Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva
2014; Q16635223; Volume: 142; Issue: 9 Linguagem: Inglês
10.4067/s0034-98872014000900008
ISSN0717-6163
AutoresGraciela Rojas, Ariel Castro, Viviana Guajardo, Rubén Alvarado, Cristián Isamit, Rosemarie Fritsch,
Tópico(s)Psychology Research and Bibliometrics
ResumoAssessment of a distant collaborative program for the treatment of depression in primary careBackground: 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 Health's 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.(
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