000079771 001__ 79771 000079771 005__ 20200716101428.0 000079771 0247_ $$2doi$$a10.3389/fpsyt.2019.00325 000079771 0248_ $$2sideral$$a112686 000079771 037__ $$aART-2019-112686 000079771 041__ $$aeng 000079771 100__ $$0(orcid)0000-0003-4394-5322$$aMira, A.$$uUniversidad de Zaragoza 000079771 245__ $$aExploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial 000079771 260__ $$c2019 000079771 5060_ $$aAccess copy available to the general public$$fUnrestricted 000079771 5203_ $$aBackground: Depression is one of the most prevalent psychological disorders worldwide. Although psychotherapy for depression is effective, there are barriers to its implementation in primary care in Spain. The use of the Internet has been shown to be a feasible solution. However, the acceptability of Internet-based interventions has not been studied sufficiently. Objective: To assess the acceptability of an Internet-based intervention (IBI) for depression in primary care, and explore the relationship between expectations and satisfaction and the improvement in the clinical variables in primary care patients receiving this intervention. Furthermore, it offers data about the effects of some sociodemographic characteristics on these acceptability variables and analyzes whether the expectations are related to finalizing the intervention. Methods: Data were based on depressive patients who were participants in a randomized controlled trial. In the present study, we present the data from all the participants in the Internet intervention groups (N = 198). All the participants filled out the expectation and satisfaction scales (six-item scales regarding treatment logic, satisfaction, recommending, usefulness for other disorders, usefulness for the patient, and unpleasantness), the Beck Depression Inventory-II, and the secondary outcome measures: depression and anxiety impairment, and positive and negative affect. Results: Results showed that participants'' expectations and satisfaction with the program were both high and differences in expectations and satisfaction depended on some sociodemographic variables (age: older people have higher expectations; sex: women have greater satisfaction). A positive relationship between these variables and intervention efficacy was found: expectations related to "usefulness for the patient" were a statistically related predictor to the results on the BDI-11 (Beta = 0.364), and the perception of how logical the treatment is (Beta = 0.528) was associated with change in the clinical variable. Furthermore, the higher the expectations, the higher the improvements exhibited by the patients in all measures evaluated during the ten intervention modules. High expectations were also directly related to finalizing the intervention. Conclusions: This is the first study in Spain to address this issue in the field of IBIs for depression in primary care. The IBI showed high acceptance related to the intervention''s efficacy and completion. Research on IBI acceptability could help to implement the treatment offered. 000079771 536__ $$9info:eu-repo/grantAgreement/ES/MINECO/PI10-01083$$9info:eu-repo/grantAgreement/ES/MINECO/PSI2014-54172-R 000079771 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000079771 590__ $$a2.849$$b2019 000079771 592__ $$a1.229$$b2019 000079771 591__ $$aPSYCHIATRY$$b41 / 140 = 0.293$$c2019$$dQ2$$eT1 000079771 593__ $$aPsychiatry and Mental Health$$c2019$$dQ1 000079771 591__ $$aPSYCHIATRY$$b65 / 154 = 0.422$$c2019$$dQ2$$eT2 000079771 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000079771 700__ $$aSoler, C. 000079771 700__ $$0(orcid)0000-0002-7931-4082$$aAlda, M.$$uUniversidad de Zaragoza 000079771 700__ $$aBanos, R. 000079771 700__ $$0(orcid)0000-0002-1631-1220$$aCastilla, D.$$uUniversidad de Zaragoza 000079771 700__ $$aCastro, A. 000079771 700__ $$0(orcid)0000-0002-3797-4218$$aGarcia-Campayo, J.$$uUniversidad de Zaragoza 000079771 700__ $$aGarcia-Palacios, A. 000079771 700__ $$aGili, M. 000079771 700__ $$aHurtado, M. 000079771 700__ $$aMayoral, F. 000079771 700__ $$aMontero-Marin, J. 000079771 700__ $$aBotella, C. 000079771 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría 000079771 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló. 000079771 773__ $$g10 (2019), 325 [13 pp]$$tFrontiers in Psychiatry$$x1664-0640 000079771 8564_ $$s1184106$$uhttps://zaguan.unizar.es/record/79771/files/texto_completo.pdf$$yVersión publicada 000079771 8564_ $$s106408$$uhttps://zaguan.unizar.es/record/79771/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000079771 909CO $$ooai:zaguan.unizar.es:79771$$particulos$$pdriver 000079771 951__ $$a2020-07-16-08:46:32 000079771 980__ $$aARTICLE