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de la Rosa-Gómez A, Flores-Plata LA, Esquivel-Santoveña EE, Santillán Torres Torija C, García-Flores R, Dominguez-Rodriguez A, Arenas-Landgrave P, Castellanos-Vargas RO, Berra-Ruiz E, Silvestre-Ramírez R, Miranda-Díaz GA, Díaz-Sosa DM, Hernández-Posadas A, Flores-Elvira AI, Valencia PD, Vázquez-Sánchez MF. Efficacy of a transdiagnostic guided internet-delivered intervention for emotional, trauma and stress-related disorders in Mexican population: study protocol for a randomized controlled trial. BMC Psychiatry 2022; 22:537. [PMID: 35941557 PMCID: PMC9360670 DOI: 10.1186/s12888-022-04132-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 07/12/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Emotional and stress-related disorders show high incidence, prevalence, morbidity, and comorbidity rates in Mexico. In recent decades, research findings indicate that cognitive behavioral interventions, from a disorder-specific perspective, are the effective front-line treatment for anxiety and depression care. However, these treatments are not often used. Reasons include limited access and low availability to effective interventions and comorbidity between mental disorders. Emotional deregulation of negative affectivity has been found to be a mediating factor in addressing emotional disorders from a transdiagnostic perspective, aimed at two or more specific disorders. In addition, technological advancement has created alternatives for psychological assistance, highlighting the possibilities offered by technologies since Internet-supported intervention programs have been empirically tested for effectiveness, efficiency and efficacy and can be key to ensuring access to those who are inaccessible. The aim of the study is to evaluate the efficacy, moderators of clinical change and acceptability of a transdiagnostic guided Internet-delivered intervention versus a transdiagnostic self-guided Internet-delivered intervention for emotional, trauma and stress-related disorders, and waiting list in community sample. METHODS A three-armed, parallel group, superiority randomized controlled clinical trial with repeated measurements at four times: pretest, posttest, follow-up at 3, 6 and 12 months. Outcomes assessor, participant, care provider and investigator will be blinded. Participants aged 18 to 70 years will be randomly allocated 1:1:1 to one of three study arms: a) Transdiagnostic guided internet-delivered intervention with synchronous assistance, b) Transdiagnostic self-guided internet-delivered intervention, c) Waiting list group. Based on sample size estimation, a minimum of 207 participants (69 in each intervention group) will be included. DISCUSSION The study could contribute to improving the efficacy of transdiagnostic internet-delivered interventions to promote the dissemination of evidence-based treatments and eventually, to decrease the high prevalence of emotional and trauma-related disorders in the Mexican population. TRIAL REGISTRATION ClinicalTrial.gov: NCT05225701 . Registered February 4, 2022.
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Affiliation(s)
- Anabel de la Rosa-Gómez
- Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico.
| | - Lorena A. Flores-Plata
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | | | - Carolina Santillán Torres Torija
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | - Raquel García-Flores
- grid.466844.c0000 0000 9963 8346Department of Psychology, Technological Institute of Sonora, Sonora, Mexico
| | | | - Paulina Arenas-Landgrave
- grid.9486.30000 0001 2159 0001Faculty of Psychology, National Autonomous University of Mexico, Mexico City, Mexico
| | - Rosa O. Castellanos-Vargas
- grid.441213.10000 0001 1526 9481Health Sciences Department, Autonomous University of Ciudad Juarez, Ciudad Juárez, Mexico
| | - Enrique Berra-Ruiz
- grid.412852.80000 0001 2192 0509Faculty of Health Sciences, Autonomous University of Baja California, Tijuana Baja California, Mexico
| | | | - Germán Alejandro Miranda-Díaz
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | - Dulce M. Díaz-Sosa
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | - Alejandrina Hernández-Posadas
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | - Alicia I. Flores-Elvira
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | - Pablo D. Valencia
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
| | - Mario F. Vázquez-Sánchez
- grid.9486.30000 0001 2159 0001Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, State of Mexico, Mexico
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Santillán Torres Torija C, Villagrán Vázquez G, Robles Montijo SS, de Lourdes Eguiluz Romo L. The Information and Motivation and Behavioral Skills Model of ART Adherence among HIV-Positive Adults in Mexico. J Int Assoc Provid AIDS Care 2015; 14:335-42. [PMID: 25979257 DOI: 10.1177/2325957415581903] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Middle-income countries are in need of research that uses theoretical-based models to assess factors that predict adherence to antiretroviral therapy (ART) and help in the design, implementation, and evaluation of interventions for nonadherent populations. In Mexico, the Information and Motivation and Behavioral Skills (IMB) Model of ART Adherence constructs is useful in describing and predicting adherence behaviors in various samples but has not been articulated to people living with HIV (PLWH) on ART. The aim of this was to characterize the IMB core constructs and identify correlates of ART adherence in an HIV-positive clinic sample in Mexico. METHODS A convenience sample of 109 HIV-positive patients attending their monthly visits at a local public hospital were interviewed with the Spanish version of the LifeWindows IMB ART Adherence Questionnaire (LW-IMB-AAQ) as well as a sociodemographic questionnaire. All participants were recruited from a hospital-based outpatient clinical care site. RESULTS Partial confirmation of the relationships proposed by the IMB Model of ART Adherence was found. As predicted by the model, only behavioral skills had direct association with all measures of self-reported adherence, and motivation was associated with behavioral skills. Information did not demonstrate significant relations to either motivation or behavioral skills, nor did it directly associate with adherence. Self-reported adherence did not associate with CD4 counts, nor did any of the IMB model core constructs. CONCLUSION Applicability of the IMB Model of ART Adherence in this setting is discussed. The IMB Model of ART Adherence offered promise in this population and could help tailor population-specific interventions to promote high rates of ART adherence.
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