Table 1.
Description of studies.
Study | Population setting/N | Condition of interest/age group | Outcome measures | Intervention/time |
Supervision/ Contact method |
Design/Control group (CG) | Measurement time | Follow-up |
---|---|---|---|---|---|---|---|---|
Rojas et al. (33) [protocol] |
Public primary care centers/ N = 434 |
Depressive symptomatology/18-65 years old | Primary outcome: depressive symptoms (PHQ-9) Secondary outcomes: health-related quality of life; service use; patient satisfaction; psychotherapy outcomes (OQ 45.2) |
16-h training program for primary care teams (detection, diagnosis, and treatment of depression) | Research team/web-based platform and call center | Two-arm, single-blind CG: usual care (n = 217) |
Baseline and follow-up | 3, 6, and 12 months after baseline assessment |
Carrasco (31) | Private and public outpatient health centers patients and therapists/ Patients N = 15; Therapists N = 5 |
Mild or moderate depression/female adolescents (12–18 years old) | Acceptability scale Interviews with therapists |
Online video game | Research team/web-based platform (patients); in person (therapists) | Acceptability study CG: No control group |
Post-intervention | No |
Espinosa et al. (32) | Private outpatient clinic/ N = 35 |
Major depression (discharged patients)/ 18-65 years old | Acceptability and satisfaction questionnaire Semi-structured interviews |
Web-based program for supporting and monitoring of depressive patients after treatment; 9 months | Research team/web-based platform and e-mail | Feasibility and acceptability study CG: No control group |
Post-intervention | No |
Gaete et al. (30) [protocol] |
Public primary schools/ N = 4485 |
Bullying victims and perpetrators/5th and 6th grades (10-12 years old) | Primary outcomes: bullying and victimization (Revised Olweus Bully/Victim Questionnaire, OBVQ) Secondary outcomes: psychosocial adjustment, psychological sense of school membership, academic performance |
Ten 2-h lessons delivered by trained teachers, posters encouraging to support victims, discussion groups, online game; 1 year Partial KiVa group: without online game (n = 1495) |
Research team/in person | Three-arm, single-blind (blinded only to the outcome evaluator), cluster RCT CG: usual management for bullying (n = 1495) |
Baseline and post-intervention | No |
Rojas et al. (28) | Community hospitals located in rural areas/ N = 250 |
Major depressive disorder/18-70 years old | Primary outcome: depressive symptoms (Beck Depression Inventory, BDI-I) Secondary outcomes: health-related quality of life; treatment adherence to antidepressants; service use; patient satisfaction |
Remote supervision by a psychiatrist through an electronic platform and/or telephone; 6 months | Research team/online and phone call | Nonrandomized, open-label (blinded outcome assessor) trial, two-arm CG: usual care (n = 139) |
Baseline and follow-up | 3 and 6 months after assignment |
Martínez et al. (29) | Public primary care centers/ N = 143 |
Major depressive disorder/13-19 years old | Primary outcome: depressive symptoms (Beck Depression Inventory, BDI) Secondary outcomes: health-related quality of life; patient adherence and satisfaction; clinician satisfaction |
Remote collaborative depression care (primary health care teams received remote supervision by a psychiatrist through a shared electronic health record and phone patient monitoring); 3 months | Research team/online and phone call | Cluster randomized, assessor-blind trial, two-arm CG: enhanced usual care (n = 78) |
Baseline and follow-up | 12 weeks |
Mascayano et al. (34) [protocol] | Public high-schools/ N = 428 |
Suicidal ideation/14-18 years old | Primary outcome: Suicidality (Okasha Questionnaire) Secondary outcomes: impulsivity; self-esteem; stigma-discrimination; depressive symptoms; anxiety; utility and functionality |
Project Clan (web-based platform and mobile app to cultivate a community to promote protective psychological and social factors); 3 months | Psychologist as online counselor/web platform | Two-arm, cluster RCT; participative approach (peer-adolescent) CG: adolescents without intervention (n = 214) |
Baseline, post-intervention, and follow-up | 2 month |
Martínez et al. (under review) | Public and semi-private high-schools from Chile and Colombia/ N = 199 |
Moderate depressive symptomatology/14-17 years old | Primary outcome: depressive symptoms (Patient Health Questioner, PHQ-9) Secondary outcomes: automatic thoughts, social problem-solving, health-related quality of life |
Stepped-care program according to PHQ-9 score: psychoeducational information, symptom monitoring with personalized automatic feedback, group forum and chat, reference to face-to-face attention if required; 12 weeks, with subsequent bi-monthly reinforcement sessions | Research team/email and chat | Feasibility and acceptability study CG: No control group |
Baseline, post-intervention and follow-up | 6 months after intervention |
Irarrázaval et al. (under review) | Public primary health care center | Children and adolescents living in substitute care facilities | Primary outcome: case resolutions (e.g. number of cases with positive resolution) Secondary outcomes: usefulness and acceptability |
90-minute online mental health supervision (diagnostic assistance, management guidance, assessment in referral to specialized services); twice a month for 6 months | Psychiatrist/ videoconference and online shared clinical record system |
Quasi-experimental design and acceptability study CG: No control group |
Pre-post test | No |