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dc.contributor.authorTimulak, Ladislav
dc.contributor.authorSalamanca-Sanabria, Alicia
dc.contributor.authorRichards, Derek
dc.contributor.authorConnell, Sarah
dc.contributor.authorMojica Perilla, Monica
dc.contributor.authorParra-Villa, Yamilena
dc.contributor.authorCastro-Camacho, Leonidas
dc.date.accessioned2020-02-07T16:45:47Z
dc.date.available2020-02-07T16:45:47Z
dc.date.issued2020
dc.date.submitted2020en
dc.identifier.citationSalamanca-Sanabria, A., Richards, D., Timulak, L., Connell, S., Mojica-Perilla, M., Parra-Villa, Y. & Castro-Camacho, L. (2020)., A randomised control trial of a culturally adapted cognitive behavioural internet-delivered treatment for depressive symptoms, Journal of Medical Internet Research Mental health, 2020, 21en
dc.identifier.otherY
dc.identifier.urihttps://mental.jmir.org/2020/1/e13392/
dc.identifier.urihttp://hdl.handle.net/2262/91482
dc.descriptionPUBLISHEDen
dc.description.abstractBackground: Internet-delivered treatments for depressive symptoms have proved to be successful in high-income Western countries. There may be potential for implementing such treatments in low- and middle-income countries such as Colombia, where access to mental health services is limited. Objective: The objective of this study was to assess the efficacy of a culturally adapted cognitive behavioral internet-delivered treatment for college students with depressive symptoms in Colombia. Methods: This was a randomized controlled trial with a 3-month follow-up. The program comprised seven modules. A total of 214 Colombian college students were recruited. They were assessed and randomly assigned to either the treatment group (n=107) or a waiting list (WL) control group (n=107). Participants received weekly support from a trained supporter. The primary outcome was symptoms of depression, as measured by the Patient Health Questionnaire - 9, and the secondary outcomes were anxiety symptoms assessed by the Generalized Anxiety Disorder questionnaire - 7. Other measures, including satisfaction with treatment, were evaluated after 7 weeks. Results: Research attrition and treatment dropouts were high in this study. On average, 7.6 sessions were completed per user. The mean time spent on the program was 3 hours and 18 min. The linear mixed model (LMM) showed significant effects after treatment (t197.54=−5.189; P<.001) for the treatment group, and these effects were maintained at the 3-month follow-up (t39.62=4.668; P<.001). Within-group results for the treatment group yielded a large effect size post treatment (d=1.44; P<.001), and this was maintained at the 3-month follow-up (d=1.81; P<.001). In addition, the LMM showed significant differences between the groups (t197.54=−5.189; P<.001). The results showed a large effect size between the groups (d=0.91; P<.001). In the treatment group, 76.0% (16/107) achieved a reliable change, compared with 32.0% (17/107) in the WL control group. The difference between groups was statistically significant (X22=10.5; P=.001). Conclusions: This study was the first contribution to investigating the potential impact of a culturally adapted internet-delivered treatment on depressive symptoms for college students as compared with a WL control group in South America. Future research should focus on identifying variables associated both with premature dropout and treatment withdrawal at follow-up.en
dc.format.extent21en
dc.language.isoenen
dc.relation.ispartofseriesJournal of Medical Internet Research Mental health.;
dc.rightsYen
dc.subjectCultureen
dc.subjectInterneten
dc.subjectCognitive behavioural therapyen
dc.subjectDepressive symptomsen
dc.subjectStudentsen
dc.subjectSouth Americaen
dc.titleA randomised control trial of a culturally adapted cognitive behavioural internet-delivered treatment for depressive symptomsen
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/timulakl
dc.identifier.rssinternalid211724
dc.rights.ecaccessrightsopenAccess
dc.identifier.rssurihttps://mental.jmir.org/2020/1/e13392/
dc.identifier.orcid_id0000-0003-2785-0753


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