期刊
JOURNAL OF MEDICAL INTERNET RESEARCH
卷 17, 期 3, 页码 -出版社
JMIR PUBLICATIONS, INC
DOI: 10.2196/jmir.3985
关键词
depression; computer-delivered psychotherapy; qualitative methods; expectations
资金
- Institute of Health Carlos III of the Ministry of Economy and Competitiveness and the Ministry of Health [FIS PI10/01982]
- Consumption (Spain), through the Network for Prevention and Health Promotion in Primary Care (redIAPP) [RD12/0005]
- CIBER [PSI2010-17563]
- European Union ERDF funds
Background: One-quarter of the world's population will suffer from depression symptoms at some point in their lives. Mental health services in developed countries are overburdened. Therefore, cost-effective interventions that provide mental health care solutions such as Web-based psychotherapy programs have been proposed. Objective: The intent of the study was to identify expectations regarding Web-based psychotherapy for the treatment of depression in primary care among patients and health professionals that might facilitate or hinder its effects. Methods: The expectations of untreated patients and health professionals were examined by means of interviews and focus groups. There were 43 participants (20 patients with mild and moderate levels of depression, 11 primary care physicians, and 12 managers; 22 of them for interviews and 21 for groups). A thematic content analysis from the grounded theory for interviews, and an analysis of the discursive positions of participants based on the sociological model for groups were performed. Interpretations were achieved by agreement between three independent analysts. Results: All participants showed a good general acceptance of Web-based psychotherapy, appreciating possible advantages and improvements. Patients, physicians, and managers shared the same conceptualization of their expectations, although highlighting different aspects. Patients focused on the need for individualized and personalized interaction, while professionals highlighted the need for the standardization of the program. Physicians were concerned with extra workload, while managers were worried about optimizing cost-effectiveness. Conclusions: Expectations of the different participants can conflict with each other. Finding a balanced position among them is needed if we are to harmoniously implement effective Web-based interventions for depression in routine clinical practice.
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