A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico
OBJECTIVE: To describe a four-year descriptive, naturalistic study monitoring the use of HDep (Help for Depression or Ayuda para depression (ADep)in Spanish), an open-access/free Web-based, psycho-education, cognitive-behavioral intervention program produced in Mexico consisting of seven self-help m...
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ftdoajarticles:oai:doaj.org/article:20e28f6896f44442b36e8999a50cf04f 2023-05-15T15:17:10+02:00 A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico María Asunción Lara Marcela Tiburcio Araceli Aguilar Abrego Alejandro Sánchez-Solís 2014-06-01T00:00:00Z https://doaj.org/article/20e28f6896f44442b36e8999a50cf04f EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000500013&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/20e28f6896f44442b36e8999a50cf04f Revista Panamericana de Salud Pública, Vol 35, Iss 5-6, Pp 399-406 (2014) Depresión internet apoyo social terapia cognitiva México Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles 2022-12-31T05:24:49Z OBJECTIVE: To describe a four-year descriptive, naturalistic study monitoring the use of HDep (Help for Depression or Ayuda para depression (ADep)in Spanish), an open-access/free Web-based, psycho-education, cognitive-behavioral intervention program produced in Mexico consisting of seven self-help modules that include feedback-generating assessments of depressive symptoms, vignettes, recorded messages, a relaxation exercise, a personal workbook, blogs, and user discussion forums. METHODS: Data were collected on all individuals who entered the HDep site since the program's launching in 2009. Those who entered the site two or more times and also registered as "users" or "participants." The user data consisted of 1) user profiles; 2) scores for the CES-D (Center for Epidemiological Studies Depression Scale), for users who completed the feedback-generating assessments of depressive symptoms; 3) user evaluations of the usefulness of HDep; and 4) transcripts of HDep discussion forum posts. The raw user data were obtained through Moodle (Modular Object-Oriented Dynamic Learning Environment, a free software e-learning platform) and analyzed quantitatively (using SPSS) and qualitatively (using ATLAS.ti). RESULTS: A total of 28 078 individuals accessed HDep and 17 318 of those (61.6%) qualified as users. Of all users, 84.4% were women, 64.6% used the workbook, and 60.9% entered the discussion forums (of whom 16.3% added a post). Depressive symptoms (CES-D score ≥ 16) were observed in 97.1% of the users who completed the feedback-generating assessment (n = 16 564). User retention dropped across the seven modules (from 12 366 users for Module 1 to 626 for Module 7). However, all seven modules were rated very high for "helpfulness/usefulness," with mean scores all above 4 on a 1 - 5 scale. The HDep discussion forums showed a rich social interaction. Predictors of entering at least one module (based on stepwise logistic regression analysis) included being a woman, being ≥ 30 years old, reporting disability, and having ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Depresión internet apoyo social terapia cognitiva México Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Depresión internet apoyo social terapia cognitiva México Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 María Asunción Lara Marcela Tiburcio Araceli Aguilar Abrego Alejandro Sánchez-Solís A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico |
topic_facet |
Depresión internet apoyo social terapia cognitiva México Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To describe a four-year descriptive, naturalistic study monitoring the use of HDep (Help for Depression or Ayuda para depression (ADep)in Spanish), an open-access/free Web-based, psycho-education, cognitive-behavioral intervention program produced in Mexico consisting of seven self-help modules that include feedback-generating assessments of depressive symptoms, vignettes, recorded messages, a relaxation exercise, a personal workbook, blogs, and user discussion forums. METHODS: Data were collected on all individuals who entered the HDep site since the program's launching in 2009. Those who entered the site two or more times and also registered as "users" or "participants." The user data consisted of 1) user profiles; 2) scores for the CES-D (Center for Epidemiological Studies Depression Scale), for users who completed the feedback-generating assessments of depressive symptoms; 3) user evaluations of the usefulness of HDep; and 4) transcripts of HDep discussion forum posts. The raw user data were obtained through Moodle (Modular Object-Oriented Dynamic Learning Environment, a free software e-learning platform) and analyzed quantitatively (using SPSS) and qualitatively (using ATLAS.ti). RESULTS: A total of 28 078 individuals accessed HDep and 17 318 of those (61.6%) qualified as users. Of all users, 84.4% were women, 64.6% used the workbook, and 60.9% entered the discussion forums (of whom 16.3% added a post). Depressive symptoms (CES-D score ≥ 16) were observed in 97.1% of the users who completed the feedback-generating assessment (n = 16 564). User retention dropped across the seven modules (from 12 366 users for Module 1 to 626 for Module 7). However, all seven modules were rated very high for "helpfulness/usefulness," with mean scores all above 4 on a 1 - 5 scale. The HDep discussion forums showed a rich social interaction. Predictors of entering at least one module (based on stepwise logistic regression analysis) included being a woman, being ≥ 30 years old, reporting disability, and having ... |
format |
Article in Journal/Newspaper |
author |
María Asunción Lara Marcela Tiburcio Araceli Aguilar Abrego Alejandro Sánchez-Solís |
author_facet |
María Asunción Lara Marcela Tiburcio Araceli Aguilar Abrego Alejandro Sánchez-Solís |
author_sort |
María Asunción Lara |
title |
A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico |
title_short |
A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico |
title_full |
A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico |
title_fullStr |
A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico |
title_full_unstemmed |
A four-year experience with a Web-based self-help intervention for depressive symptoms in Mexico |
title_sort |
four-year experience with a web-based self-help intervention for depressive symptoms in mexico |
publisher |
Pan American Health Organization |
publishDate |
2014 |
url |
https://doaj.org/article/20e28f6896f44442b36e8999a50cf04f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 35, Iss 5-6, Pp 399-406 (2014) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000500013&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/20e28f6896f44442b36e8999a50cf04f |
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