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

Montero-Marín, Jesús; Carrasco, José Miguel; Roca, Miquel; Serrano‐Blanco, Antoni; Gili, Margalida; Mayoral, Fermín; Luciano, Juan V.; López‐Del‐Hoyo, Yolanda; Oliván, Bárbara; Collazo, Francisco; Araya, Ricardo; Baños, Rosa; Botella, Cristina; Garcı́a-Campayo, Javier

doi:10.1186/1471-244x-13-64

Cited by 19 publications

(13 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, in studies of computer based and self-directed approaches for depression, providers’ attitudes were more negative than the attitudes of patients themselves (Montero-Marin et al 2013; Whitfield and Williams 2004). Such attitudes are important and warrant additional attention.…”

Section: Discussionmentioning

confidence: 99%

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study

Chavira

Bustos

Garcia

et al. 2015

Community Ment Health J

View full text Add to dashboard Cite

Qualitative methods were used to understand community perspectives about ways to deliver cognitive behavior therapy (CBT) to rural Latino youth with anxiety. First, four focus groups were conducted with 28 bilingual Latino mental health providers to examine perceptions of CBT using telephone based, therapist supported bibliotherapy, and bibliotherapy without therapist support. Second, qualitative interviews were conducted with 15 Latino parents from a rural community to better understand attitudes toward CBT, and modes of service delivery. Qualitative findings revealed that parents were mostly positive about psychotherapy, and the core elements of CBT for anxiety. However, both parents and providers emphasized the need for adaptations to address practical and perceived barriers to treatment, such as time, convenience, homework, and literacy. Many parents spoke favorably of a telephone-based approach that could address many of their perceived barriers, while providers were expressed more negative views. Such findings are important for data-driven treatment development efforts.

show abstract

Section: Discussionmentioning

confidence: 99%

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study

Chavira

Bustos

Garcia

et al. 2015

Community Ment Health J

View full text Add to dashboard Cite

show abstract

“…Adults presenting with depressive symptoms in PC were randomized to receive either iTAU from their GP or an Internet-based intervention program (Smiling is Fun) for depression, in this case, either with psychotherapist support (LITG) or without it (CSG). The trial protocol of the study [ 16 ], the manual used to implement the program [ 17 ], and a study on expectations of depressed PC patients have already been published [ 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

An Internet-Based Intervention for Depression in Primary Care in Spain: A Randomized Controlled Trial

Montero-Marín¹,

Araya²,

Pérez-Yus³

et al. 2016

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

BackgroundDepression is the most prevalent cause of illness-induced disability worldwide. Face-to-face psychotherapeutic interventions for depression can be challenging, so there is a need for other alternatives that allow these interventions to be offered. One feasible alternative is Internet-based psychological interventions. This is the first randomized controlled trial (RCT) on the effectiveness of an Internet-based intervention on depression in primary health care in Spain.ObjectiveOur aim was to compare the effectiveness of a low-intensity therapist-guided (LITG) Internet-based program and a completely self-guided (CSG) Internet-based program with improved treatment as usual (iTAU) care for depression.MethodsMulticenter, three-arm, parallel, RCT design, carried out between November 2012 and January 2014, with a follow-up of 15 months. In total, 296 adults from primary care settings in four Spanish regions, with mild or moderate major depression, were randomized to LITG (n=96), CSG (n=98), or iTAU (n=102). Research completers at follow-up were 63.5%. The intervention was Smiling is Fun, an Internet program based on cognitive behavioral therapy. All patients received iTAU by their general practitioners. Moreover, LITG received Smiling is Fun and the possibility of psychotherapeutic support on request by email, whereas CSG received only Smiling is Fun. The main outcome was the Beck Depression Inventory-II at 3 months from baseline. Mixed-effects multilevel analysis for repeated measures were undertaken.ResultsThere was no benefit for either CSG [(B coefficient=-1.15; P=.444)] or LITG [(B=-0.71; P=.634)] compared to iTAU, at 3 months. There were differences at 6 months [iTAU vs CSG (B=-4.22; P=.007); iTAU vs LITG (B=-4.34; P=.005)] and 15 months [iTAU vs CSG (B=-5.10; P=.001); iTAU vs LITG (B=-4.62; P=.002)]. There were no differences between CSG and LITG at any time. Adjusted and intention-to-treat models confirmed these findings.ConclusionsAn Internet-based intervention for depression combined with iTAU conferred a benefit over iTAU alone in the Spanish primary health care system.Trial RegistrationClinicaltrials.gov NCT01611818; https://register.clinicaltrials.gov/prs/app/action/SelectProtocol? selectaction=Edit&uid=U0001NPQ&ts=2&cx=gctdh2&sid=S0003KJ6 (Archived by WebCite at http://www.webcitation.org/6jbsUvUDz)

show abstract

“…This methodological triangulation was able to increase consistency and rigor by combining multiple techniques, maximizing the breadth and depth of perspectives. The complete details of the study protocol are reported elsewhere [ 57 ].…”

Section: Methodsmentioning

confidence: 99%

Expectations Among Patients and Health Professionals Regarding Web-Based Interventions for Depression in Primary Care: A Qualitative Study

Montero-Marín¹,

Prado-Abril²,

Botella³

et al. 2015

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

BackgroundOne-quarter of the world’s population will suffer from depression symptoms at some point in their lives. Mental health services in developed countries are overburdened. Therefore, cost-effective interventions that provide mental health care solutions such as Web-based psychotherapy programs have been proposed.ObjectiveThe intent of the study was to identify expectations regarding Web-based psychotherapy for the treatment of depression in primary care among patients and health professionals that might facilitate or hinder its effects.MethodsThe expectations of untreated patients and health professionals were examined by means of interviews and focus groups. There were 43 participants (20 patients with mild and moderate levels of depression, 11 primary care physicians, and 12 managers; 22 of them for interviews and 21 for groups). 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 groups were performed. Interpretations were achieved by agreement between three independent analysts.ResultsAll participants showed a good general acceptance of Web-based psychotherapy, appreciating possible advantages and improvements. Patients, physicians, and managers shared the same conceptualization of their expectations, although highlighting different aspects. Patients focused on the need for individualized and personalized interaction, while professionals highlighted the need for the standardization of the program. Physicians were concerned with extra workload, while managers were worried about optimizing cost-effectiveness.ConclusionsExpectations of the different participants can conflict with each other. Finding a balanced position among them is needed if we are to harmoniously implement effective Web-based interventions for depression in routine clinical practice.

show abstract

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

Cited by 19 publications

References 28 publications

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study

An Internet-Based Intervention for Depression in Primary Care in Spain: A Randomized Controlled Trial

Expectations Among Patients and Health Professionals Regarding Web-Based Interventions for Depression in Primary Care: A Qualitative Study

Contact Info

Product

Resources

About