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Open Access Study protocol

Computer-assisted cognitive-behavioral therapy for adolescent depression in primary care clinics in Santiago, Chile (YPSA-M): study protocol for a randomized controlled trial

Vania Martínez12*, Pablo Martínez3, Paul A Vöhringer34, Ricardo Araya5 and Graciela Rojas23

Author Affiliations

1 Universidad de Chile, CEMERA, Facultad de Medicina, Profesor Zañartu 1030, Independencia, Santiago, Chile

2 Millennium Nucleus Psychological Intervention and Change in Depression, Av. Vicuña Mackenna 4860 Macul, Santiago, Chile

3 Universidad de Chile, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile

4 Mood Disorders Program, Tufts Medical Center, Tufts University, Boston, USA

5 London School of Hygiene and Tropical Medicine, London WC1E 7TH, UK

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Trials 2014, 15:309  doi:10.1186/1745-6215-15-309

Published: 5 August 2014

Abstract

Background

Depression is a common and disabling condition. In Chile, assistance is guaranteed by law through a national program for depression in primary care services, and there is evidence of effective treatment for depressed women. However, there is a shortage of evidence-based treatments for depression in adolescents. The incorporation of technology to expand therapeutic options is becoming more common. This proposal aims to compare the efficacy of therapy that enhances traditional face-to-face cognitive-behavioral therapy (CBT) with a computer-based program versus usual care to treat depression in adolescents in primary care clinics in Santiago, Chile.

Methods and design

This is a two-arm, single-blind, randomized controlled trial with a target enrollment of 216 depressed adolescents between 15 and 19 years of age, attending four primary care clinics in Santiago, Chile. In the active arm, depressed adolescents will receive eight sessions of computer-assisted CBT, led by trained psychologists on a weekly basis. In the control arm, depressed adolescents will receive treatment as usual from the primary care centers. Mean depression scores and indicators of dysfunctional thoughts, problem-solving strategies, and health-related quality of life will be measured at baseline and four and six months after randomization.

Discussion

As far as we know, this is the first randomized controlled trial of a computer-assisted CBT intervention for depressed adolescents in a Latin American country.

Trial registration

Clinical Trials: NCT01862913

Keywords:
Adolescent depression; cognitive-behavioral therapy; computer-assisted therapy; depression treatment; primary care