Dominguez-Rodriguez Alejandro, Herdoiza-Arroyo Paulina Erika, González-Ramírez Leivy Patricia, Martínez-Arriaga Reyna Jazmín, Villarreal-Zegarra David, Santos da Silva Antonio Carlos, González-Cantero Joel Omar, Vargas Salinas Viviana Sylvia, S Mensorio Marinna, Cisneros Hernández Adrián Antonio, Lourenço Dos Santos Rogéria, Nieto Ramos Emilia Gabriela, Albán-Terán Margarita Gabriela, Mateu-Mollá Joaquín, Ramírez-Martínez Flor Rocío, Colmenero Guadián Ana Marisa, Martínez-Rubio David, Langer Álvaro I, Araya Claudio, Castellanos-Vargas Rosa Olimpia
Department of Psychology, Health and Technology, University of Twente, Enschede, Netherlands.
Faculty of Medicine, Health and Life Sciences, School of Psychology, Universidad Internacional del Ecuador, Quito, Ecuador.
Front Psychol. 2024 May 7;15:1279847. doi: 10.3389/fpsyg.2024.1279847. eCollection 2024.
Online psychological interventions have emerged as a treatment alternative because they are accessible, flexible, personalized, and available to large populations. The number of Internet interventions in Latin America is limited, as are Randomized Controlled Trials (RCTs) of their effectiveness and a few studies comparing their effectiveness in multiple countries at the same time. We have developed an online intervention, Well-being Online, which will be available to the public free of charge in 7 countries: Mexico, Ecuador, Peru, Chile, Brazil, Spain, and the Netherlands. We expect a reduction in depression and anxiety symptoms and an increase in well-being of the participants.
A multi-country, randomized controlled trial will be conducted. The intervention is multicomponent (Cognitive Behavioral Therapy, Behavioral Activation Therapy, Mindfulness, Acceptance and Commitment Therapy, and Positive Psychology), with 10 sessions. In each country, eligible participants will be randomized to one of three groups: Enriched Intervention (interactive web design with videos, infographics, text, audio, and forum), Text Intervention (text on the website), and Wait List (control group). Repeated measures will be obtained at 5-time points. Our primary outcomes will be anxiety symptomatology, depressive symptomatology, and mental well-being. MANOVA analysis will be used for our main analysis.
This protocol describes the design of a randomized trial to evaluate the efficacy of a web-based intervention to reduce anxiety and depression symptomatology and increase subjective well-being. The intervention will be made available in four languages (Spanish, Portuguese, Dutch, and English). Its results will contribute to the evidence of effectiveness in terms of randomized trials and Internet interventions, mainly in Latin America and Europe.
在线心理干预作为一种治疗选择已经出现，因为它们具有可及性、灵活性、个性化且可供大量人群使用。拉丁美洲的互联网干预数量有限，其有效性的随机对照试验（RCT）以及同时在多个国家比较其有效性的研究也很少。我们开发了一种在线干预措施“在线幸福”，该措施将在7个国家免费向公众提供：墨西哥、厄瓜多尔、秘鲁、智利、巴西、西班牙和荷兰。我们期望参与者的抑郁和焦虑症状减轻，幸福感增强。
将进行一项多国随机对照试验。该干预是多成分的（认知行为疗法、行为激活疗法、正念、接纳与承诺疗法以及积极心理学），共10节课程。在每个国家，符合条件的参与者将被随机分为三组之一：强化干预组（带有视频、信息图表、文本、音频和论坛的交互式网页设计）、文本干预组（网站上的文本）和等待列表组（对照组）。将在5个时间点获取重复测量数据。我们的主要结局将是焦虑症状、抑郁症状和心理健康。多变量方差分析将用于我们的主要分析。
本方案描述了一项随机试验的设计，以评估基于网络的干预措施在减轻焦虑和抑郁症状以及提高主观幸福感方面的疗效。该干预将以四种语言（西班牙语、葡萄牙语、荷兰语和英语）提供。其结果将为随机试验和互联网干预的有效性证据做出贡献，主要是在拉丁美洲和欧洲。
