Artículos de revistas
Technology-assisted collaborative care program for people with diabetes and/or high blood pressure attending primary health care: a feasibility study
Fecha
2021Registro en:
Int. J. Environ. Res. Public Health 2021, 18, 12000
10.3390/ijerph182212000
Autor
Martínez, Pablo
Guajardo Tobar, Viviana Alejandra
Gómez, Víctor E.
Brandt, Sebastián
Szabo Lagos, Wilsa Margarita
Soto Brandt, Benjamin Gonzalo
Farhang, Maryam
Baeza, Paulina
Campos, Solange
Herrera, Pablo
Rojas Castillo, María Graciela
Institución
Resumen
The comorbidity of depression with physical chronic diseases is usually not considered
in clinical guidelines. This study evaluated the feasibility of a technology-assisted collaborative
care (TCC) program for depression in people with diabetes and/or high blood pressure (DM/HBP)
attending a primary health care (PHC) facility in Santiago, Chile. Twenty people diagnosed with
DM/HBP having a Patient Health Questionnaire-9 score ≥ 15 points were recruited. The TCC
program consisted of a face-to-face, computer-assisted psychosocial intervention (CPI, five biweekly
sessions), telephone monitoring (TM), and a mobile phone application for behavioral activation
(CONEMO). Assessments of depressive symptoms and other health-related outcomes were made.
Thirteen patients completed the CAPI, 12 received TM, and none tried CONEMO. The TCC program
was potentially efficacious in treating depression, with two-thirds of participants achieving response
to depression treatment 12 weeks after baseline. Decreases were observed in depressive symptoms
and healthcare visits and increases in mental health-related quality of life and adherence to treatment.
Patients perceived the CPI as acceptable. The TCC program was partially feasible and potentially
efficacious for managing depression in people with DM/HBP. These data are valuable inputs for a
future randomized clinical trial.