. In this regard, information and communication technologies (ICTs) can be used with therapeutic aims and this can contribute to make interventions more accessible. One example is “Smiling is fun”, an internet-based treatment which has proved to be effective and cost-effective for treating depression in Spanish Primary Care (PC). However, the “know-do gap” between research and clinical settings implies that the actual implementation of such interventions could last up to 20 years. To overcome this obstacle, the implementation research establishes the methodology to implement the advances developed in the laboratories to the health care services maintaining the validity of the intervention and offering specific strategies for the implementation process.
Objective
This is the protocol of an implementation study for the Internet-based program “Smiling is fun”, which will be conducted on patients with mild-to-moderate depression of Spanish PC settings. In the implementation study, the feasibility, efficacy, cost-efficacy, acceptability, adoption, appropriateness, fidelity, penetration, normalization, and sustainability will be assessed.
Methods
The current investigation is a Hybrid Effectiveness-Implementation Type II design. A Stepped Wedge randomized controlled trial design will be used, with a cohort of 420 adults diagnosed with depression (mild-to-moderate) who will undergo a first control phase (no treatment) followed by the intervention, which will last 16 weeks, and finishing with an optional use of the intervention. All patients will be assessed at baseline, during the treatment, and at post-treatment. The study will be conducted in three Spanish regions: Andalusia, Aragon, and the Balearic Islands. Two primary care centers of each region will participate, one located in the urban setting and the other in the rural setting. The primary outcome will be implementation success of the intervention assessing the reach, clinical effect, acceptability, appropriateness, adoption, feasibility, fidelity, penetration, implementation costs and sustainability services.
Discussion
“Smiling is Fun”, which has already been established as effective and cost-effective, will be adapted according to users' experiences and opinions, and the efficacy and cost-efficacy of the program will again be assessed. The study will point out barriers and facilitators to consider in the implementation process of internet-based psychological interventions in health services. The ultimate goal is to break the research-to-practice split, which would undoubtedly contribute to reduce the high burden of depression in our society.
000148838 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000148838 590__ $$a4.3$$b2022
000148838 591__ $$aPSYCHOLOGY, CLINICAL$$b28 / 131 = 0.214$$c2022$$dQ1$$eT1
000148838 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b25 / 107 = 0.234$$c2022$$dQ1$$eT1
000148838 591__ $$aMEDICAL INFORMATICS$$b13 / 31 = 0.419$$c2022$$dQ2$$eT2
000148838 591__ $$aPSYCHIATRY$$b61 / 154 = 0.396$$c2022$$dQ2$$eT2
000148838 592__ $$a1.033$$b2022
000148838 593__ $$aHealth Informatics$$c2022$$dQ2
000148838 594__ $$a6.0$$b2022
000148838 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000148838 700__ $$aGili, Margalida
000148838 700__ $$0(orcid)0000-0002-1690-4130$$aLópez-Del-Hoyo, Yolanda$$uUniversidad de Zaragoza
000148838 700__ $$aMayoral-Cleries, Fermín
000148838 700__ $$aPerez-Aranda, Adrián
000148838 700__ $$aCastro, Adoración
000148838 700__ $$aVarela-Moreno, Esperanza
000148838 700__ $$aBaños, Rosa M.
000148838 700__ $$aRoca, Miquel
000148838 700__ $$0(orcid)0000-0003-2088-2007$$aMonreal-Bartolomé, Alicia
000148838 700__ $$aGarcía-Palacios, Azucena
000148838 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000148838 773__ $$g30 (2022), 100581 [10 pp.]$$pInternet Interv.$$tINTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH$$x2214-7829
000148838 8564_ $$s2021131$$uhttps://zaguan.unizar.es/record/148838/files/texto_completo.pdf$$yVersión publicada
000148838 8564_ $$s2625644$$uhttps://zaguan.unizar.es/record/148838/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000148838 909CO $$ooai:zaguan.unizar.es:148838$$particulos$$pdriver
000148838 951__ $$a2025-01-22-14:46:15
000148838 980__ $$aARTICLE