Articles producció científica> Infermeria

Effectiveness of a psychoeducation group intervention conducted by primary healthcare nurses in patients with depression and physical comorbidity: study protocol for a randomized, controlled trial

  • Identification data

    Identifier: imarina:9245526
    Authors:
    Casanas, RocioMartin Royo, JaumeIsabel Fernandez-San-Martin, MariaRaya Tena, AntoniaMendioroz, JacoboSauch Valmana, GloriaMasa-Font, RoserCasajuana-Closas, MarcFernandez Linares, Eva MariaCols-Sagarra, CeliaGonzalez Tejon, SusanaFoguet-Boreu, QuintiMartin Lopez, Luis Miguel
    Abstract:
    BackgroundDepressive disorders are the third leading cause of consultation in primary care, mainly in patients with chronic physical illnesses. Studies have shown the effectiveness of group psychoeducation in reducing symptoms in depressive individuals. Our primary aim is to evaluate the effectiveness of an intervention based on a psychoeducational program, carried out by primary care nurses, to improve the remission/response rate of depression in patients with chronic physical illness. Secondarily, to assess the cost-effectiveness of the intervention, its impact on improving control of the physical pathology and quality of life, and intervention feasibility.Methods/designA multicenter, randomized, clinical trial, with two groups and one-year follow-up evaluation. Economic evaluation study.SubjectsWe will assess 504 patients (252 in each group) aged >50years assigned to 25 primary healthcare centers (PHC) from Catalonia (urban, semi-urban, and rural). Participants suffer from major depression (Beck depression inventory: BDI-II 13-28) and at least one of the following: type 2 diabetes mellitus, chronic obstructive pulmonary disease, asthma, and/or ischemic cardiopathy. Patients with moderate/severe suicide risk or severe mental disorders are excluded. Participants will be distributed randomly into the intervention group (IG) and control (CG).InterventionThe IG will participate in the psychoeducational intervention: 12 sessions of 90min, once a week led by two Primary Care (PC) nurses. The sessions will consist of health education regarding chronic physical illness and depressive symptoms.Main measurementsClinical remission of depression and/or response to intervention (BDI-II).Secondary measurementsImprovement in control of chronic diseases (blood test and physical param
  • Others:

    Author, as appears in the article.: Casanas, Rocio; Martin Royo, Jaume; Isabel Fernandez-San-Martin, Maria; Raya Tena, Antonia; Mendioroz, Jacobo; Sauch Valmana, Gloria; Masa-Font, Roser; Casajuana-Closas, Marc; Fernandez Linares, Eva Maria; Cols-Sagarra, Celia; Gonzalez Tejon, Susana; Foguet-Boreu, Quinti; Martin Lopez, Luis Miguel
    Department: Infermeria
    URV's Author/s: Raya Tena, Antonia
    Keywords: Validation Treatment outcome Symptoms Research design Psychotherapy, group Psychoeducation Primary healthcare Primary care nursing Prevalence Patient education as topic Nurses Middle aged Mental status questionnaire Male Major depression Inventory Humans Female Depression Comorbidity Chronic physical illness Chronic disease Anxiety Adults
    Abstract: BackgroundDepressive disorders are the third leading cause of consultation in primary care, mainly in patients with chronic physical illnesses. Studies have shown the effectiveness of group psychoeducation in reducing symptoms in depressive individuals. Our primary aim is to evaluate the effectiveness of an intervention based on a psychoeducational program, carried out by primary care nurses, to improve the remission/response rate of depression in patients with chronic physical illness. Secondarily, to assess the cost-effectiveness of the intervention, its impact on improving control of the physical pathology and quality of life, and intervention feasibility.Methods/designA multicenter, randomized, clinical trial, with two groups and one-year follow-up evaluation. Economic evaluation study.SubjectsWe will assess 504 patients (252 in each group) aged >50years assigned to 25 primary healthcare centers (PHC) from Catalonia (urban, semi-urban, and rural). Participants suffer from major depression (Beck depression inventory: BDI-II 13-28) and at least one of the following: type 2 diabetes mellitus, chronic obstructive pulmonary disease, asthma, and/or ischemic cardiopathy. Patients with moderate/severe suicide risk or severe mental disorders are excluded. Participants will be distributed randomly into the intervention group (IG) and control (CG).InterventionThe IG will participate in the psychoeducational intervention: 12 sessions of 90min, once a week led by two Primary Care (PC) nurses. The sessions will consist of health education regarding chronic physical illness and depressive symptoms.Main measurementsClinical remission of depression and/or response to intervention (BDI-II).Secondary measurementsImprovement in control of chronic diseases (blood test and physical parameters), drug compliance (Morinsky-Green test and number of containers returned), quality of life (EQ-5D), medical service utilization (appointments and hospital admissions due to complications), and feasibility of the intervention (satisfaction and compliance). Evaluations will be blinded, and conducted at baseline, post-intervention, and 12months follow-up.DiscussionResults could be informative for efforts to prevent depression in patients with a chronic physical illness.Trial registrationNCT03243799 (registration date August 9, 2017)
    Thematic Areas: Saúde coletiva Psicología Odontología Medicina iii Medicina ii Medicina i Interdisciplinar Health policy Health care sciences & services Filosofia/teologia:subcomissão teologia Farmacia Ensino Engenharias iii Enfermagem Educação física Ciências sociais aplicadas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: antonia.raya@estudiants.urv.cat
    Author identifier: 0000-0003-0789-7888
    Record's date: 2025-02-18
    Paper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Paper original source: Bmc Health Services Research. 19 (1): 427-
    APA: Casanas, Rocio; Martin Royo, Jaume; Isabel Fernandez-San-Martin, Maria; Raya Tena, Antonia; Mendioroz, Jacobo; Sauch Valmana, Gloria; Masa-Font, Roser (2019). Effectiveness of a psychoeducation group intervention conducted by primary healthcare nurses in patients with depression and physical comorbidity: study protocol for a randomized, controlled trial. Bmc Health Services Research, 19(1), 427-. DOI: 10.1186/s12913-019-4198-7
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2019
    Publication Type: Journal Publications
  • Keywords:

    Health Care Sciences & Services,Health Policy
    Validation
    Treatment outcome
    Symptoms
    Research design
    Psychotherapy, group
    Psychoeducation
    Primary healthcare
    Primary care nursing
    Prevalence
    Patient education as topic
    Nurses
    Middle aged
    Mental status questionnaire
    Male
    Major depression
    Inventory
    Humans
    Female
    Depression
    Comorbidity
    Chronic physical illness
    Chronic disease
    Anxiety
    Adults
    Saúde coletiva
    Psicología
    Odontología
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Health policy
    Health care sciences & services
    Filosofia/teologia:subcomissão teologia
    Farmacia
    Ensino
    Engenharias iii
    Enfermagem
    Educação física
    Ciências sociais aplicadas i
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