Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2021 Feb 11;18(4):1774.
doi: 10.3390/ijerph18041774.

Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care

Adoración Castro  1   2 , Azucena García-Palacios  3   4 , Yolanda López-Del-Hoyo  5   6   7 , Fermín Mayoral  8 , María Ángeles Pérez-Ara  1   2 , Rosa Mª Baños  4   9 , Javier García-Campayo  5   6 , María M Hurtado  8 , Cristina Botella  3   4 , Alberto Barceló-Soler  5 , Amelia Villena  8 , Miquel Roca  1   2   6 , Margalida Gili  1   2   6
Affiliations
Randomized Controlled Trial

Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care

Adoración Castro et al. Int J Environ Res Public Health. .

Abstract

Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment.

Keywords: ICTs; adherence; depression; predictors; primary care.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Regression models for Healthy Lifestyle program and Positive Affect Promotion Program. Notes: Healthy Lifestyle model: R2 = 0.25 (Hosmer & Lemeshow), R2 = 0.295 (Cox & Snell), R2 = 0.394 (Nagelkerke). X2(1) = 16.11, p < 0.001; Positive Affect Promotion Model: R2 = 0.29 (Hosmer &Lemeshow), R2 = 0.336 (Cox & Snell), R2 = 0.449 (Nagelkerke). X2(1) = 16.358, p < 0.001. b: Regression coefficient; OR: Odds ratio; * p < 0.05 (based on 95% bootstrap confidence intervals based in 1000 samples).
See this image and copyright information in PMC

References

    1. Wittchen H.U., Jacobi F., Rehm J., Gustavsson A., Svensson M., Jönsson B., Olesen J., Allgulander C., Alonso J., Faravelli C., et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur. Neuropsychopharmacol. 2011;21:655–679. doi: 10.1016/j.euroneuro.2011.07.018. - DOI - PubMed
    1. Alonso J., Angermeyer M.C., Bernert S., Bruffaerts R., Brugha T.S., Bryson H., de Girolamo G., de Graaf R., Demyttenaere K., Gasquet I. Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental disorders (ESEMeD) project. Acta Psychiatr. Scand. Suppl. 2004;109:47–54. doi: 10.1111/j.1600-0047.2004.00325.x. - DOI - PubMed
    1. Roca M., Gili M., Garcia-Garcia M., Salva J., Vives M., Garcia Campayo J., Comas A. Prevalence and comorbidity of common mental disorders in primary care. J. Affect. Disord. 2009;119:52–58. doi: 10.1016/j.jad.2009.03.014. - DOI - PubMed
    1. Fernández A., Haro J.M., Codony M., Vilagut G., Martínez-Alonso M., Autonell J., Salvador-Carulla L., Ayuso-Mateos J.L., Fullana M.A., Alonso J. Treatment adequacy of anxiety and depressive disorders: Primary versus specialised care in Spain. J. Affect. Disord. 2006;96:9–20. doi: 10.1016/j.jad.2006.05.005. - DOI - PubMed
    1. Cuijpers P., van Straten A., Andersson G., van Oppen P. Psychotherapy for Depression in Adults: A Meta-Analysis of Comparative Outcome Studies. J. Consult. Clin. Psychol. 2008;76:909–922. doi: 10.1037/a0013075. - DOI - PubMed

Publication types