Background
Methods
Aim
Study design
Sample size
Study population, recruitment, and eligibility criteria
Inclusion Criteria | Exclusion criteria |
---|---|
Minimum age of 18 years old | Presence of serious psychiatric comorbidities (substance dependence, bipolar affective disorder, obsessive compulsive disorder, psychotic illness) |
Meeting the DSM-IV diagnostic criteria for Major Depressive Disorder | High risk for suicide |
Ability to understand and read Spanish | Receiving psychological treatment for depression at the time of recruitment |
Access to Internet and having an email address | An increase and/or change in the pharmacological treatment (in the case of receiving it) during the study period |
Providing written informed consent | Medical disease that prevents the participant from carrying out the psychological treatment |
Ethics
Interventions
Blended cognitive behavioral therapy (b-CBT)
Face-to-face sessions
Online treatment platform
Module | Objective |
---|---|
(1) Motivation for change | Analyze the advantages and disadvantages of changing, emphasizing the importance of being motivated. |
(2) Understanding emotional problems | Recognize and understand emotional problems. |
(3) Learning to move on | Teach the importance of “moving on” to acquire a proper level of activity and involvement in life. |
(4) Learning to be flexible | Teach a more flexible way of thinking, interpreting situations, and learning to think about different alternatives. |
(5) Learning to enjoy | Generate positive emotions, promoting the involvement in pleasant and significant activities and contact with other people. |
(6) Learning to live | Understand the importance of identifying the individual’s own psychological strengths and selecting and carrying out meaningful activities linked to values and goals in life. |
(7) Living and learning | Develop an action plan to boost individual psychological strengths. |
(8) From now on, what else…? | Go on and strengthen what has been learned during the program. |
Treatment as usual (TAU)
Adherence
Measures
Variable | Instrument | Screening baseline | 3 months | 6 months | 12 months | ||||
---|---|---|---|---|---|---|---|---|---|
Online | Phone | Online | Phone | Online | Phone | Online | Phone | ||
Questions for patients | |||||||||
Demographics and history of mental health treatments | x | ||||||||
Diagnostic interview | M.I.N.I. | x | x | ||||||
Symptoms of depression | PHQ-9 QUIDS SR-16 | x | x | x | x | ||||
Quality of life | EQ-5D-5 L AQol | x | x | x | x | ||||
Health care uptake and productivity at work | TiC-P | x | x | x | x | ||||
Treatment preference | x | ||||||||
Patient expectancy of treatment | CEQ | x | |||||||
Working alliance | WAI-SF | x | |||||||
Technology alliance | TAI-OTa | x | |||||||
Client satisfaction | CSQ | x | |||||||
Satisfaction with the online program | SUSa | x | |||||||
Questions for therapists | |||||||||
Working alliance | WAI-SF | x | |||||||
Satisfaction with the online program | SUSa | x |