Sin-E-Stres: An Adjunct Internet-Based Intervention for the Treatment of Patients with Posttraumatic Stress Disorder in Chile

SIN-E-STRES: una intervención complementaria basada en Internet para el tratamiento de pacientes con trastorno de estrés postraumático en Chile

Autores/as

Palabras clave:

Internet-based Interventions, Internet, Adjunct Treatment, Telehealth,, E-Mental Health, PTSD, Posttraumatic Stress Disorder

Resumen

Introducción: SIN-E-STRES es una intervención complementaria basada en Internet para pacientes con trastorno de estrés postraumático (TEPT). Los pacientes interactúan con el programa mediante un correo electrónico de monitoreo semanal y visitando un sitio web que brinda acceso a información psicoeducativa y asesoramiento a distancia. Objetivo: evaluar la aceptabilidad y viabilidad de SIN-E-STRES. Método: cuarenta y cinco pacientes adultos con TEPT se registraron para usar SIN-E-STRES durante tres meses. Este estudio explora la viabilidad en términos del interés de los pacientes en unirse al programa, sus reportes de conectividad y uso de los componentes del sitio web, y la adherencia al monitoreo. La aceptabilidad se evalúa a través de la satisfacción expresada por los participantes, sus opiniones sobre la utilidad del programa y su evaluación de aspectos positivos y negativos. Resultados: la mayoría de los pacientes invitados al programa estaban interesados en usar SIN-E-STRES, y 73% de los pacientes registrados completaron al menos una de las evaluaciones de monitoreo y la mayoría de ellos interactuaron con el sitio web. La tasa general de respuesta al monitoreo fue del 35%. La mayoría de los pacientes declararon que los mensajes de retroalimentación les ayudaron a recordar temas vistos en la terapia, también valoraron los recursos psicoeducativos en el sitio web. Conclusiones: El programa puede ser especialmente útil para pacientes que son usuarios frecuentes de Internet y correo electrónico. La intervención se puede mejorar refinando los componentes de monitoreo y retroalimentación, así como al agregar información psicoeducativa complementaria. Se necesita más investigación sobre la adherencia y el abandono en intervenciones para el TEPT. La alineación y la coherencia de SIN-E-STRES con el tratamiento principal contribuye a reforzar las indicaciones del tratamiento y, en consecuencia, puede promover la adherencia al tratamiento y la recuperación.

Abstract

Introduction: SIN-E-STRES is an adjunct Internet-based intervention for patients with posttraumatic stress disorder (PTSD). Patients interact with the program via a weekly monitoring email and by visiting a website that provides access to psychoeducational information and distance counseling. Aim: to evaluate the acceptability and feasibility of SIN-E-STRES. Methods: forty-five adult PTSD patients were registered to use SIN-E-STRES for three months. This study explores feasibility in terms of patients’ interest in joining the program, reported connectivity and use of the website components, and adherence to monitoring. Acceptability is evaluated through the satisfaction expressed by the participants, their opinions regarding the usefulness of the program, and their evaluation of its positive and negative aspects. Results: most of the patients invited to the program were interested in using SIN-E-STRES, and 73% of the registered patients completed at least one of the monitoring assessments and most of them interacted with the website. The overall monitoring response rate was 35%. Most patients stated that the feedback messages helped them remember themes covered in therapy, they also valued the psychoeducational resources on the website. Conclusions: The program may be especially useful for patients who are frequent Internet and email users. The intervention can be enhanced by improving the monitoring and feedback components as well as by adding complementary psychoeducational information. More research about adherence and dropout of PTSD interventions is necessary. The alignment and coherence of SIN-E-STRES with the main treatment contributes to reinforcing treatment indications and consequently may promote treatment adherence and recovery.

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Biografía del autor/a

Alvaro E. Carrasco, Millennium Institute for Research on Depression and Personality, Chile.

Post-doctoral researcher, Millennium Institute for Research on Depression and Personality, Chile.

Markus Moessner, Center for Psychotherapy Research, University Hospital, Heidelberg, Germany.

PhD. Center for Psychotherapy Research, University Hospital, Heidelberg, Germany.

Carmen G. Carbonell, Outpatient Mental Health Unit, Hospital del Trabajador, Asociación Chilena de Seguridad.

Psychologist, Coordinating Clinic Outpatient Mental Health Unit, Hospital del Trabajador, Asociación Chilena de Seguridad.

Catalina Rodríguez, Occupational Therapy Unit, Hospital del Trabajador, Asociación Chilena de Seguridad.

Bachelor of Occupational Science. Occupational Therapy Unit, Hospital del Trabajador, Asociación Chilena de Seguridad.

Natalia Martini, Outpatient Mental Health Unit, Hospital del Trabajador, Asociación Chilena de Seguridad.

Outpatient Mental Health Unit, Hospital del Trabajador, Asociación Chilena de Seguridad.

Janet C. Pérez, Millennium Institute for Research on Depression and Personality, Chile.

Doctor in Psychology. Millennium Institute for Research on Depression and Personality, Chile.

Pablo Garrido, School of Psychology, University of Valparaíso, Chile.

Independent consultants, Santiago de Chile

Fikret Özer, Center for Psychotherapy Research, University Hospital, Heidelberg, Germany.

Center for Psychotherapy Research, University Hospital, Heidelberg, Germany.

Mariane Krause, Department of Psychology, Pontificia Universidad Católica de Chile.

Dr. Phil. in Psychology. Department of Psychology, Pontificia Universidad Católica de Chile.

Stephanie Bauer, Center for Psychotherapy Research, University Hospital, Heidelberg, Germany.

Ph.D. Center for Psychotherapy Research, University Hospital, Heidelberg, Germany.

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Publicado

2020-07-28

Número

Sección

Evaluación y/o Desarrollo de Intervenciones