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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

Author

Listed:
  • Pablo Martínez

    (Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
    Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
    Millennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago 8380455, Chile
    Escuela de Psicología, Facultad de Humanidades, Universidad de Santiago de Chile, Santiago 9170197, Chile)

  • Viviana Guajardo

    (Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
    Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
    Servicio de Psiquiatría, Hospital El Pino, Santiago 8050000, Chile)

  • Víctor E. Gómez

    (Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
    Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
    Programa de Doctorado en Psicoterapia, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile, Santiago 7800284, Chile
    Society for Psychotherapy Research, Krestwood, KY 40014, USA)

  • Sebastián Brandt

    (Escuela de Psicología, Facultad de Ciencias Sociales, Universidad de Chile, Santiago 7800284, Chile)

  • Wilsa Szabo

    (Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
    Escuela de Psicología, Facultad de Humanidades, Universidad de Santiago de Chile, Santiago 9170197, Chile
    Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile)

  • Gonzalo Soto-Brandt

    (Programa de Salud Mental, Escuela de Salud Pública, Universidad de Chile, Santiago 8380453, Chile)

  • Maryam Farhang

    (Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
    Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
    Millennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago 8380455, Chile)

  • Paulina Baeza

    (Programa de Magíster de Salud Mental y Psiquiatría Comunitaria, Escuela de Salud Pública, Universidad de Chile, Santiago 8380453, Chile)

  • Solange Campos

    (Escuela de Enfermería, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile)

  • Pablo Herrera

    (Escuela de Psicología, Facultad de Ciencias Sociales, Universidad de Chile, Santiago 7800284, Chile)

  • Graciela Rojas

    (Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
    Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
    Millennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago 8380455, Chile
    Millennium Nucleus of Social Development, Santiago 8330015, Chile)

Abstract
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.

Suggested Citation

  • Pablo Martínez & Viviana Guajardo & Víctor E. Gómez & Sebastián Brandt & Wilsa Szabo & Gonzalo Soto-Brandt & Maryam Farhang & Paulina Baeza & Solange Campos & Pablo Herrera & Graciela Rojas, 2021. "Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12000-:d:679802
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    References listed on IDEAS

    as
    1. Fleur E P van Dooren & Giesje Nefs & Miranda T Schram & Frans R J Verhey & Johan Denollet & François Pouwer, 2013. "Depression and Risk of Mortality in People with Diabetes Mellitus: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-11, March.
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