Brief Psychological Intervention Through Mobile App and Conference Calls for the Prevention of Depression in Non-Professional Caregivers: A Pilot Study
Open accessAbstract
Despite its potential, no intervention aimed at non-professional caregivers administered through a smartphone app has been proven to prevent depression. The objective of this pilot study was to evaluate the efficacy and feasibility of an indicated depression-prevention intervention for non-professional caregivers administered through an app with the addition of conference-call contact. The intervention was administered to 31 caregivers (Mean age = 54.0 years, 93.5% women). An independent evaluation determined the incidence of depression, depressive symptoms, risk of developing depression, and the variables in the theoretical model (positive environmental reinforcement, negative automatic thoughts) at the pre-intervention and post-intervention, as well as the one- and three-month follow-ups. The incidence of depression at 3 months of follow-up was 6.5%. There was a significant reduction in depressive symptoms (p < 0.001) and in the risk of developing depression (p < 0.001) at the post-intervention and at the one- and three-month follow-ups. The model’s variables improved significantly after the intervention and were associated with post-intervention depressive symptoms. The intervention was more effective in caregivers who had a lower level of depressive symptoms at the pre-intervention. Adherence and satisfaction with the intervention were high. The results encourage future research using a randomized controlled clinical trial.
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Otero et al.'s intervention showed good indicators of adherence and satisfaction.
“show good indicators of adherence and satisfaction with the intervention”
From Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment (2021) · cites this paper as [4]
Otero et al.'s brief cognitive-behavioral intervention for depression prevention delivered through a smartphone app combined with feedback provided preliminary evidence of efficacy in reducing depressive symptoms and risk of developing depression, both at postintervention and follow-up.
“The results provided preliminary evidence of the efficacy of the intervention in reducing depressive symptoms and the risk of developing depression, both at postintervention and in the follow-up assessments”
From Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment (2021) · cites this paper as [4]
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(18)32279-7 · Cited by 13,867 · see citing works
Vos, T., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abdulkader, R. S., Abdulle, A. M., Abebo, T. A., Abera, S. F., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)32154-2 · Cited by 13,220 · see citing works
Selective Cortical Undercutting As a Means of Modifying and Studying Frontal Lobe Function in Man
Scoville, W. B. (1949) · Journal of neurosurgery · doi:10.3171/jns.1949.6.1.0065 · Cited by 7,373 · see citing works
Assessment of client/patient satisfaction: development of a general scale
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979) · Evaluation and Program Planning · doi:10.1016/0149-7189(79)90094-6 · Cited by 2,887 · cited 1× · see citing works
“The Client Satisfaction Questionnaire (CSQ-8; [46]; Spanish version [47]) was used to assess satisfaction with the intervention, with an internal consistency of 0.”
MethodThe Economic Burden of Adults With Major Depressive Disorder in the United States (2005 and 2010)
Greenberg, P. E., Fournier, A.-A., Sisitsky, T., Pike, C. T., & Kessler, R. C. (2015) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.14m09298 · Cited by 1,779 · see citing works
Schulz, R., O'Brien, A. T., Bookwala, J., & Fleissner, K. (1995) · The Gerontologist · doi:10.1093/geront/35.6.771 · Cited by 1,765 · see citing works
Cognitive self-statements in depression: Development of an automatic thoughts questionnaire
Hollon, S. D., & Kendall, P. C. (1980) · Cognitive Therapy and Research · doi:10.1007/bf01178214 · Cited by 1,482 · see citing works
Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Andersson, G., & Cuijpers, P. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070903318960 · Cited by 1,368 · see citing works
Premature discontinuation in adult psychotherapy: A meta-analysis
Swift, J. K., & Greenberg, R. P. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028226 · Cited by 978 · cited 1× · see citing works
“These problems are critical, because when evaluating the efficacy of interventions, high dropout rates can lead to bias and limit the generalizability of the results [35].”
BackgroundDepressive disorders in Europe: prevalence figures from the ODIN study
Ayuso-Mateos, J. L., Vázquez-Barquero, J. L., Dowrick, C., Lehtinen, V., Dalgard, O. S., Casey, P., Wilkinson, C., Lasa, L., Page, H., Dunn, G., et al. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.179.4.308 · Cited by 564 · see citing works
Depressive disorders in caregivers of dementia patients: A systematic review
Cuijpers, P. (2005) · Aging & Mental Health · doi:10.1080/13607860500090078 · Cited by 414 · see citing works
The Use and Effectiveness of Mobile Apps for Depression: Results From a Fully Remote Clinical Trial
Arean, P. A., Hallgren, K. A., Jordan, J. T., Gazzaley, A., Atkins, D. C., Heagerty, P. J., & Anguera, J. A. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6482 · Cited by 376 · see citing works
Hollon, S. D., Muñoz, R. F., Barlow, D. H., Beardslee, W. R., Bell, C. C., Bernal, G., Clarke, G. N., Franciosi, L. P., Kazdin, A. E., Kohn, L. P., et al. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01384-7 · Cited by 327 · see citing works
Prevention of major depression
Muñoz, R. F., Cuijpers, P., Smit, F., Barrera, A. Z., & Leykin, Y. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-033109-132040 · Cited by 326 · see citing works
Institute of Medicine report on prevention of mental disorders: Summary and commentary.
Muñoz, R. F., Mrazek, P. J., & Haggerty, R. J. (1996) · American Psychologist · doi:10.1037//0003-066x.51.11.1116 · Cited by 305 · see citing works
A comprehensive, stage-sensitive model of grief in dementia caregiving.
Meuser, T., & Marwit, S. J. (2001) · The gerontologist · doi:10.1093/geront/41.5.658 · Cited by 278 · see citing works
Ly, K. H., Trüschel, A., Jarl, L., Magnusson, S., Windahl, T., Johansson, R., Carlbring, P., & Andersson, G. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-003440 · Cited by 269 · see citing works
Williamson, G. M., Shaffer, D. R., & contributors, N. (2001) · Psychology and Aging · doi:10.1037/0882-7974.16.2.217 · Cited by 248 · see citing works
Institute of Medicine report on prevention of mental disorders: Summary and commentary.
Muñoz, R. F., Mrazek, P. J., & Haggerty, R. J. (1996) · American Psychologist · doi:10.1037/0003-066x.51.11.1116 · Cited by 222 · see citing works
The Environmental Reward Observation Scale (EROS): Development, validity, and reliability
Armento, M. E. A., & Hopko, D. R. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.05.003 · Cited by 190 · see citing works
Hardeveld, F., Spijker, J., De Graaf, R., Nolen, W. A., & Beekman, A. T. F. (2013) · Psychological Medicine · doi:10.1017/s0033291712002395 · Cited by 176 · see citing works
Major depression can be prevented.
Muñoz, R. F., Beardslee, W. R., & Leykin, Y. (2012) · American Psychologist · doi:10.1037/a0027666 · Cited by 174 · see citing works
Level of Burden and Health-Related Quality of Life in Caregivers of Palliative Care Patients
Perpiñá-Galvañ, J., Orts-Beneito, N., Fernández-Alcántara, M., García-Sanjuán, S., García-Caro, M. P., & Cabañero-Martínez, M. J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16234806 · Cited by 140 · see citing works
ten Have, M., de Graaf, R., van Dorsselaer, S., Tuithof, M., Kleinjan, M., & Penninx, B. W. J. H. (2018) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12874 · Cited by 106 · see citing works
Vázquez, F. L., Blanco, V., & López, M. P. (2006) · Psychiatry Research · doi:10.1016/j.psychres.2006.03.004 · Cited by 85 · see citing works
Self-citationThe Attractiveness of Telephone Counseling: An Empirical Investigation of Client Perceptions
Reese, R. J., Conoley, C. W., & Brossart, D. F. (2006) · Journal of Counseling & Development · doi:10.1002/j.1556-6678.2006.tb00379.x · Cited by 64 · see citing works
Hoertel, N., Blanco, C., Oquendo, M. A., Wall, M. M., Olfson, M., Falissard, B., Franco, S., Peyre, H., Lemogne, C., & Limosin, F. (2017) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.07.022 · Cited by 63 · see citing works
Vázquez, F. L., Torres, Á., Otero, P., Blanco, V., & Clifford Attkisson, C. (2019) · Current Psychology · doi:10.1007/s12144-017-9659-8 · Cited by 55 · see citing works
Self-citationPalacios‐Ceña, D., Famoso-Pérez, P., Salom‐Moreno, J., Carrasco‐Garrido, P., Pérez‐Corrales, J., Parás‐Bravo, P., & Güeita‐Rodríguez, J. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16010041 · Cited by 50 · see citing works
Caregiver Burden and Sleep Quality in Dependent People’s Family Caregivers
Simón, M. A., Bueno, A. M., Otero, P., Blanco, V., & Vázquez, F. L. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8071072 · Cited by 46 · see citing works
Self-citationPrevalence of major depressive episodes in non-professional caregivers
Torres, Á., Blanco, V., Vázquez, F. L., Fernández, O. D., Otero, P., & Hermida, E. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.12.066 · Cited by 39 · see citing works
Self-citationVázquez, F. L., Torres, Á., Blanco, V., Otero, P., Fernández, O. D., & Otero, M. J. F. (2016) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2016.02.050 · Cited by 33 · see citing works
Self-citationGonzalez, F., Otero, P., Iglesias, Á. T., Hermida, E., Blanco, V., & Fernández, O. D. (2013) · Psicothema · doi:10.7334/psicothema2012.89 · Cited by 32 · see citing works
Self-citationStepping Up: Predictors of ‘Stepping’ within an iCBT Stepped-Care Intervention for Depression
Nicholas, J., Ringland, K. E., Graham, A. K., Knapp, A. A., Lattie, E. G., Kwasny, M., & Mohr, D. C. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16234689 · Cited by 31 · see citing works
Otero, P., Smit, F., Cuijpers, P. J., Torres, Á., Blanco, V., & Vázquez, F. L. (2014) · Psychological Medicine · doi:10.1017/s0033291714002505 · Cited by 28 · see citing works
Self-citationVicente, M. M., Delgado, M. G., Prieto, J. P., Adsuar, J. C., & Gusi, N. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17031078 · Cited by 26 · see citing works
Psychometric Properties of the Spanish Version of the Caregiver Burden Inventory
Vázquez, F. L., Otero, P., Simón, M. A., Bueno, A. M., & Blanco, V. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16020217 · Cited by 24 · see citing works
Self-citationPredictores del cambio clínicamente significativo en una intervención de prevención de la depresión.
Blanco, V., Departamento de Psicología Evolutiva y de la Educación, U. D. S. D. C., Otero, P., Departamento de Psicología, U. D. A. C., López, L., Departamento de Psicología Clínica y Psicobiología, U. D. S. D. C., Torres, Á., Departamento de Psiquiatría, R. Y. S. P., Vázquez, F. L., & Departamento de Psicología Clínica y Psicobiología, U. D. S. D. C. (2017) · Revista Iberoamericana de Psicología y Salud · doi:10.23923/j.rips.2017.08.002 · Cited by 14 · see citing works
Self-citationVázquez, F. L., López, L., Torres, Á., Otero, P., Blanco, V., Fernández, O. D., & Páramo, M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17062067 · Cited by 14 · see citing works
Self-citationSimon, M., Bueno, A. M., Otero, P., Blanco, V., & Vázquez, F. L. (2019) · Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud · Cited by 12 · see citing works
Self-citationOtero, P., Vázquez, F. L., Hermida, E., Fernández, O. D., & Torres, Á. (2015) · Psychological Reports · doi:10.2466/02.pr0.116k22w7 · Cited by 11 · see citing works
Self-citationLópez, L., Smit, F., Cuijpers, P. J., Otero, P., Blanco, V., Torres, Á., & Vázquez, F. L. (2019) · Psychological Medicine · doi:10.1017/s0033291719000916 · Cited by 11 · see citing works
Self-citationLa Prevención de la Depresión en Cuidadores a través de Multiconferencia Telefónica
Vázquez, F. L., Otero, P., López, L., Blanco, V., Torres, Á., & Fernández, O. D. (2018) · Clínica y Salud · doi:10.5093/clysa2018a2 · Cited by 4 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- [20]Institute of Medicine Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research National Academic Press Washington, DC, USA 1994 25144015
- [48]Lewinsohn P.M. Hoberman H. Teri L. Hautzinger M. An integrative theory of depression Theoretical Issues in Behaviour Therapy Reiss S. Bootzin R.R. Academic Press New York, NY, USA 1985 313 359
Cited by
Sorted by citations
Standardising the role of a digital navigator in behavioural health: a systematic review
Perret, S., Alon, N., Carpenter-Song, E. A., Myrick, K. J., Thompson, K., Li, S., Sharma, K., & Torous, J. B. (2023) · The Lancet Digital Health · doi:10.1016/s2589-7500(23)00152-8 · Cited by 95 · see citing works
Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review
Bernstein, E. E., Weingarden, H. M., Wolfe, E. C., Hall, M. D., Snorrason, Í., & Wilhelm, S. (2022) · Journal of Medical Internet Research · doi:10.2196/33307 · Cited by 55 · see citing works
Updated taxonomy of digital mental health interventions: a conceptual framework
Pineda, B. S., Mejia, R., Qin, Y., Martinez, J., Delgadillo, L. G., & Muñoz, R. F. (2023) · mHealth · doi:10.21037/mhealth-23-6 · Cited by 41 · see citing works
Smartphone applications for informal caregivers of chronically ill patients: a scoping review
Guessi, M., Shah, A., & Seto, E. (2022) · npj Digital Medicine · doi:10.1038/s41746-022-00567-z · Cited by 35 · see citing works
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Fonseca, A., & Osma, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18020461 · Cited by 30 · see citing works
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Kelley, M. M., Powell, T. P., Camara, D. S., Shah, N., Norton, J. M., Deitelzweig, C., Vaidy, N., Hsiao, C., Wang, J., & Bierman, A. S. (2024) · Journal of Medical Internet Research · doi:10.2196/46108 · Cited by 29 · see citing works
Schelisch, L., & Walter, R. (2021) · Sustainability · doi:10.3390/su13041946 · Cited by 14 · see citing works
Minaei-Moghadam, S., Manzari, Z. S., Vaghee, S., & Mirhosseini, S. (2024) · BMC Public Health · doi:10.1186/s12889-023-17594-4 · Cited by 10 · see citing works
Riesco, L. R., & Senín‐Calderón, C. (2021) · Ansiedad y Estrés · doi:10.5093/anyes2022a5 · Cited by 8 · see citing works
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Blanco, V., Otero, P., & Vázquez, F. L. (2022) · Aging & Mental Health · doi:10.1080/13607863.2022.2056878 · Cited by 4 · see citing works
Self-citationVilca, L. W., Chambi-Mamani, E. L., Quispe-Kana, E. D., López, M. H., & Caycho‐Rodríguez, T. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191610062 · Cited by 3 · see citing works
Vilca, L. W., Echabaudes-Ilizarbe, R. I., Aquino-Hidalgo, J. M., Ventura‐León, J., Martinez‐Munive, R., & White, M. (2020) · Psychological Reports · doi:10.1177/0033294120981930 · Cited by 3 · see citing works
Ng, J., Noh, Y., Hassan, M. F. H., & Lim, B. H. (2024) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2024.2402707 · Cited by 1 · see citing works
Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment
Fonseca, A., & Osma, J. (2021) · MDPI eBooks · doi:10.3390/books978-3-0365-0459-9
- Authors
- Otero, P., Hita, I., Torres, Á. J., & Vázquez, F. L.
- Affiliations
- Universidade da Coruña (ES)
- Universidade de Santiago de Compostela (ES)
- Corresponding author
- Otero, Patricia
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-06-25
- Volume
- 17
- Issue
- 12
- Pages
- 4578
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7345199
- OpenAlex
- W3037591789
- Cited by
- 15
- References
- 45
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 1
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Hispana (submittedVersion, cc-by)
- Repositorio institucional da Universidade de Santiago de Compostela (University of Santiago de Compostela) (submittedVersion, cc-by)
- RUC (Universidade Da Coruña) (submittedVersion, cc-by)
- Funders
- Ministry of Economy, Industry and Competitiveness (Spain) (PSI2016-79041)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- depression prevention, non-professional caregivers, caregiver burden, smartphone-based intervention, conference calls, brief psychological intervention, depressive symptoms, negative automatic thoughts, intervention adherence, intervention satisfaction
- MeSH terms
- Depression, Female, Humans, Male, Pilot Projects, Caregivers, Mobile Applications
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