{"id":"https://openalex.org/W3163080922","doi":"https://doi.org/10.21203/rs.3.rs-88770/v1","title":"Barriers and facilitators to implementing a mobile intervention with task shifting in the treatment of depressive symptoms in people with diabetes and / or hypertension in Brazil: A study protocol using the CFIR.","display_name":"Barriers and facilitators to implementing a mobile intervention with task shifting in the treatment of depressive symptoms in people with diabetes and / or hypertension in Brazil: A study protocol using the CFIR.","publication_year":2020,"publication_date":"2020-10-09","ids":{"openalex":"https://openalex.org/W3163080922","doi":"https://doi.org/10.21203/rs.3.rs-88770/v1","mag":"3163080922"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-88770/v1","doi":"https://doi.org/10.21203/rs.3.rs-88770/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-88770/v1","pdf_url":"https://www.researchsquare.com/article/rs-88770/v1.pdf","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-88770/v1.pdf","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066220860","display_name":"Hellen Carolina Martins Castro","orcid":"https://orcid.org/0000-0001-7865-0941","observed_orcids":["https://orcid.org/0000-0001-7865-0941"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Hellen Carolina Martins Castro","raw_affiliation_strings":["Universidade de S\u00e3o Paulo"],"raw_orcid":"https://orcid.org/0000-0001-7865-0941","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087249505","display_name":"M\u00e1rcia Thereza Couto","orcid":"https://orcid.org/0000-0001-5233-4190","observed_orcids":["https://orcid.org/0000-0001-5233-4190"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marcia Thereza Couto","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057389877","display_name":"Kate Daley","orcid":"https://orcid.org/0000-0002-1670-6580","observed_orcids":["https://orcid.org/0000-0002-1670-6580"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Kate Daley","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006054015","display_name":"Thais Izabel Ugeda Rocha","orcid":"https://orcid.org/0000-0003-0618-8537","observed_orcids":["https://orcid.org/0000-0003-0618-8537"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Thais Izabel Ugeda Rocha","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024491205","display_name":"Suzana Crismanis de Almeida Lopes Aschar","orcid":"https://orcid.org/0000-0002-3529-3638","observed_orcids":["https://orcid.org/0000-0002-3529-3638"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Suzana Crismanis de Almeida Lopes Aschar","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012730039","display_name":"Daniela Vera Cruz dos Santos","orcid":"https://orcid.org/0000-0002-8285-2519","observed_orcids":["https://orcid.org/0000-0002-8285-2519"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Daniela Vera Cruz dos Santos","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040053006","display_name":"Helo\u00edsa Garcia Claro","orcid":"https://orcid.org/0000-0003-1504-7074","observed_orcids":["https://orcid.org/0000-0003-1504-7074"]},"institutions":[{"id":"https://openalex.org/I181391015","display_name":"Universidade Estadual de Campinas (UNICAMP)","ror":"https://ror.org/04wffgt70","country_code":"BR","type":"education","lineage":["https://openalex.org/I181391015"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Heloisa Garcia Claro","raw_affiliation_strings":["Universidade Estadual de Campinas - Campus Cidade Universitaria Zeferino Vaz: Universidade Estadual de Campinas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Estadual de Campinas - Campus Cidade Universitaria Zeferino Vaz: Universidade Estadual de Campinas","institution_ids":["https://openalex.org/I181391015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072246651","display_name":"Ricardo Araya","orcid":"https://orcid.org/0000-0002-0420-5148","observed_orcids":["https://orcid.org/0000-0002-0420-5148"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ricardo Araya","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078155209","display_name":"Paulo Rossi Menezes","orcid":"https://orcid.org/0000-0001-6330-3314","observed_orcids":["https://orcid.org/0000-0001-6330-3314"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Paulo Rossi Menezes","raw_affiliation_strings":["University of Sao Paulo: Universidade de Sao Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Sao Paulo: Universidade de Sao Paulo","institution_ids":["https://openalex.org/I17974374"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.6478999853134155,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.6478999853134155,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.30320000648498535,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.023000000044703484,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/task-shifting","display_name":"task shifting","score":0.906000018119812},{"id":"https://openalex.org/keywords/mobile-mental-health-intervention","display_name":"mobile mental health intervention","score":0.6660000085830688},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.8500000238418579},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9240000247955322},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.9990000128746033},{"id":"https://openalex.org/keywords/e-health","display_name":"e-health","score":0.8090000152587891},{"id":"https://openalex.org/keywords/implementation-barriers-and-facilitators","display_name":"implementation barriers and facilitators","score":0.8650000095367432},{"id":"https://openalex.org/keywords/emotional-control","display_name":"emotional control","score":0.5830000042915344},{"id":"https://openalex.org/keywords/behavioral-interventions","display_name":"behavioral interventions","score":0.7369999885559082},{"id":"https://openalex.org/keywords/mental-health-treatment-gap","display_name":"mental health treatment gap","score":0.8299999833106995},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.8659999966621399},{"id":"https://openalex.org/keywords/scale-up","display_name":"scale-up","score":0.5849999785423279},{"id":"https://openalex.org/keywords/consolidated-framework-for-implementation-research","display_name":"Consolidated Framework for Implementation Research","score":0.8159999847412109}],"concepts":[{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.6084318161010742},{"id":"https://openalex.org/C72497813","wikidata":"https://www.wikidata.org/wiki/Q110051588","display_name":"Implementation research","level":3,"score":0.5893378853797913},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.5537218451499939},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5430885553359985},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.541078507900238},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.5328170657157898},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4334106743335724},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3704591393470764},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.2525062561035156},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.24529927968978882},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.24280351400375366},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.09697878360748291},{"id":"https://openalex.org/C201995342","wikidata":"https://www.wikidata.org/wiki/Q682496","display_name":"Systems engineering","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-88770/v1","doi":"https://doi.org/10.21203/rs.3.rs-88770/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-88770/v1","pdf_url":"https://www.researchsquare.com/article/rs-88770/v1.pdf","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-88770/v1","doi":"https://doi.org/10.21203/rs.3.rs-88770/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-88770/v1","pdf_url":"https://www.researchsquare.com/article/rs-88770/v1.pdf","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.5676000118255615}],"study_designs":[{"display_name":"Study Protocol","id":"https://openalex.org/study-designs/study-protocol"}],"awards":[{"id":"https://openalex.org/G1339335144","display_name":"Latin America Treatment & Innovation Network in Mental Health (LATIN-MH)","funder_award_id":"U19MH098780","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3163080922.pdf","grobid_xml":"https://content.openalex.org/works/W3163080922.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1534897202","https://openalex.org/W1884785936","https://openalex.org/W1982388655","https://openalex.org/W2020155291","https://openalex.org/W2097116556","https://openalex.org/W2145623193","https://openalex.org/W2220158084","https://openalex.org/W2507675332","https://openalex.org/W2521875030","https://openalex.org/W2526907453","https://openalex.org/W6605009548","https://openalex.org/W6629237556","https://openalex.org/W6637356877"],"related_works":["https://openalex.org/W7119260066","https://openalex.org/W4408938278","https://openalex.org/W2913551388","https://openalex.org/W3126716645","https://openalex.org/W2933948431","https://openalex.org/W4281739683","https://openalex.org/W4205229797","https://openalex.org/W4394153999","https://openalex.org/W3133545619","https://openalex.org/W3163909480"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Task-shifting":[2,156],"and":[3,19,53,64,101,123,129,141,157,207,213],"eHealth":[4,158],"have":[5],"been":[6],"proposed":[7],"as":[8],"ways":[9],"of":[10,49,73,119,180,190],"approaching":[11],"the":[12,91,120,132,145,166,181,188],"mental":[13,167,193],"health":[14,124,168,194],"treatment":[15,169],"gap":[16,170],"in":[17,30,46,55,78,82,131,134,171,204,216],"low":[18],"middle-income":[20],"countries":[21],"(LMIC).":[22],"The":[23,59,71],"Latin":[24,172],"America":[25],"Treatment":[26],"&":[27],"Innovation":[28],"Network":[29],"Mental":[31],"Health":[32],"(LATIN-MH)":[33],"developed":[34],"CONEMO":[35,121],"(Emotional":[36],"Control),":[37],"a":[38,47,68,94],"behavioral":[39,192],"intervention":[40,60,75,106,122],"used":[41,203],"to":[42,89,103,107,163,209],"treat":[43],"depressive":[44],"symptoms":[45],"sample":[48],"patients":[50],"with":[51,117],"diabetes":[52],"hypertension":[54],"Sao":[56],"Paulo,":[57],"Brazil.":[58,135],"uses":[61],"task":[62],"shifting":[63],"is":[65],"delivered":[66],"via":[67],"smartphone":[69],"app.":[70],"effectiveness":[72],"this":[74,105],"was":[76],"tested":[77],"two":[79],"randomized":[80],"trials":[81],"these":[83],"countries.":[84],"Aim:":[85],"This":[86,174],"paper":[87],"aims":[88],"present":[90],"protocol":[92],"for":[93,148,152],"study":[95,175],"that":[96],"will":[97,113,137,143,176],"explore":[98],"perceived":[99],"barriers":[100],"facilitators":[102],"implementing":[104],"help":[108,164],"future":[109,205],"scale-up.":[110],"Methods:":[111],"We":[112,136],"conduct":[114],"qualitative":[115],"research":[116],"users":[118],"professionals":[125],"who":[126],"participated":[127],"directly":[128],"indirectly":[130],"trial":[133],"use":[138],"semi-structured":[139],"interviews,":[140],"we":[142],"adopt":[144],"Consolidated":[146],"Framework":[147],"Implementation":[149],"Research":[150],"(CFIR)":[151],"data":[153],"analysis.":[154],"Discussion:":[155],"are":[159],"potentially":[160],"important":[161],"tools":[162],"decrease":[165],"America.":[173],"increase":[177],"our":[178],"understanding":[179],"factors":[182],"which":[183],"may":[184],"facilitate":[185,210],"or":[186],"hinder":[187],"implementation":[189,212],"mobile":[191],"interventions,":[195],"using":[196],"task-shifting,":[197],"within":[198],"LMICs.":[199],"Findings":[200],"could":[201],"be":[202],"design":[206],"planning":[208],"successful":[211],"treatment.":[214],"Registration":[215],"Clinical":[217],"Trials":[218],"(www.clinical.trials.gov)":[219],"NCT028406662":[220]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2021-05-24T00:00:00"}