000078139 001__ 78139 000078139 005__ 20240122154813.0 000078139 0247_ $$2doi$$a10.1186/s12888-019-2037-3 000078139 0248_ $$2sideral$$a110904 000078139 037__ $$aART-2019-110904 000078139 041__ $$aeng 000078139 100__ $$0(orcid)0000-0003-2088-2007$$aMonreal-Bartolomé, A. 000078139 245__ $$aEfficacy of a blended low-intensity internet-delivered psychological programme in patients with multimorbidity in primary care: Study protocol for a randomized controlled trial 000078139 260__ $$c2019 000078139 5060_ $$aAccess copy available to the general public$$fUnrestricted 000078139 5203_ $$aBackground: The World Health Organization (WHO) has included comorbidity between depression and a chronic disease among the 10 leading global health priorities. Although there is a high prevalence of multimorbidity, health care systems are mainly designed for the management of individual diseases. Given the difficulty in delivering face-to-face psychological treatments, alternative models of treatment delivery have been proposed, emphasizing the role of technologies such as the Internet. The aim of this study is to assess the efficacy in Primary Care (PC) of a blended low-intensity psychological intervention applied using information and communication technologies (ICTs) for the treatment of multimorbidity in PC (depression and type 2 diabetes/low back pain) by means of a randomized controlled trial (RCT). Our main hypothesis is that improved usual care combined with psychological therapy applied using ICTs will be more efficacious for improvement in the symptomatology of multimorbidity, compared to a group with only improved treatment as usual six months after the end of treatment. Methods: A protocol has been designed combining a face-to-face intervention with a supporting online programme that will be tested by an RCT conducted in three different regions (Andalusia, Aragon and the Balearic Islands). The RCT will evaluate three hundred participants diagnosed with depression and type 2 diabetes/low back pain. Four highly experienced research groups specializing in clinical psychology are involved in this trial, and there will be ample possibilities for translation and transfer to usual clinical practice. Discussion: This clinical trial will lead to improvement in financial sustainability, maximizing the use of resources and responding to principles of efficiency and effectiveness. Furthermore, based on the evaluation of the feasibility of implementing this intervention in primary care facilities, we expect to be able to suggest the intervention for incorporation into public policy. In conclusion, positive results of this study could have a significant impact on one of the most important health-related problems, multimorbidity. Trial registration: ClinicalTrials.gov, NCT03426709. Registered retrospectively on 08 February 2018. 000078139 536__ $$9info:eu-repo/grantAgreement/EUR/ISCII-ERDF/A way to make Europe$$9info:eu-repo/grantAgreement/ES/ISCIII-MECD-IISZ/FI17-00180$$9info:eu-repo/grantAgreement/ES/ISCIII-MECD-IISZ/FPU014-04987$$9info:eu-repo/grantAgreement/ES/ISCIII-MINECO-FEDER/RD16-0007-0005$$9info:eu-repo/grantAgreement/ES/ISCIII-MINECO/PI16-00962 000078139 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000078139 590__ $$a2.704$$b2019 000078139 592__ $$a1.341$$b2019 000078139 591__ $$aPSYCHIATRY$$b68 / 154 = 0.442$$c2019$$dQ2$$eT2 000078139 593__ $$aPsychiatry and Mental Health$$c2019$$dQ1 000078139 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000078139 700__ $$0(orcid)0000-0002-2116-9257$$aBarceló-Soler, A. 000078139 700__ $$aCastro, A. 000078139 700__ $$aPérez-Ara, M.Á. 000078139 700__ $$aGili, M. 000078139 700__ $$aMayoral, F. 000078139 700__ $$aHurtado, M.M. 000078139 700__ $$aMoreno, E.V. 000078139 700__ $$aBotella, C. 000078139 700__ $$aGarcía-Palacios, A. 000078139 700__ $$aBaños, R.M. 000078139 700__ $$0(orcid)0000-0002-1690-4130$$aLópez-Del-Hoyo, Y.$$uUniversidad de Zaragoza 000078139 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, J.$$uUniversidad de Zaragoza 000078139 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica 000078139 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría 000078139 773__ $$g19, 1 (2019), 66 [11 pp]$$pBMC Psychiatry$$tBMC Psychiatry$$x1471-244X 000078139 8564_ $$s422448$$uhttps://zaguan.unizar.es/record/78139/files/texto_completo.pdf$$yVersión publicada 000078139 8564_ $$s96333$$uhttps://zaguan.unizar.es/record/78139/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000078139 909CO $$ooai:zaguan.unizar.es:78139$$particulos$$pdriver 000078139 951__ $$a2024-01-22-15:32:24 000078139 980__ $$aARTICLE