Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care
Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low...
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Published in | International journal of environmental research and public health Vol. 18; no. 4; p. 1774 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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MDPI
11.02.2021
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Abstract | Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment. |
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AbstractList | Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment. |
Author | Baños, Rosa Mª Barceló-Soler, Alberto Botella, Cristina García-Campayo, Javier Castro, Adoración López-Del-Hoyo, Yolanda Gili, Margalida Roca, Miquel Villena, Amelia Mayoral, Fermín García-Palacios, Azucena Pérez-Ara, María Ángeles Hurtado, María M |
AuthorAffiliation | 2 Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain 3 Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, 12071 Castellón, Spain; azucena@uji.es (A.G.-P.); botella@uji.es (C.B.) 6 Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain 7 Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain 1 Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain; m.perez@uib.es (M.Á.P.-A.); mroca@uib.es (M.R.); mgili@uib.es (M.G.) 8 Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain; fermin.mayoral.sspa@juntadeandalucia.es (F.M.); marienahurtado@gmail.com (M.M.H.); amelia.villena.j@gmail.com (A.V.) 5 Institute of Health Research of Aragon (IIS), Hospital Miguel Servet, 50009 Zaragoza, Spain; ylopez.iacs@gmail.com (Y.L |
AuthorAffiliation_xml | – name: 7 Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain – name: 1 Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain; m.perez@uib.es (M.Á.P.-A.); mroca@uib.es (M.R.); mgili@uib.es (M.G.) – name: 6 Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain – name: 2 Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain – name: 8 Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain; fermin.mayoral.sspa@juntadeandalucia.es (F.M.); marienahurtado@gmail.com (M.M.H.); amelia.villena.j@gmail.com (A.V.) – name: 9 Department of Psychological, Personality, Evaluation and Treatment, University of Valencia, 46010 Valencia, Spain – name: 5 Institute of Health Research of Aragon (IIS), Hospital Miguel Servet, 50009 Zaragoza, Spain; ylopez.iacs@gmail.com (Y.L.-D.-H.); jgarcamp@gmail.com (J.G.-C.); abarcelosoler@hotmail.com (A.B.-S.) – name: 4 CIBER Physiopathology Obesity and Nutrition (CIBERobn), Carlos III Health Institute, 28029 Madrid, Spain; banos@uv.es – name: 3 Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, 12071 Castellón, Spain; azucena@uji.es (A.G.-P.); botella@uji.es (C.B.) |
Author_xml | – sequence: 1 givenname: Adoración orcidid: 0000-0002-8025-4945 surname: Castro fullname: Castro, Adoración organization: Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain – sequence: 2 givenname: Azucena surname: García-Palacios fullname: García-Palacios, Azucena organization: CIBER Physiopathology Obesity and Nutrition (CIBERobn), Carlos III Health Institute, 28029 Madrid, Spain – sequence: 3 givenname: Yolanda orcidid: 0000-0002-1690-4130 surname: López-Del-Hoyo fullname: López-Del-Hoyo, Yolanda organization: Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain – sequence: 4 givenname: Fermín orcidid: 0000-0002-9710-9672 surname: Mayoral fullname: Mayoral, Fermín organization: Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain – sequence: 5 givenname: María Ángeles orcidid: 0000-0002-2073-6539 surname: Pérez-Ara fullname: Pérez-Ara, María Ángeles organization: Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain – sequence: 6 givenname: Rosa Mª orcidid: 0000-0003-0626-7665 surname: Baños fullname: Baños, Rosa Mª organization: Department of Psychological, Personality, Evaluation and Treatment, University of Valencia, 46010 Valencia, Spain – sequence: 7 givenname: Javier surname: García-Campayo fullname: García-Campayo, Javier organization: Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain – sequence: 8 givenname: María M surname: Hurtado fullname: Hurtado, María M organization: Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain – sequence: 9 givenname: Cristina surname: Botella fullname: Botella, Cristina organization: CIBER Physiopathology Obesity and Nutrition (CIBERobn), Carlos III Health Institute, 28029 Madrid, Spain – sequence: 10 givenname: Alberto orcidid: 0000-0002-2116-9257 surname: Barceló-Soler fullname: Barceló-Soler, Alberto organization: Institute of Health Research of Aragon (IIS), Hospital Miguel Servet, 50009 Zaragoza, Spain – sequence: 11 givenname: Amelia surname: Villena fullname: Villena, Amelia organization: Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain – sequence: 12 givenname: Miquel surname: Roca fullname: Roca, Miquel organization: Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain – sequence: 13 givenname: Margalida surname: Gili fullname: Gili, Margalida organization: Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain |
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Keywords | predictors primary care ICTs depression adherence |
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Title | Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care |
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