Article type
Year
Abstract
Background:
Depression is a mental health problem with emotional, cognitive, physical and behavioral symptoms that can interfere with a person's daily life. Its prevalence is on the rise, reaching 29.2% in countries with a medium human development index and 6% in low-income countries according to the World Health Survey conducted in 2013. There is a varied group of treatment strategies such as psychotherapy, whose variant, cognitive behavioral therapy unites concepts about emotions, behaviors and thoughts. It can be done in an autonomous way or with the participation of a therapist through the Internet, called Internet-based cognitive behavioral therapy (ICBT), showing effects comparable to the traditional format in primary health care settings. It could be an alternative to increase the coverage of psychotherapeutic treatment for depression and reduce the saturation of the public health system, characteristic of low and middle-income countries such as Peru, where more than 10% of the population does not have access to these services.
Objectives:
To synthesize the available evidence about the efficacy and safety on ICBT compared to the face-to-face modality of this type of psychotherapy.
Methods:
The search for articles was performed in MEDLINE (Pubmed), LILACS (BIREME), Cochrane Library and CENTRAL and SCOPUS without date or language filtering. In addition, we reviewed the website clinicaltrials.gov and the references of included clinical trials and relevant systematic reviews on the topic. We will only include randomized clinical trials. The inclusion and exclusion criteria were validated with a psychiatrist expert in the management of depression. In addition, the protocol of this review will be uploaded to an online platform.
Results:
This systematic search managed to identify 2192 studies, after eliminating duplicates there were 1485; the selection will be made by two peer reviewers independently, there will be a third reviewer in case there is no consensus in the process. Rayyan QCRI will be used for the selection of titles and abstracts,. The RoB 2.0 (Cochrane) tool will be used to assess the risk of bias.. We are currently in the study selection phase; therefore, the final results will be presented at the colloquium.
Conclusions:
This systematic review will provide reliable evidence about effective therapies for psychotherapeutic management of depression based on telemedicine with a focus on primary care, mainly in low and medium countries income, the results will form the basis for future cost-effectiveness studies on these interventions.
Patient or healthcare consumer involvement: This study has a direct implication for patients but mainly will be discussed with the thematic experts.
Depression is a mental health problem with emotional, cognitive, physical and behavioral symptoms that can interfere with a person's daily life. Its prevalence is on the rise, reaching 29.2% in countries with a medium human development index and 6% in low-income countries according to the World Health Survey conducted in 2013. There is a varied group of treatment strategies such as psychotherapy, whose variant, cognitive behavioral therapy unites concepts about emotions, behaviors and thoughts. It can be done in an autonomous way or with the participation of a therapist through the Internet, called Internet-based cognitive behavioral therapy (ICBT), showing effects comparable to the traditional format in primary health care settings. It could be an alternative to increase the coverage of psychotherapeutic treatment for depression and reduce the saturation of the public health system, characteristic of low and middle-income countries such as Peru, where more than 10% of the population does not have access to these services.
Objectives:
To synthesize the available evidence about the efficacy and safety on ICBT compared to the face-to-face modality of this type of psychotherapy.
Methods:
The search for articles was performed in MEDLINE (Pubmed), LILACS (BIREME), Cochrane Library and CENTRAL and SCOPUS without date or language filtering. In addition, we reviewed the website clinicaltrials.gov and the references of included clinical trials and relevant systematic reviews on the topic. We will only include randomized clinical trials. The inclusion and exclusion criteria were validated with a psychiatrist expert in the management of depression. In addition, the protocol of this review will be uploaded to an online platform.
Results:
This systematic search managed to identify 2192 studies, after eliminating duplicates there were 1485; the selection will be made by two peer reviewers independently, there will be a third reviewer in case there is no consensus in the process. Rayyan QCRI will be used for the selection of titles and abstracts,. The RoB 2.0 (Cochrane) tool will be used to assess the risk of bias.. We are currently in the study selection phase; therefore, the final results will be presented at the colloquium.
Conclusions:
This systematic review will provide reliable evidence about effective therapies for psychotherapeutic management of depression based on telemedicine with a focus on primary care, mainly in low and medium countries income, the results will form the basis for future cost-effectiveness studies on these interventions.
Patient or healthcare consumer involvement: This study has a direct implication for patients but mainly will be discussed with the thematic experts.