https://repositorio.uchile.cl/handle/2250/182401 2026-05-09T20:15:20Z https://repositorio.uchile.cl/handle/2250/196454 Desafíos al cierre Rodríguez Osiac, Lorena Cecilia 2022-01-01T00:00:00Z https://repositorio.uchile.cl/handle/2250/196400 Social and economic factors associated with subthreshold and major depressive episode in university students during the COVID-19 pandemic Langer, Álvaro I.; Crockett Castro, Marcelo Alejandro; Bravo Contreras, Mariori; Carrillo Naipayan, Carolina; Chaura Marió, Matías; Gómez Curumilla, Bárbara; Henríquez Pacheco, Claudia; Vergara, Rodrigo C.; Santander, Jorge; Antúnez, Zayra; Baader, Tomas Depression is one of the most frequent mental health disorders in college students and variations according to social and economic factors have been reported, however, whether social and economic variations also exist in subthreshold depression is still unknown, especially during the COVID-19 pandemic. The aim of this study was to estimate the prevalence of subthreshold depressive episode (SDE) and major depressive episode (MDE) and to examine the association between social and economic factors with SDE and MDE in undergraduate students during the COVID-19 pandemic. The participants were 1,577 college students from a university in the south of Chile (64.6% females, 22 years old on average). The participants took an online survey in November 2020 which collected information about social and economic variables, depressive symptoms, and perceived social support. Bivariate and multinomial logistic regression analysis were used. The results showed a high prevalence of SDE (14.3%) and MDE (32.3%) in the sample. Belonging to a social group and perceiving positive social support were the only variables examined that were associated with SDE. Instead, female sex, poorer quintiles, living with other relatives but not parents, economic difficulties due to the pandemic, being a parent, and perceiving positive social support were associated with MDE. Subthreshold and threshold depressive symptoms are frequent in college students, and associations with social and economic factors differ according to the level of such symptoms. These results should be considered in the development of tailored preventive and early interventions for depression in college students. 2022-01-01T00:00:00Z https://repositorio.uchile.cl/handle/2250/195061 Evaluating the effectiveness of care coordination interventions designed and implemented through a participatory action research process: Lessons learned from a quasi-experimental study in public healthcare networks in Latin America Vázquez Navarrete, María Luisa; Miranda Mendizabal, Andrea; Eguiguren Bravo, Ana Pamela; Mogollón Pérez, Amparo- Susana; Ferreira de Medeiros Mendes, Marina; López Vázquez, Julieta; Bertolotto, Fernando; Vargas, Ingrid Background Despite increasing recommendations for health professionals to participate in intervention design and implementation to effect changes in clinical practice, little is known about this strategy’s effectiveness. This study analyses the effectiveness of interventions designed and implemented through participatory action research (PAR) processes in healthcare networks of Brazil, Chile, Colombia, Mexico and Uruguay to improve clinical coordination across care levels, and offers recommendations for future research.; Methods The study was quasi-experimental. Two comparable networks, one intervention (IN) and one control (CN), were selected in each country. Baseline (2015) and evaluation (2017) surveys of a sample of primary and secondary care doctors (174 doctors/network/year) were conducted using the COORDENA® questionnaire. Most of the interventions chosen were based on joint meetings, promoting cross-level clinical agreement and communication for patient follow-up. Outcome variables were: a) intermediate: interactional and organizational factors; b) distal: experience of cross-level clinical information coordination, of clinical management coordination and general perception of coordination between levels. Poisson regression models were estimated.; Results A statistically significant increase in some of the interactional factors (intermediate outcomes) -knowing each other personally and mutual trust- was observed in Brazil and Chile INs; and in some organizational factors -institutional support- in Colombia and Mexico. Compared to CNs in 2017, INs of Brazil, Chile, Colombia and Mexico showed significant differences in some factors. In distal outcomes, care consistency items improved in Brazil, Colombia and Uruguay INs; and patient follow-up improved in Chile and Mexico. General perception of clinical coordination increased in Brazil, Colombia and Mexico INs. Compared to CNs in 2017, only Brazil showed significant differences.; Conclusions Although more research is needed, results show that PAR-based interventions improved some outcomes regarding clinical coordination at network level, with differences between countries. However, a PAR process is, by definition, slow and gradual, and longer implementation periods are needed to achieve greater penetration and quantifiable changes. The participatory and flexible nature of interventions developed through PAR processes poses methodological challenges (such as defining outcomes or allocating individuals to different groups in advance), and requires a comprehensive mixed-methods approach that simultaneously evaluates effectiveness and the implementation process to better understand its outcomes. 2022-01-01T00:00:00Z https://repositorio.uchile.cl/handle/2250/194762 OnTrack Chile for people with early psychosis: a study protocol for a hybrid type 1 trial Mascayano, Franco; Bello, Iruma; Andrews, Howard; Arancibia, Diego; Arratia, Tamara; Burrone, María Soledad; Conover, Sarah; Fader, Kim; Jorquera, María José; Gómez, Mauricio; Malverde, Sergio; Martínez Alés, Gonzalo; Ramírez Flores, Jorge Andrés; Reginatto, Gabriel; Restrepo Henao, Alexandra; Rosencheck, Robert A.; Schilling, Sara Hamilton; Smith, Thomas E.; Soto Brandt, Benjamín Gonzalo; Tapia Escobar, Eric Danilo; Tapia, Tamara; Velasco, Paola; Wall, Melanie M.; Yang, Lawrence H.; Cabassa, Leopoldo J.; Susser, Ezra; Dixon, Lisa; Alvarado, Rubén 2022-01-01T00:00:00Z