Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva / Assessment of a distant collaborative program for the treatment of depression in primary care
Rev. méd. Chile
;
142(9): 1142-1149, set. 2014. ilus, tab
Article
Dans Espagnol
| LILACS
| ID: lil-730285
ABSTRACT
Background:
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 andMethods:
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 Healths 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Soins de santé primaires
/
Comportement coopératif
/
Internet
/
Dépression
Type d'étude:
Essai clinique contrôlé
/
Guide de pratique
/
Étude pronostique
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2014
Type:
Article
/
descriptif de projet
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Chile/CL
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