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Satisfaction and acceptability ratings of a web-based self-help intervention for depression: retrospective cross-sectional study from a resource-limited country

dc.creatorLara, María Asunciónes_ES
dc.creatorPatiño, Pamelaes_ES
dc.creatorTiburcio, Marcelaes_ES
dc.creatorNavarrete, Lauraes_ES
dc.date2022
dc.date.accessioned2024-11-21T18:47:11Z
dc.date.available2024-11-21T18:47:11Z
dc.date.issued2022
dc.identifierJC66DIEP22es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8114
dc.identifier.urihttp://doi.org/10.2196/29566
dc.descriptionBackground: Web-based interventions are at an early stage in non-English-speaking low- and middle-income countries, where they remain scarce. Help for Depression (HDep) is one of the few unguided web-based interventions available in Latin America. The results of a use/usability analysis of the original version served as the basis for generating a more user-friendly second version. Objective: The aim of this study is to explore participants' satisfaction and acceptability for the second version of HDep. Methods: A retrospective cross-sectional design was used. An email invitation to complete a web-based survey was sent to all people who accessed HDep in 2018. The questionnaire included satisfaction and acceptability scales and open-ended questions. Complete questionnaires were retrieved from 191 participants: 35.1% (67/191) from those who visited only the home page (home page users [HPUs]) and 6.47% (124/1916) from those who registered to use the program (program users [PUs]). Results: In all groups, users experienced high levels of depressive symptoms (189/191, 98.9%; Center for Epidemiological Studies Scale-Depression >16). Moderate levels of satisfaction (HPUs: mean 21.9, SD 6.7; PUs: mean 21.1, SD 5.8; range: 8-32) and acceptability (HPUs: mean 13.8, SD 3.9; PUs: mean 13.9, SD 3.2; range: 5-20) were found in both groups. Logistic regression analyses showed that among HPUs, women were more satisfied with HDep (odds ratio [OR] 3.4, 95% CI 1.1-10.0), whereas among PUs, older respondents (OR 1.04, 95% CI 1.01-1.08), those with paid work (OR 3.1, 95% CI 2.4-7.6), those who had not been in therapy (OR 2.42, 95% CI 1.09-5.98), and those who had not attempted suicide (OR 3.4, 95% CI 1.1-11.1) showed higher satisfaction. None of the sociodemographic/mental health variables distinguished the acceptability ratings among HPUs. Among PUs, those with paid work (OR 2.5, 95% CI 1.1-5.5), those who had not been in therapy (OR 3.1, 95% CI 1.3-7.3), those without disability (OR 2.9, 95% CI 1.3-6.6), and those who had not attempted suicide (OR 2.6, 95% CI 1.0-6.6) showed higher acceptability. Conclusions: HDep has good levels of satisfaction and acceptability for approximately half of its users, and the information provided by respondents suggested feasible ways to remedy some of the deficiencies. This qualitative-quantitative study from a low- to middle-income, non-English-speaking country adds to existing knowledge regarding acceptance and satisfaction with web-based interventions for depression in resource-limited countries. This information is important for the creation and adaptation of web-based interventions in low- and middle-income countries, where access to treatment is a major concern, and web-based prevention and treatment programs can help deliver evidence-based alternatives. It is necessary to document the pitfalls, strengths, and challenges of such interventions in this context. Understanding how users perceive an intervention might suggest modifications to increase adherence.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherJMIR Publicationses_ES
dc.rightsAcceso Cerradoes_ES
dc.titleSatisfaction and acceptability ratings of a web-based self-help intervention for depression: retrospective cross-sectional study from a resource-limited countryes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Innovation and Global Health Division of Epidemiological and Psychosocial Research Ramón de la Fuente Muñiz National Institute of Psychiatry Mexico City MX
dc.contributor.emaillaracan@imp.edu.mx (Ma. Asunción Lara)
dc.relation.jnabreviadoJMIR FORM RES
dc.relation.journalJMIR Formative Research
dc.identifier.placeCanada
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2561-326X
dc.identifier.doi10.2196/29566
dc.subject.kwDepression
dc.subject.kwWeb-based intervention
dc.subject.kwUnguided intervention
dc.subject.kwAcceptability
dc.subject.kwSatisfaction
dc.subject.kwResource-limited country


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