Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva

Background: In the treatment of depression, primary care teams play an important role, whose effectiveness improves when inserted into a collaborative model of disease management. Aim: To report the results of a clinical trial carried out to test the effectiveness of a collaborative program between...

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Autores principales:	Rojas,Graciela, Castro,Ariel, Guajardo,Viviana, Alvarado,Rubén, Isamit,Cristian, Fritsch,Rosemarie
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Computer communication networks Depression Primary health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900008
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spelling	oai:scielo:S0034-988720140009000082014-12-17Programa colaborativo a distancia para el tratamiento de la enfermedad depresivaRojas,GracielaCastro,ArielGuajardo,VivianaAlvarado,RubénIsamit,CristianFritsch,Rosemarie Computer communication networks Depression Primary health care Background: In the treatment of depression, primary care teams play an important role, whose effectiveness improves when inserted into a collaborative model of disease management. Aim: To report the results of a clinical trial carried out to test the effectiveness of a collaborative program between primary health teams and specialists supported by an electronic platform. Material and Methods: Physicians from four community hospitals belonging to the Reloncavi Health Service network, recruited 81 patients with depression aged 37 to 43 years, 84% of whom were female. Participants were divided in an active group, which participated in the collaborative program and a control group, which received the usual care, according to the Ministry of Healths Guidelines for Depression. The main outcome was the Beck Depression Inventory (BDI-I) score at three months of intervention. Results: Participants had an average of 29.6 points (95% CI: 27.6-31.6) in the BDI-I and 38% of them had a high suicide risk. There were no statistically significant baseline differences between active and control group. In the intervention group, the BDI-I score changed from 30.0 (95% CI 27.0 to 32.8) to 15.3 (95% CI 11.8 to 18.8). In the control group the score changed from 29.2 (95% CI: 26.4-31.9) points to 20.8 (95% CI 16.8 to 24.7). The decrease was significantly higher in the intervention groups. Conclusions: A program of this kind may be useful to assist primary care teams in remote areas of the country to improve treatment outcomes for depression.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.9 20142014-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900008es10.4067/S0034-98872014000900008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Computer communication networks Depression Primary health care
spellingShingle	Computer communication networks Depression Primary health care Rojas,Graciela Castro,Ariel Guajardo,Viviana Alvarado,Rubén Isamit,Cristian Fritsch,Rosemarie Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
description	Background: In the treatment of depression, primary care teams play an important role, whose effectiveness improves when inserted into a collaborative model of disease management. Aim: To report the results of a clinical trial carried out to test the effectiveness of a collaborative program between primary health teams and specialists supported by an electronic platform. Material and Methods: Physicians from four community hospitals belonging to the Reloncavi Health Service network, recruited 81 patients with depression aged 37 to 43 years, 84% of whom were female. Participants were divided in an active group, which participated in the collaborative program and a control group, which received the usual care, according to the Ministry of Healths Guidelines for Depression. The main outcome was the Beck Depression Inventory (BDI-I) score at three months of intervention. Results: Participants had an average of 29.6 points (95% CI: 27.6-31.6) in the BDI-I and 38% of them had a high suicide risk. There were no statistically significant baseline differences between active and control group. In the intervention group, the BDI-I score changed from 30.0 (95% CI 27.0 to 32.8) to 15.3 (95% CI 11.8 to 18.8). In the control group the score changed from 29.2 (95% CI: 26.4-31.9) points to 20.8 (95% CI 16.8 to 24.7). The decrease was significantly higher in the intervention groups. Conclusions: A program of this kind may be useful to assist primary care teams in remote areas of the country to improve treatment outcomes for depression.
author	Rojas,Graciela Castro,Ariel Guajardo,Viviana Alvarado,Rubén Isamit,Cristian Fritsch,Rosemarie
author_facet	Rojas,Graciela Castro,Ariel Guajardo,Viviana Alvarado,Rubén Isamit,Cristian Fritsch,Rosemarie
author_sort	Rojas,Graciela
title	Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
title_short	Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
title_full	Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
title_fullStr	Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
title_full_unstemmed	Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
title_sort	programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900008
work_keys_str_mv	AT rojasgraciela programacolaborativoadistanciaparaeltratamientodelaenfermedaddepresiva AT castroariel programacolaborativoadistanciaparaeltratamientodelaenfermedaddepresiva AT guajardoviviana programacolaborativoadistanciaparaeltratamientodelaenfermedaddepresiva AT alvaradoruben programacolaborativoadistanciaparaeltratamientodelaenfermedaddepresiva AT isamitcristian programacolaborativoadistanciaparaeltratamientodelaenfermedaddepresiva AT fritschrosemarie programacolaborativoadistanciaparaeltratamientodelaenfermedaddepresiva
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Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva

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