6533b828fe1ef96bd12890da

RESEARCH PRODUCT

Low intensity vs. self-guided Internet-delivered psychotherapy for major depression: A multicenter, controlled, randomized study

Margalida GiliAntoni Serrano-blancoFrancisco CollazoBárbara OlivánYolanda López Del HoyoMiquel RocaJavier García-campayoEva AndrésRosa M. BañosRosa M. BañosCristina BotellaCristina BotellaRicardo ArayaRosa MagallónFermín MayoralJuan V. Luciano

subject

Research designMalemedicine.medical_treatmentCost-Benefit Analysis:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Methods::Research Design [Medical Subject Headings]:Named Groups::Persons::Age Groups::Adult::Middle Aged [Medical Subject Headings]law.invention:Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]Study ProtocolRandomized controlled trialQuality of lifeClinical Protocols:Psychiatry and Psychology::Mental Disorders::Mood Disorders::Depressive Disorder::Depressive Disorder Major [Medical Subject Headings]law:Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Clinical Protocols [Medical Subject Headings]Tratamiento asistido por ordenadorDepression (differential diagnoses)DepressionMiddle Aged:Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy::Behavior Therapy::Cognitive Therapy [Medical Subject Headings]Psychiatry and Mental healthTreatment OutcomeResearch DesignRandomized controlled trial:Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet [Medical Subject Headings]FemaleAnálisis Costo-BeneficioPsychologyAdultmedicine.medical_specialtyPsychotherapist:Check Tags::Male [Medical Subject Headings]:Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Therapy Computer-Assisted [Medical Subject Headings]:Health Care::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost-Benefit Analysis [Medical Subject Headings]Trastorno depresivo mayor:Named Groups::Persons::Age Groups::Adult [Medical Subject Headings]medicineHumansPsychiatryComputer-delivered psychotherapy:Analytical Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis::Treatment Outcome [Medical Subject Headings]Depressive Disorder MajorInternetIntention-to-treat analysisCognitive Behavioral TherapyBeck Depression InventoryClinical trial:Check Tags::Female [Medical Subject Headings]Diseño de la investigaciónTherapy Computer-AssistedProtocolos clínicosCognitive therapyResultado del tratamientoTerapia cognitiva

description

Abstract Background 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. Trial registration Clinical Trials NCT01611818

yearjournalcountryeditionlanguage
2013-01-11
10.1186/1471-244x-13-21http://hdl.handle.net/10234/83589