Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study

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...

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Autores principales:	Pablo Martínez, Viviana Guajardo, Víctor E. Gómez, Sebastián Brandt, Wilsa Szabo, Gonzalo Soto-Brandt, Maryam Farhang, Paulina Baeza, Solange Campos, Pablo Herrera, Graciela Rojas
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	depression chronic disease disease management primary health care information technology feasibility studies Medicine R
Acceso en línea:	https://doaj.org/article/c127e2dd4b314586a52ed13e00f03f02
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spelling	oai:doaj.org-article:c127e2dd4b314586a52ed13e00f03f022021-11-25T17:50:13ZTechnology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study10.3390/ijerph1822120001660-46011661-7827https://doaj.org/article/c127e2dd4b314586a52ed13e00f03f022021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12000https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The 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.Pablo MartínezViviana GuajardoVíctor E. GómezSebastián BrandtWilsa SzaboGonzalo Soto-BrandtMaryam FarhangPaulina BaezaSolange CamposPablo HerreraGraciela RojasMDPI AGarticledepressionchronic diseasedisease managementprimary health careinformation technologyfeasibility studiesMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12000, p 12000 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	depression chronic disease disease management primary health care information technology feasibility studies Medicine R
spellingShingle	depression chronic disease disease management primary health care information technology feasibility studies Medicine R Pablo Martínez Viviana Guajardo Víctor E. Gómez Sebastián Brandt Wilsa Szabo Gonzalo Soto-Brandt Maryam Farhang Paulina Baeza Solange Campos Pablo Herrera Graciela Rojas Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study
description	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.
format	article
author	Pablo Martínez Viviana Guajardo Víctor E. Gómez Sebastián Brandt Wilsa Szabo Gonzalo Soto-Brandt Maryam Farhang Paulina Baeza Solange Campos Pablo Herrera Graciela Rojas
author_facet	Pablo Martínez Viviana Guajardo Víctor E. Gómez Sebastián Brandt Wilsa Szabo Gonzalo Soto-Brandt Maryam Farhang Paulina Baeza Solange Campos Pablo Herrera Graciela Rojas
author_sort	Pablo Martínez
title	Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study
title_short	Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study
title_full	Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study
title_fullStr	Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study
title_full_unstemmed	Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study
title_sort	technology-assisted collaborative care program for people with diabetes and/or high blood pressure attending primary health care: a feasibility study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c127e2dd4b314586a52ed13e00f03f02
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Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study

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