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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Atenção Primária à Saúde
/
Comportamento Cooperativo
/
Internet
/
Depressão
Tipo de estudo:
Ensaio Clínico Controlado
/
Guia de Prática Clínica
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2014
Tipo de documento:
Artigo
/
Documento de projeto
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Chile/CL
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