000057841 001__ 57841
000057841 005__ 20210121114501.0
000057841 0247_ $$2doi$$a10.2196/jmir.3985
000057841 0248_ $$2sideral$$a90401
000057841 037__ $$aART-2015-90401
000057841 041__ $$aeng
000057841 100__ $$0(orcid)0000-0001-5677-1662$$aMontero-Marín, J.
000057841 245__ $$aExpectations among patients and health professionals regarding Web-based interventions for depression in primary care: A qualitative study
000057841 260__ $$c2015
000057841 5060_ $$aAccess copy available to the general public$$fUnrestricted
000057841 5203_ $$aBackground: One-quarter of the world’s population will suffer from depression symptoms at some point in their lives. Mental health services in developed countries are overburdened. Therefore, cost-effective interventions that provide mental health care solutions such as Web-based psychotherapy programs have been proposed.
Objective: The intent of the study was to identify expectations regarding Web-based psychotherapy for the treatment of depression in primary care among patients and health professionals that might facilitate or hinder its effects.
Methods: The expectations of untreated patients and health professionals were examined by means of interviews and focus groups. There were 43 participants (20 patients with mild and moderate levels of depression, 11 primary care physicians, and 12 managers; 22 of them for interviews and 21 for groups). A thematic content analysis from the grounded theory for interviews, and an analysis of the discursive positions of participants based on the sociological model for groups were performed. Interpretations were achieved by agreement between three independent analysts.
Results: All participants showed a good general acceptance of Web-based psychotherapy, appreciating possible advantages and improvements. Patients, physicians, and managers shared the same conceptualization of their expectations, although highlighting different aspects. Patients focused on the need for individualized and personalized interaction, while professionals highlighted the need for the standardization of the program. Physicians were concerned with extra workload, while managers were worried about optimizing cost-effectiveness.
Conclusions: Expectations of the different participants can conflict with each other. Finding a balanced position among them is needed if we are to harmoniously implement effective Web-based interventions for depression in routine clinical practice.
000057841 536__ $$9info:eu-repo/grantAgreement/ES/MEC/PSI2010-17563-CIBER$$9info:eu-repo/grantAgreement/ES/ISCIII/RD12-0005$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI10-01982
000057841 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000057841 590__ $$a4.532$$b2015
000057841 591__ $$aMEDICAL INFORMATICS$$b2 / 20 = 0.1$$c2015$$dQ1$$eT1
000057841 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b5 / 87 = 0.057$$c2015$$dQ1$$eT1
000057841 592__ $$a1.785$$b2015
000057841 593__ $$aHealth Informatics$$c2015$$dQ1
000057841 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000057841 700__ $$aPrado-Abril, J.
000057841 700__ $$aBotella, C.
000057841 700__ $$aMayoral-Cleries, F.
000057841 700__ $$aBaños, R.
000057841 700__ $$0(orcid)0000-0003-2088-4272$$aHerrera-Mercadal, P.$$uUniversidad de Zaragoza
000057841 700__ $$aRomero-Sanchiz, P.
000057841 700__ $$aGili, M.
000057841 700__ $$aCastro, A,
000057841 700__ $$aNogueira, R.
000057841 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, J$$uUniversidad de Zaragoza
000057841 7102_ $$10$$2X$$aUniversidad de Zaragoza$$bEstudios propios$$cEstudios Propios Dpto.M.Ps.y D
000057841 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000057841 773__ $$g17, 3 (2015), e67 [16 pp]$$pJMIR, J. med. internet res.$$tJournal of medical Internet research$$x1438-8871
000057841 8564_ $$s518642$$uhttps://zaguan.unizar.es/record/57841/files/texto_completo.pdf$$yVersión publicada
000057841 8564_ $$s98383$$uhttps://zaguan.unizar.es/record/57841/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000057841 909CO $$ooai:zaguan.unizar.es:57841$$particulos$$pdriver
000057841 951__ $$a2021-01-21-10:51:32
000057841 980__ $$aARTICLE