An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial

Adriana Mira,1 Juana Bretón-López,1,2 Azucena García-Palacios,1,2 Soledad Quero,1,2 Rosa María Baños,2,3 Cristina Botella1,2 1Department of Basic, Clinical Psychology and Psychobiology, Labpsitec, Universitat Jaume I, Castellón de la...

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Autores principales:	Mira A, Bretón-López J, García-Palacios A, Quero S, Baños RM, Botella C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Internet-based intervention automated support human support depressive symptoms randomized control trial Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/68317ecf9ecc45d694e9f0504d040204
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spelling	oai:doaj.org-article:68317ecf9ecc45d694e9f0504d0402042021-12-02T06:12:07ZAn Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial1178-2021https://doaj.org/article/68317ecf9ecc45d694e9f0504d0402042017-03-01T00:00:00Zhttps://www.dovepress.com/an-internet-based-program-for-depressive-symptoms-using-human-and-auto-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Adriana Mira,1 Juana Bretón-López,1,2 Azucena García-Palacios,1,2 Soledad Quero,1,2 Rosa María Baños,2,3 Cristina Botella1,2 1Department of Basic, Clinical Psychology and Psychobiology, Labpsitec, Universitat Jaume I, Castellón de la Plana, Spain; 2CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Instituto de Salud Carlos III, Santiago de Compostela, Spain; 3Department of Personality, Evaluation and Psychological Treatment, Universidad de Valencia, Valencia, Spain Purpose: The purpose of this study was to analyze the efficacy of an Internet-based program for depressive symptoms using automated support by information and communication technologies (ICTs) and human support. Patients and methods: An Internet-based program was used to teach adaptive ways to cope with depressive symptoms and daily problems. A total of 124 participants who were experiencing at least one stressful event that caused interference in their lives, many of whom had clinically significant depressive symptoms, were randomly assigned into either an intervention group with ICT support (automated mobile phone messages, automated emails, and continued feedback through the program); an intervention group with ICT support plus human support (brief weekly support phone call without clinical content); or a waiting-list control. At pre-, post-, and 12-month follow-up, they completed depression, anxiety, positive and negative effect, and perceived stress measures. Results were analyzed using both intention-to-treat and completers data. The majority were women (67.7%), with a mean age of 35.6 years (standard deviation =9.7). Results: The analysis showed that the two intervention groups improved significantly pre- to posttreatment, compared with the control group. Furthermore, improvements were maintained at the 12-month follow-up. Adherence and satisfaction with the program was high in both conditions. Conclusion: The Internet-based program was effective and well accepted, with and without human support, showing that ICT-based automated support may be useful. It is essential to continue to study other ICT strategies for providing support. Keywords: online intervention, types of support, depressive symptomatology, adherence, satisfactionMira ABretón-López JGarcía-Palacios AQuero SBaños RMBotella CDove Medical PressarticleInternet-based interventionautomated supporthuman supportdepressive symptomsrandomized control trialNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 987-1006 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Internet-based intervention automated support human support depressive symptoms randomized control trial Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Internet-based intervention automated support human support depressive symptoms randomized control trial Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Mira A Bretón-López J García-Palacios A Quero S Baños RM Botella C An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
description	Adriana Mira,1 Juana Bretón-López,1,2 Azucena García-Palacios,1,2 Soledad Quero,1,2 Rosa María Baños,2,3 Cristina Botella1,2 1Department of Basic, Clinical Psychology and Psychobiology, Labpsitec, Universitat Jaume I, Castellón de la Plana, Spain; 2CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Instituto de Salud Carlos III, Santiago de Compostela, Spain; 3Department of Personality, Evaluation and Psychological Treatment, Universidad de Valencia, Valencia, Spain Purpose: The purpose of this study was to analyze the efficacy of an Internet-based program for depressive symptoms using automated support by information and communication technologies (ICTs) and human support. Patients and methods: An Internet-based program was used to teach adaptive ways to cope with depressive symptoms and daily problems. A total of 124 participants who were experiencing at least one stressful event that caused interference in their lives, many of whom had clinically significant depressive symptoms, were randomly assigned into either an intervention group with ICT support (automated mobile phone messages, automated emails, and continued feedback through the program); an intervention group with ICT support plus human support (brief weekly support phone call without clinical content); or a waiting-list control. At pre-, post-, and 12-month follow-up, they completed depression, anxiety, positive and negative effect, and perceived stress measures. Results were analyzed using both intention-to-treat and completers data. The majority were women (67.7%), with a mean age of 35.6 years (standard deviation =9.7). Results: The analysis showed that the two intervention groups improved significantly pre- to posttreatment, compared with the control group. Furthermore, improvements were maintained at the 12-month follow-up. Adherence and satisfaction with the program was high in both conditions. Conclusion: The Internet-based program was effective and well accepted, with and without human support, showing that ICT-based automated support may be useful. It is essential to continue to study other ICT strategies for providing support. Keywords: online intervention, types of support, depressive symptomatology, adherence, satisfaction
format	article
author	Mira A Bretón-López J García-Palacios A Quero S Baños RM Botella C
author_facet	Mira A Bretón-López J García-Palacios A Quero S Baños RM Botella C
author_sort	Mira A
title	An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
title_short	An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
title_full	An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
title_fullStr	An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
title_full_unstemmed	An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
title_sort	internet-based program for depressive symptoms using human and automated support: a randomized controlled trial
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/68317ecf9ecc45d694e9f0504d040204
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An Internet-based program for depressive symptoms using human and automated support: a randomized controlled trial

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