title: Comprehensive technology-assisted training and supervision program to enhance depression management in primary care in Santiago, Chile: study protocol for a cluster randomized controlled trial.
abstract: BACKGROUND
  Depression is a common and disabling condition. Since 2001, Chile has had a national program for depression in primary care and universal access to treatment for depressed people over the age of 15. There are National Guidelines to treat depression but no training program exists. The aim of the present study protocol is to measure the effectiveness of a comprehensive technology-assisted training and supervision program to enhance depression management in primary care.
  
  
  METHODS
  This is a two-arm, single-blind, cluster randomized controlled trial to compare the efficacy of the program versus usual care to treat depression in primary care clinics. In total, 434 depressed persons 18 to 65 years of age, recruited from four primary care clinics located in Santiago, will participate in the study.
  
  
  CONCLUSIONS
  In order to ensure the quality of interventions supported by the national program for depression in Chile, it is desirable to have training programs of proven effectiveness.
  
  
  BACKGROUND
  NCT02232854, registered on 2 September 2014.
authors.affiliation: Universidad de Chile, Departamento de Psiquiatría y Salud Mental, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile. graciela.rojas.castillo@gmail.com.|Núcleo Milenio de Intervención Psicológica y Cambio en Depresión, Av. Vicuña Mackenna 4860, Macul, Santiago, Chile. graciela.rojas.castillo@gmail.com.
authors.forename: Graciela
authors.initials: G
authors.lastname: Rojas
authors.affiliation: Universidad de Chile, Departamento de Psiquiatría y Salud Mental, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile. pablo88.martinezdiaz@gmail.com.
authors.forename: Pablo
authors.initials: P
authors.lastname: Martínez
authors.affiliation: Universidad de Chile, Departamento de Psiquiatría y Salud Mental, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile. pvohringer@gmail.com.|Mood Disorders Program, Psychiatry Department, Tufts Medical Center Tufts University School of Medicine, Boston, Massachusetts, USA. pvohringer@gmail.com.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Vöhringer
authors.affiliation: Núcleo Milenio de Intervención Psicológica y Cambio en Depresión, Av. Vicuña Mackenna 4860, Macul, Santiago, Chile. vmartinezn@med.uchile.cl.|Universidad de Chile, Centro de Medicina Reproductiva y Desarrollo Integral del Adolescente, Facultad de Medicina, Universidad de Chile, Av. Profesor Zañartu 1030, Independencia, Santiago, Chile. vmartinezn@med.uchile.cl.
authors.forename: Vania
authors.initials: V
authors.lastname: Martínez
authors.affiliation: Universidad de Chile, Departamento de Psiquiatría y Salud Mental, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile. acastro@hcuch.cl.
authors.forename: Ariel
authors.initials: A
authors.lastname: Castro-Lara
authors.affiliation: Universidad de Chile, Departamento de Psiquiatría y Salud Mental, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile. fritsch.rosemarie@gmail.com.
authors.forename: Rosemarie
authors.initials: R
authors.lastname: Fritsch
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002677:Chile; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004502:Education, Medical, Continuing; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D009313:National Health Programs; D010348:Patient Care Team; D010349:Patient Compliance; D011320:Primary Health Care; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012074:Remission Induction; D012107:Research Design; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult