6533b86cfe1ef96bd12c807b

RESEARCH PRODUCT

Expectations, experiences and attitudes of patients and primary care health professionals regarding online psychotherapeutic interventions for depression: Protocol for a qualitative study

Cristina BotellaCristina BotellaYolanda López Del HoyoBárbara OlivánRicardo ArayaAntoni Eserrano-blancoFermín MayoralMargalida GiliFrancisco CollazoRosa M. BañosRosa M. BañosMiquel RocaJuan V. LucianoJesus Montero-marinJosé Miguel CarrascoJavier García-campayo

subject

Médicos de atención primariaPsychological interventionActitud ante los ordenadoresActitud ante la salud:Psychiatry and Psychology::Behavior and Behavior Mechanisms::Attitude::Attitude to Computers [Medical Subject Headings]:Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]DepresionStudy ProtocolCompletion rateProtocol:Health Care::Health Care Quality Access and Evaluation::Delivery of Health Care::Attitude to Health [Medical Subject Headings]Depression (differential diagnoses)Qualitative Researcheducation.field_of_studyOnline psychotherapyEntrevistas como asuntoAttitude to ComputersDepressionGrupos focales:Health Care::Health Care Quality Access and Evaluation::Delivery of Health Care::Attitude of Health Personnel [Medical Subject Headings]TelemedicinaFocus GroupsTelemedicinePsychiatry and Mental health:Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Telemedicine [Medical Subject Headings]Attitude to Healthmedicine.medical_specialtyTelemedicineAttitude of Health Personnel:Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy [Medical Subject Headings]PopulationInternet-based treatmentPhysicians Primary CareInterviews as TopicActitud del personal sanitariomedicineHumansPsychiatryeducationbusiness.industry:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Interviews as Topic::Focus Groups [Medical Subject Headings]:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Interviews as Topic [Medical Subject Headings]:Health Care::Health Care Facilities Manpower and Services::Health Personnel::Physicians::Physicians Primary Care [Medical Subject Headings]:Disciplines and Occupations::Natural Science Disciplines::Science::Research::Empirical Research::Qualitative Research [Medical Subject Headings]Mental healthFocus groupPsychotherapyQualitative study:Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression [Medical Subject Headings]businessQualitative research

description

Abstract Background In the year 2020, depression will cause the second highest amount of disability worldwide. One quarter of the population will suffer from depression symptoms at some point in their lives. Mental health services in Western countries are overburdened. Therefore, cost-effective interventions that do not involve mental health services, such as online psychotherapy programs, have been proposed. These programs demonstrate satisfactory outcomes, but the completion rate for patients is low. Health professionals’ attitudes towards this type of psychotherapy are more negative than the attitudes of depressed patients themselves. The aim of this study is to describe the profile of depressed patients who would benefit most from online psychotherapy and to identify expectations, experiences, and attitudes about online psychotherapy among both patients and health professionals that can facilitate or hinder its effects. Methods A parallel qualitative design will be used in a randomised controlled trial on the efficiency of online psychotherapeutic treatment for depression. Through interviews and focus groups, the experiences of treated patients, their reasons for abandoning the program, the expectations of untreated patients, and the attitudes of health professionals will be examined. Questions will be asked about training in new technologies, opinions of online psychotherapy, adjustment to therapy within the daily routine, the virtual and anonymous relationship with the therapist, the process of online communication, information necessary to make progress in therapy, process of working with the program, motivations and attitudes about treatment, expected consequences, normalisation of this type of therapy in primary care, changes in the physician-patient relationship, and resources and risks. A thematic content analysis from the grounded theory for interviews and an analysis of the discursive positions of participants based on the sociological model for focus groups will be performed. Discussion Knowledge of the expectations, experiences, and attitudes of both patients and medical personnel regarding online interventions for depression can facilitate the implementation of this new psychotherapeutic tool. This qualitative investigation will provide thorough knowledge of the perceptions, beliefs, and values of patients and clinicians, which will be very useful for understanding how to implement this intervention method for depression.

yearjournalcountryeditionlanguage
2013-02-20
http://zaguan.unizar.es/record/57932