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Background: Depression is common in adolescents and it is associated with serious consequences. In Chile, primary care team has a leading role in the management of depression in adolescents. Nevertheless, the majority of primary care professionals report not feeling adequately prepared to take on this responsibility and having difficulties referring patients to specialists. This situation is particularity complex in regions far away from the central zone. Telepsychiatry is a potential solution to an equitable access to specialized clinical expertise.
Purpose: The purpose of this study is to determine whether a telepsychiatry-based collaborative program is effective to improve the management of depression in adolescents between 13 and 19 years of age in 16 primary care clinics in the Araucanía Region, Chile.
Study design: A cluster-randomized clinical trial will be carried out with 237 adolescents. The efficacy, adherence, and acceptability of the telepsychiatry-based collaborative program will be evaluated.
General aim To carry out a randomized controlled trial to compare the efficacy of telepsychiatry intervention versus usual care to treat depression in adolescents in primary care clinics in the Araucanía Region, Chile.
Specific aims
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telepsychiatry collaborative program | Experimental |
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| Usual care | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telepsychiatry collaborative program | Other | The intervention includes:
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| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Beck Depression Inventory (BDI) | Baseline and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in KIDSCREEN-27 | Health-related quality of life questionnaire | Baseline and 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vania Martínez-Nahuel, Dr.med. | University of Chile | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CESFAM Alemania, CESFAM Huequén, CESFAM Piedra de Águila | Angol | Chile | ||||
| CESFAM Dr. Cristóbal Sáenz Cerda |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29386172 | Derived | Martinez V, Rojas G, Martinez P, Zitko P, Irarrazaval M, Luttges C, Araya R. Remote Collaborative Depression Care Program for Adolescents in Araucania Region, Chile: Randomized Controlled Trial. J Med Internet Res. 2018 Jan 31;20(1):e38. doi: 10.2196/jmir.8021. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Usual care | Other |
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| Lautaro |
| Chile |
| CESFAM Nueva Imperial | Nueva Imperial | Chile |
| Consultorio Pitrufquén | Pitrufquén | Chile |
| CESFAM Amanecer, CESFAM Labranza, CESFAM Pedro de Valdivia, CESFAM Pueblo Nuevo, CESFAM Santa Rosa, CESFAM Villa Alegre, Consultorio Miraflores | Temuco | Chile |
| Hospital de Vilcún | Vilcún | Chile |
| CESFAM Villarrica | Villarrica | Chile |