172 lines
5.4 KiB
YAML
172 lines
5.4 KiB
YAML
abstract: 'Background: Smartphone apps could constitute a cost-effective strategy
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to overcome health care system access barriers to mental health services
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for people in low- and middle-income countries.
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Objective: The aim of this paper was to explore the patients''
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perspectives of CONEMO (Emotional Control, in Spanish: Control
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Emocional), a technology-driven, psychoeducational, and nurse-supported
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intervention delivered via a smartphone app aimed at reducing depressive
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symptoms in people with diabetes, hypertension or both who attend public
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health care centers, as well as the nurses'' feedback about their role
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and its feasibility to be scaled up.
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Methods: This study combines data from 2 pilot studies performed in
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Lima, Peru, between 2015 and 2016, to test the feasibility of CONEMO.
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Interviews were conducted with 29 patients with diabetes, hypertension
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or both with comorbid depressive symptoms who used CONEMO and 6 staff
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nurses who accompanied the intervention. Using a content analysis
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approach, interview notes from patient interviews were transferred to a
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digital format, coded, and categorized into 6 main domains: the
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perceived health benefit, usability, adherence, user satisfaction with
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the app, nurse''s support, and suggestions to improve the intervention.
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Interviews with nurses were analyzed by the same approach and
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categorized into 4 domains: general feedback, evaluation of training,
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evaluation of study activities, and feasibility of implementing this
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intervention within the existing structures of health system.
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Results: Patients perceived improvement in their emotional health
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because of CONEMO, whereas some also reported better physical health.
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Many encountered some difficulties with using CONEMO, but resolved them
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with time and practice. However, the interactive elements of the app,
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such as short message service, android notifications, and pop-up
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messages were mostly perceived as challenging. Satisfaction with CONEMO
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was high, as was the self-reported adherence. Overall, patients
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evaluated the nurse accompaniment positively, but they suggested
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improvements in the technological training and an increase in the amount
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of contact. Nurses reported some difficulties in completing their tasks
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and explained that the CONEMO intervention activities competed with
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their everyday work routine.
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Conclusions: Using a nurse-supported smartphone app to reduce depressive
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symptoms among people with chronic diseases is possible and mostly
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perceived beneficial by the patients, but it requires context-specific
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adaptations regarding the implementation of a task shifting approach
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within the public health care system. These results provide valuable
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information about user feedback for those building mobile health
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interventions for depression.'
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affiliation: 'Diez-Canseco, F (Corresponding Author), Univ Peruana Cayetano Heredia,
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CRONICAS Ctr Excellence Chron Dis, Ave Armendariz 497, Lima, Peru.
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Brandt, Lena R.; Hidalgo, Liliana; Diez-Canseco, Francisco; Jaime Miranda, J., Univ
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Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Ave Armendariz 497,
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Lima, Peru.
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Araya, Ricardo, Kings Coll London, Inst Psychiat Psychol \& Neurosci, Hlth Serv
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\& Populat Res, Ctr Global Mental Hlth \& Primary Care Res, London, England.
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Mohr, David C., Northwestern Univ, Ctr Behav Intervent Technol, Chicago, IL 60611
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USA.
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Menezes, Paulo R., Univ Sao Paulo, Fac Med, Sao Paulo, Brazil.
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Menezes, Paulo R., Univ Sao Paulo, Populat Mental Hlth Res Ctr, Sao Paulo, Brazil.
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Jaime Miranda, J., Univ Peruana Cayetano Heredia, Sch Med, Dept Med, Lima, Peru.'
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article-number: e11701
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author: Brandt, Lena R. and Hidalgo, Liliana and Diez-Canseco, Francisco and Araya,
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Ricardo and Mohr, David C. and Menezes, Paulo R. and Jaime Miranda, J.
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author-email: fdiezcanseco@gmail.com
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author_list:
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- family: Brandt
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given: Lena R.
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- family: Hidalgo
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given: Liliana
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- family: Diez-Canseco
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given: Francisco
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- family: Araya
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given: Ricardo
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- family: Mohr
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given: David C.
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- family: Menezes
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given: Paulo R.
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- family: Jaime Miranda
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given: J.
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da: '2023-09-28'
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doi: 10.2196/11701
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files: []
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issn: 2368-7959
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journal: JMIR MENTAL HEALTH
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keywords: 'mental health; depression; noncommunicable diseases; mHealth;
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smartphone; developing countries'
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keywords-plus: 'BEHAVIORAL ACTIVATION TREATMENT; MENTAL-HEALTH; SELF-HELP; DISORDERS;
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INTERNET; EFFICACY; THERAPY; CARE; INTERVENTIONS; ASSOCIATION'
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language: English
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month: JUN 18
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number: '6'
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number-of-cited-references: '90'
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orcid-numbers: 'Menezes, Paulo/0000-0001-6330-3314
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Miranda, J. Jaime/0000-0002-4738-5468
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Araya, Ricardo/0000-0002-0420-5148
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Menezes, Paulo R/0000-0001-6330-3314
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Hidalgo-Padilla, Liliana/0000-0001-8451-7215
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Mohr, David/0000-0002-5443-7596
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Diez-Canseco, Francisco/0000-0002-7611-8190
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Brandt, Lena R/0000-0001-7800-8473'
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papis_id: 190b400671a045f2e055ccc0a3d3ca4e
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ref: Brandt2019addressingdepression
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researcherid-numbers: 'Menezes, Paulo/AAM-3529-2021
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Miranda, J. Jaime/A-8482-2008
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Araya, Ricardo/S-3144-2019
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Menezes, Paulo R/C-9985-2010
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'
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times-cited: '15'
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title: 'Addressing Depression Comorbid With Diabetes or Hypertension in Resource-Poor
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Settings: A Qualitative Study About User Perception of a Nurse-Supported Smartphone
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App in Peru'
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type: article
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unique-id: WOS:000472679500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '14'
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volume: '6'
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web-of-science-categories: Psychiatry
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year: '2019'
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