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Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care

Author

Listed:
  • Adoración Castro

    (Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain
    Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain)

  • Azucena García-Palacios

    (Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, 12071 Castellón, Spain
    CIBER Physiopathology Obesity and Nutrition (CIBERobn), Carlos III Health Institute, 28029 Madrid, Spain)

  • Yolanda López-Del-Hoyo

    (Institute of Health Research of Aragon (IIS), Hospital Miguel Servet, 50009 Zaragoza, Spain
    Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain
    Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain)

  • Fermín Mayoral

    (Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain)

  • María Ángeles Pérez-Ara

    (Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain
    Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain)

  • Rosa Mª Baños

    (CIBER Physiopathology Obesity and Nutrition (CIBERobn), Carlos III Health Institute, 28029 Madrid, Spain
    Department of Psychological, Personality, Evaluation and Treatment, University of Valencia, 46010 Valencia, Spain)

  • Javier García-Campayo

    (Institute of Health Research of Aragon (IIS), Hospital Miguel Servet, 50009 Zaragoza, Spain
    Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain)

  • María M. Hurtado

    (Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain)

  • Cristina Botella

    (Department of Clinical and Basic Psychology and Biopsychology, Faculty of Health Sciences, University Jaume I, 12071 Castellón, Spain
    CIBER Physiopathology Obesity and Nutrition (CIBERobn), Carlos III Health Institute, 28029 Madrid, Spain)

  • Alberto Barceló-Soler

    (Institute of Health Research of Aragon (IIS), Hospital Miguel Servet, 50009 Zaragoza, Spain)

  • Amelia Villena

    (Mental Health Department, Institute of Biomedicine of Malaga, University Regional Hospital of Malaga, 29010 Málaga, Spain)

  • Miquel Roca

    (Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain
    Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain
    Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain)

  • Margalida Gili

    (Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain
    Health Research Institute of the Balearic Islands (IdiSBa), 07120 Palma de Mallorca, Spain
    Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain)

Abstract

Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment.

Suggested Citation

  • Adoración Castro & Azucena García-Palacios & Yolanda López-Del-Hoyo & Fermín Mayoral & María Ángeles Pérez-Ara & Rosa Mª Baños & Javier García-Campayo & María M. Hurtado & Cristina Botella & Alberto B, 2021. "Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1774-:d:497890
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    Citations

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    Cited by:

    1. Xosé Mahou & Bran Barral & Ángela Fernández & Ramón Bouzas-Lorenzo & Andrés Cernadas, 2021. "eHealth and mHealth Development in Spain: Promise or Reality?," IJERPH, MDPI, vol. 18(24), pages 1-17, December.
    2. Andra Ioana Maria Tudor & Eliza Nichifor & Adriana Veronica Litră & Ioana Bianca Chițu & Tamara-Oana Brătucu & Gabriel Brătucu, 2022. "Challenges in the Adoption of eHealth and mHealth for Adult Mental Health Management—Evidence from Romania," IJERPH, MDPI, vol. 19(15), pages 1-25, July.

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