Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial
Background: Depression is one of the most prevalent psychological disorders worldwide. Although psychotherapy for depression is effective, there are barriers to its implementation in primary care in Spain. The use of the Internet has been shown to be a feasible solution. However, the acceptability o...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00325/full |
| _version_ | 1824023591839072256 |
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| author | Adriana Mira Adriana Mira Carla Soler Marta Alda Marta Alda Marta Alda Rosa Baños Rosa Baños Diana Castilla Diana Castilla Diana Castilla Adoración Castro Adoración Castro Javier García-Campayo Javier García-Campayo Javier García-Campayo Azucena García-Palacios Azucena García-Palacios Margalida Gili Margalida Gili Mariena Hurtado Fermín Mayoral Fermín Mayoral Jesús Montero-Marín Jesús Montero-Marín Jesús Montero-Marín Crisitina Botella Crisitina Botella |
| author_facet | Adriana Mira Adriana Mira Carla Soler Marta Alda Marta Alda Marta Alda Rosa Baños Rosa Baños Diana Castilla Diana Castilla Diana Castilla Adoración Castro Adoración Castro Javier García-Campayo Javier García-Campayo Javier García-Campayo Azucena García-Palacios Azucena García-Palacios Margalida Gili Margalida Gili Mariena Hurtado Fermín Mayoral Fermín Mayoral Jesús Montero-Marín Jesús Montero-Marín Jesús Montero-Marín Crisitina Botella Crisitina Botella |
| author_sort | Adriana Mira |
| collection | DOAJ |
| description | Background: Depression is one of the most prevalent psychological disorders worldwide. Although psychotherapy for depression is effective, there are barriers to its implementation in primary care in Spain. The use of the Internet has been shown to be a feasible solution. However, the acceptability of Internet-based interventions has not been studied sufficiently.Objective: To assess the acceptability of an Internet-based intervention (IBI) for depression in primary care, and explore the relationship between expectations and satisfaction and the improvement in the clinical variables in primary care patients receiving this intervention. Furthermore, it offers data about the effects of some sociodemographic characteristics on these acceptability variables and analyzes whether the expectations are related to finalizing the intervention.Methods: Data were based on depressive patients who were participants in a randomized controlled trial. In the present study, we present the data from all the participants in the Internet intervention groups (N = 198). All the participants filled out the expectation and satisfaction scales (six-item scales regarding treatment logic, satisfaction, recommending, usefulness for other disorders, usefulness for the patient, and unpleasantness), the Beck Depression Inventory-II, and the secondary outcome measures: depression and anxiety impairment, and positive and negative affect.Results: Results showed that participants’ expectations and satisfaction with the program were both high and differences in expectations and satisfaction depended on some sociodemographic variables (age: older people have higher expectations; sex: women have greater satisfaction). A positive relationship between these variables and intervention efficacy was found: expectations related to “usefulness for the patient” were a statistically related predictor to the results on the BDI-II (Beta = 0.364), and the perception of how logical the treatment is (Beta = 0.528) was associated with change in the clinical variable. Furthermore, the higher the expectations, the higher the improvements exhibited by the patients in all measures evaluated during the ten intervention modules. High expectations were also directly related to finalizing the intervention.Conclusions: This is the first study in Spain to address this issue in the field of IBIs for depression in primary care. The IBI showed high acceptance related to the intervention’s efficacy and completion. Research on IBI acceptability could help to implement the treatment offered.Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT01611818. |
| first_indexed | 2024-12-19T09:36:35Z |
| format | Article |
| id | doaj.art-4a2c346286b0466684c8de3e18a45683 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-19T09:36:35Z |
| publishDate | 2019-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-4a2c346286b0466684c8de3e18a456832022-12-21T20:27:29ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-05-011010.3389/fpsyt.2019.00325436965Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled TrialAdriana Mira0Adriana Mira1Carla Soler2Marta Alda3Marta Alda4Marta Alda5Rosa Baños6Rosa Baños7Diana Castilla8Diana Castilla9Diana Castilla10Adoración Castro11Adoración Castro12Javier García-Campayo13Javier García-Campayo14Javier García-Campayo15Azucena García-Palacios16Azucena García-Palacios17Margalida Gili18Margalida Gili19Mariena Hurtado20Fermín Mayoral21Fermín Mayoral22Jesús Montero-Marín23Jesús Montero-Marín24Jesús Montero-Marín25Crisitina Botella26Crisitina Botella27Department of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellón, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellón, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainAragon Institute for Health Research (IIS Aragon), Zaragoza, SpainUniversity Hospital Miguel Servet, Zaragoza, SpainCIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, SpainDepartment of Personality, Evaluation and Psychological Treatment, Universitat de València, Valencia, SpainDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellón, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainCIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, SpainDepartment of Psychology, Universitat de les Illes Balears, Palma de Mallorca, SpainPrimary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, Madrid, SpainAragon Institute for Health Research (IIS Aragon), Zaragoza, SpainUniversity Hospital Miguel Servet, Zaragoza, SpainPrimary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, Madrid, SpainDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellón, SpainCIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, SpainDepartment of Psychology, Universitat de les Illes Balears, Palma de Mallorca, SpainPrimary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, Madrid, SpainMental Health Clinical Management Unit, Institute of Biomedical Research of Malaga (IBIMA), Regional University Hospital Carlos Haya, University of Malaga, Málaga, SpainPrimary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, Madrid, SpainMental Health Clinical Management Unit, Institute of Biomedical Research of Malaga (IBIMA), Regional University Hospital Carlos Haya, University of Malaga, Málaga, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainAragon Institute for Health Research (IIS Aragon), Zaragoza, SpainPrimary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, Madrid, SpainDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellón, SpainCIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, SpainBackground: Depression is one of the most prevalent psychological disorders worldwide. Although psychotherapy for depression is effective, there are barriers to its implementation in primary care in Spain. The use of the Internet has been shown to be a feasible solution. However, the acceptability of Internet-based interventions has not been studied sufficiently.Objective: To assess the acceptability of an Internet-based intervention (IBI) for depression in primary care, and explore the relationship between expectations and satisfaction and the improvement in the clinical variables in primary care patients receiving this intervention. Furthermore, it offers data about the effects of some sociodemographic characteristics on these acceptability variables and analyzes whether the expectations are related to finalizing the intervention.Methods: Data were based on depressive patients who were participants in a randomized controlled trial. In the present study, we present the data from all the participants in the Internet intervention groups (N = 198). All the participants filled out the expectation and satisfaction scales (six-item scales regarding treatment logic, satisfaction, recommending, usefulness for other disorders, usefulness for the patient, and unpleasantness), the Beck Depression Inventory-II, and the secondary outcome measures: depression and anxiety impairment, and positive and negative affect.Results: Results showed that participants’ expectations and satisfaction with the program were both high and differences in expectations and satisfaction depended on some sociodemographic variables (age: older people have higher expectations; sex: women have greater satisfaction). A positive relationship between these variables and intervention efficacy was found: expectations related to “usefulness for the patient” were a statistically related predictor to the results on the BDI-II (Beta = 0.364), and the perception of how logical the treatment is (Beta = 0.528) was associated with change in the clinical variable. Furthermore, the higher the expectations, the higher the improvements exhibited by the patients in all measures evaluated during the ten intervention modules. High expectations were also directly related to finalizing the intervention.Conclusions: This is the first study in Spain to address this issue in the field of IBIs for depression in primary care. The IBI showed high acceptance related to the intervention’s efficacy and completion. Research on IBI acceptability could help to implement the treatment offered.Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT01611818.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00325/fulldepressionInternet-based interventionacceptabilityprimary careexpectationssatisfaction |
| spellingShingle | Adriana Mira Adriana Mira Carla Soler Marta Alda Marta Alda Marta Alda Rosa Baños Rosa Baños Diana Castilla Diana Castilla Diana Castilla Adoración Castro Adoración Castro Javier García-Campayo Javier García-Campayo Javier García-Campayo Azucena García-Palacios Azucena García-Palacios Margalida Gili Margalida Gili Mariena Hurtado Fermín Mayoral Fermín Mayoral Jesús Montero-Marín Jesús Montero-Marín Jesús Montero-Marín Crisitina Botella Crisitina Botella Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial Frontiers in Psychiatry depression Internet-based intervention acceptability primary care expectations satisfaction |
| title | Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial |
| title_full | Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial |
| title_fullStr | Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial |
| title_full_unstemmed | Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial |
| title_short | Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial |
| title_sort | exploring the relationship between the acceptability of an internet based intervention for depression in primary care and clinical outcomes secondary analysis of a randomized controlled trial |
| topic | depression Internet-based intervention acceptability primary care expectations satisfaction |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00325/full |
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