Mira Adriana, Bretón-López Juana, García-Palacios Azucena, Quero Soledad, Baños Rosa María, Botella Cristina
Department of Basic, Clinical Psychology and Psychobiology, Labpsitec, Universitat Jaume I, Castellón de la Plana, Spain.
CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Instituto de Salud Carlos III, Santiago de Compostela, Spain.
Neuropsychiatr Dis Treat. 2017 Mar 31;13:987-1006. doi: 10.2147/NDT.S130994. eCollection 2017.
The purpose of this study was to analyze the efficacy of an Internet-based program for depressive symptoms using automated support by information and communication technologies (ICTs) and human support.
An Internet-based program was used to teach adaptive ways to cope with depressive symptoms and daily problems. A total of 124 participants who were experiencing at least one stressful event that caused interference in their lives, many of whom had clinically significant depressive symptoms, were randomly assigned into either an intervention group with ICT support (automated mobile phone messages, automated emails, and continued feedback through the program); an intervention group with ICT support plus human support (brief weekly support phone call without clinical content); or a waiting-list control. At pre-, post-, and 12-month follow-up, they completed depression, anxiety, positive and negative effect, and perceived stress measures. Results were analyzed using both intention-to-treat and completers data. The majority were women (67.7%), with a mean age of 35.6 years (standard deviation =9.7).
The analysis showed that the two intervention groups improved significantly pre- to posttreatment, compared with the control group. Furthermore, improvements were maintained at the 12-month follow-up. Adherence and satisfaction with the program was high in both conditions.
The Internet-based program was effective and well accepted, with and without human support, showing that ICT-based automated support may be useful. It is essential to continue to study other ICT strategies for providing support.
本研究旨在分析一种基于互联网的项目对抑郁症状的疗效，该项目采用信息通信技术（ICT）自动支持和人工支持。
采用一个基于互联网的项目来教授应对抑郁症状和日常问题的适应性方法。共有124名参与者，他们经历了至少一次对其生活造成干扰的应激事件，其中许多人有临床上显著的抑郁症状，被随机分为三组：一组为接受ICT支持的干预组（自动手机短信、自动电子邮件，并通过该项目持续反馈）；一组为接受ICT支持加人工支持的干预组（每周一次无临床内容的简短支持电话）；以及一个等待名单对照组。在治疗前、治疗后和12个月随访时，他们完成了抑郁、焦虑、正负性情绪和感知压力的测量。结果采用意向性分析和完成者数据分析。大多数为女性（67.7%），平均年龄35.6岁（标准差=9.7）。
分析表明，与对照组相比，两个干预组在治疗前到治疗后有显著改善。此外，在12个月随访时改善情况得以维持。两种情况下对该项目的依从性和满意度都很高。
无论有无人工支持，基于互联网的项目都是有效且易于接受的，表明基于ICT的自动支持可能是有用的。继续研究其他提供支持的ICT策略至关重要。
