Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study

Pablo Martínez, Viviana Guajardo, Víctor E. Gómez, Sebastián Brandt, Wilsa Szabo, Gonzalo Soto-Brandt, Maryam Farhang, Paulina Baeza, Solange Campos, Pablo Herrera and Graciela Rojas
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Pablo Martínez: Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
Viviana Guajardo: Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
Víctor E. Gómez: Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
Sebastián Brandt: Escuela de Psicología, Facultad de Ciencias Sociales, Universidad de Chile, Santiago 7800284, Chile
Wilsa Szabo: Millennium Institute for Depression and Personality Research (MIDAP), Santiago 7820436, Chile
Gonzalo Soto-Brandt: Programa de Salud Mental, Escuela de Salud Pública, Universidad de Chile, Santiago 8380453, Chile
Maryam Farhang: Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile
Paulina Baeza: Programa de Magíster de Salud Mental y Psiquiatría Comunitaria, Escuela de Salud Pública, Universidad de Chile, Santiago 8380453, Chile
Solange Campos: Escuela de Enfermería, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile
Pablo Herrera: Escuela de Psicología, Facultad de Ciencias Sociales, Universidad de Chile, Santiago 7800284, Chile
Graciela Rojas: Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago 8431617, Chile

IJERPH, 2021, vol. 18, issue 22, 1-13

Abstract: The comorbidity of depression with physical chronic diseases is usually not considered in clinical guidelines. This study evaluated the feasibility of a technology-assisted collaborative care (TCC) program for depression in people with diabetes and/or high blood pressure (DM/HBP) attending a primary health care (PHC) facility in Santiago, Chile. Twenty people diagnosed with DM/HBP having a Patient Health Questionnaire-9 score ? 15 points were recruited. The TCC program consisted of a face-to-face, computer-assisted psychosocial intervention (CPI, five biweekly sessions), telephone monitoring (TM), and a mobile phone application for behavioral activation (CONEMO). Assessments of depressive symptoms and other health-related outcomes were made. Thirteen patients completed the CAPI, 12 received TM, and none tried CONEMO. The TCC program was potentially efficacious in treating depression, with two-thirds of participants achieving response to depression treatment 12 weeks after baseline. Decreases were observed in depressive symptoms and healthcare visits and increases in mental health-related quality of life and adherence to treatment. Patients perceived the CPI as acceptable. The TCC program was partially feasible and potentially efficacious for managing depression in people with DM/HBP. These data are valuable inputs for a future randomized clinical trial.

Keywords: depression; chronic disease; disease management; primary health care; information technology; feasibility studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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