Clinical gerontologist · 2026
Collaborative Technology-Assisted Depression Program for Chronic Disease Patients in Santiago, Chile.
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Rojas Graciela, Martínez Pablo, Guajardo Viviana, Herrera Pablo, Campos Solange, Moessner Markus, Diez-Canseco Francisco, Araya Ricardo, Aldunate Gonzalez Paula, Vöhringer Paul A
Аннотация
OBJECTIVES: To assess the effectiveness of a collaborative, computer-assisted psycho-educational intervention for managing depression in patients with hypertension and/or diabetes in comparison with usual care in primary care clinics in Santiago, Chile.
METHODS: Adults with moderate-to-severe depression (Patient Health Questionnaire-9 [PHQ-9] ≥15) enrolled in the Cardiovascular Health Care Program were recruited. The active arm (n = 180) received an eight-session computer-assisted, psycho-educational program, telephone monitoring, and usual care for chronic diseases, while the control group (n = 179) received usual care for depression and chronic diseases. Outcomes were assessed at 3-, 6-, and 12-month follow-ups, with the primary outcome being depression improvement (50% decrease in PHQ-9 score) at 6 months. Intention-to-treat analyses were conducted.
RESULTS: The active arm showed non-statistically significant reductions in depressive symptoms and improvements in mental health-related quality of life, treatment adherence, and health care utilization compared to the control arm.
CONCLUSIONS: While results did not demonstrate statistical difference within the programs to treat the health problems included in the study, the findings support the use of computer-assisted psychoeducation intervention.
CLINICAL IMPLICATIONS: These findings advocate for optimizing current care models by incorporating scalable, evidence-based interventions, such as technology-assisted programs, to address remaining gaps in mental health integration.
METHODS: Adults with moderate-to-severe depression (Patient Health Questionnaire-9 [PHQ-9] ≥15) enrolled in the Cardiovascular Health Care Program were recruited. The active arm (n = 180) received an eight-session computer-assisted, psycho-educational program, telephone monitoring, and usual care for chronic diseases, while the control group (n = 179) received usual care for depression and chronic diseases. Outcomes were assessed at 3-, 6-, and 12-month follow-ups, with the primary outcome being depression improvement (50% decrease in PHQ-9 score) at 6 months. Intention-to-treat analyses were conducted.
RESULTS: The active arm showed non-statistically significant reductions in depressive symptoms and improvements in mental health-related quality of life, treatment adherence, and health care utilization compared to the control arm.
CONCLUSIONS: While results did not demonstrate statistical difference within the programs to treat the health problems included in the study, the findings support the use of computer-assisted psychoeducation intervention.
CLINICAL IMPLICATIONS: These findings advocate for optimizing current care models by incorporating scalable, evidence-based interventions, such as technology-assisted programs, to address remaining gaps in mental health integration.