Background Emotional and stress-related disorders show high incidence, prevalence, morbidity, and comorbidity rates in Mexico. In recent decades, research findings indicate that cognitive behavioral interventions, from a disorder-specific perspective, are the effective front-line treatment for anxiety and depression care. However, these treatments are not often used. Reasons include limited access and low availability to effective interventions and comorbidity between mental disorders. Emotional deregulation of negative affectivity has been found to be a mediating factor in addressing emotional disorders from a transdiagnostic perspective, aimed at two or more specific disorders. In addition, technological advancement has created alternatives for psychological assistance, highlighting the possibilities offered by technologies since Internet-supported intervention programs have been empirically tested for effectiveness, efficiency and efficacy and can be key to ensuring access to those who are inaccessible. The aim of the study is to evaluate the efficacy, moderators of clinical change and acceptability of a transdiagnostic guided Internet-delivered intervention versus a transdiagnostic self-guided Internet-delivered intervention for emotional, trauma and stress-related disorders, and waiting list in community sample. Methods A three-armed, parallel group, superiority randomized controlled clinical trial with repeated measurements at four times: pretest, posttest, follow-up at 3, 6 and 12 months. Outcomes assessor, participant, care provider and investigator will be blinded. Participants aged 18 to 70 years will be randomly allocated 1:1:1 to one of three study arms: a) Transdiagnostic guided internet-delivered intervention with synchronous assistance, b) Transdiagnostic self-guided internet-delivered intervention, c) Waiting list group. Based on sample size estimation, a minimum of 207 participants (69 in each intervention group) will be included. Discussion The study could contribute to improving the efficacy of transdiagnostic internet-delivered interventions to promote the dissemination of evidence-based treatments and eventually, to decrease the high prevalence of emotional and trauma-related disorders in the Mexican population. Trial registration ClinicalTrial.gov: NCT05225701. Registered February 4, 2022.
Antecedentes: En los últimos años se ha incrementado el uso de intervenciones psicológicas digitales o mediadas por tecnología, sin embargo, existe evidencia de que las actitudes de los terapeutas podría ser un factor que influye para incorporarlas en la práctica clínica. Objetivo: Explorar las actitudes de los psicólogos en formación y profesionistas en psicología ante las intervenciones mediadas por dispositivos digitales, así como identificar los factores que influyen en dichas actitudes. Método: El estudio incluyó dos fases, la primera consistió en la adaptación transcultural al contexto mexicano del protocolo CATAS, mediante la evaluación de la validez de contenido (utilizando el método de validación por jueces) a través de la estimación del Índice de Acuerdo entre Jueces-IA y el Coeficiente V de Aiken-V. Posteriormente, se realizó la aplicación del protocolo a una muestra total de 147 participantes (estudiantes y profesores de psicología). Resultados: Reportaron que el protocolo obtuvo una adecuada validez de contenido (IA = 96.54%, V = 0.97 p<.001) y fiabilidad para las escalas que lo componen; CATAS total (α = .76), CFS (α = .83) y EBPAS-Apertura (α = .86). Asimismo, los participantes mostraron actitudes positivas hacia las intervenciones digitales, este tipo de actitudes se asoció con la facilidad de acceso tecnológico, familiaridad con la tecnología (escala CFS), disposición para utilizar nuevos tratamientos (escala EBPAS-Apertura), años de experiencia, ser profesor, un mayor grado académico y con la orientación teórica cognitivo-conductual y sistémico. Conclusiones: Los hallazgos permitirán generar acciones para modificar las barreras que dificultan el uso de las tecnologías en la práctica clínica.
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