000057929 001__ 57929
000057929 005__ 20170504093356.0
000057929 0247_ $$2doi$$a10.1186/1471-244X-13-21
000057929 0248_ $$2sideral$$a81395
000057929 037__ $$aART-2013-81395
000057929 041__ $$aeng
000057929 100__ $$0(orcid)0000-0002-1690-4130$$aLópez-del-Hoyo, Y.$$uUniversidad de Zaragoza
000057929 245__ $$aLow intensity vs. self-guided Internet-delivered psychotherapy for major depression: A multicenter, controlled, randomized study
000057929 260__ $$c2013
000057929 5060_ $$aAccess copy available to the general public$$fUnrestricted
000057929 5203_ $$aBackground: Major depression will become the second most important cause of disability in 2020. Computerized cognitive-behaviour therapy could be an efficacious and cost-effective option for its treatment. No studies on cost-effectiveness of low intensity vs self-guided psychotherapy has been carried out. The aim of this study is to assess the efficacy of low intensity vs self-guided psychotherapy for major depression in the Spanish health system.
Methods: The study is made up of 3 phases: 1.- Development of a computerized cognitive-behaviour therapy for depression tailored to Spanish health system. 2.- Multicenter controlled, randomized study: A sample (N=450 patients) with mild/moderate depression recruited in primary care. They should have internet availability at home, not receive any previous psychological treatment, and not suffer from any other severe somatic or psychological disorder. They will be allocated to one of 3 treatments: a) Low intensity Internet-delivered psychotherapy + improved treatment as usual (ITAU) by GP, b) Self-guided Internet-delivered psychotherapy + ITAU or c) ITAU. Patients will be diagnosed with MINI psychiatric interview. Main outcome variable will be Beck Depression Inventory. It will be also administered EuroQol 5D (quality of life) and Client Service Receipt Inventory (consume of health and social services). Patients will be assessed at baseline, 3 and 12 months. An intention to treat and a per protocol analysis will be performed.
Discussion: The comparisons between low intensity and self-guided are infrequent, and also a comparative economic evaluation between them and compared with usual treatment in primary. The strength of the study is that it is a multicenter, randomized, controlled trial of low intensity and self-guided Internet-delivered psychotherapy for depression in primary care, being the treatment completely integrated in primary care setting.
000057929 536__ $$9info:eu-repo/grantAgreement/ES/MINECO/PI10-01083$$9info:eu-repo/grantAgreement/ES/MICINN/ISCIII-RD06-0018-0017$$9info:eu-repo/grantAgreement/ES/MEC/PSI2010-17563-CIBER
000057929 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000057929 590__ $$a2.237$$b2013
000057929 591__ $$aPSYCHIATRY$$b65 / 134 = 0.485$$c2013$$dQ2$$eT2
000057929 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000057929 700__ $$0(orcid)0000-0001-6565-9699$$aOlivan, B.$$uUniversidad de Zaragoza
000057929 700__ $$aLuciano, J.V.
000057929 700__ $$aMayoral, F.
000057929 700__ $$aRoca, M.
000057929 700__ $$aGili, M.
000057929 700__ $$aAndres, E.
000057929 700__ $$aSerrano-Blanco, A.
000057929 700__ $$aCollazo, F.
000057929 700__ $$aAraya, R.
000057929 700__ $$aBaños, R.
000057929 700__ $$aBotella, C.
000057929 700__ $$aMagallón, R.
000057929 700__ $$aGarcía-Campayo, J.
000057929 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDepartamento de Psicología y Sociología$$cPsicología Social
000057929 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDepartamento de Psicología y Sociología$$cPsicología Básica
000057929 773__ $$g13, 21 (2013), [10 pp]$$pBMC Psychiatry$$tBMC Psychiatry$$x1471-244X
000057929 8564_ $$s380393$$uhttps://zaguan.unizar.es/record/57929/files/texto_completo.pdf$$yVersión publicada
000057929 8564_ $$s103844$$uhttps://zaguan.unizar.es/record/57929/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000057929 909CO $$ooai:zaguan.unizar.es:57929$$particulos$$pdriver
000057929 951__ $$a2017-05-04-09:33:00
000057929 980__ $$aARTICLE