{"id":"https://openalex.org/W7225375628","doi":"https://doi.org/10.1590/scielopreprints.18747","title":"Integrating a self-guided cognitive behavioral therapy app (CONEMO) into Brazilian primary health care: protocol for a hybrid type III implementation-effectiveness study","display_name":"Integrating a self-guided cognitive behavioral therapy app (CONEMO) into Brazilian primary health care: protocol for a hybrid type III implementation-effectiveness study","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225375628","doi":"https://doi.org/10.1590/scielopreprints.18747"},"language":"en","primary_location":{"id":"doi:10.1590/scielopreprints.18747","doi":"https://doi.org/10.1590/scielopreprints.18747","is_oa":true,"landing_page_url":"https://doi.org/10.1590/scielopreprints.18747","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.1590/scielopreprints.18747","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053797052","display_name":"Anita Castro Menezes Xavier","orcid":"https://orcid.org/0000-0002-0253-1329","observed_orcids":["https://orcid.org/0000-0002-0253-1329"]},"institutions":[{"id":"https://openalex.org/I130442723","display_name":"Universidade Federal do Rio Grande do Sul","ror":"https://ror.org/041yk2d64","country_code":"BR","type":"education","lineage":["https://openalex.org/I130442723"]},{"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":"Anita Castro Menezes Xavier","raw_affiliation_strings":["Universidade Federal do Rio Grande do Sul image/svg+xml","Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0002-0253-1329","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio Grande do Sul image/svg+xml","institution_ids":["https://openalex.org/I130442723"]},{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121578494","display_name":"Beatriz Helena de Souza Atti","orcid":"https://orcid.org/0000-0002-6969-9986","observed_orcids":["https://orcid.org/0000-0002-6969-9986"]},"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":"Beatriz Helena de Souza Atti","raw_affiliation_strings":["Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0002-6969-9986","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052238797","display_name":"Alice Castro Menezes Xavier","orcid":"https://orcid.org/0000-0003-0500-9314","observed_orcids":["https://orcid.org/0000-0003-0500-9314"]},"institutions":[{"id":"https://openalex.org/I130442723","display_name":"Universidade Federal do Rio Grande do Sul","ror":"https://ror.org/041yk2d64","country_code":"BR","type":"education","lineage":["https://openalex.org/I130442723"]},{"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":"Alice C.M. Xavier","raw_affiliation_strings":["Universidade Federal do Rio Grande do Sul image/svg+xml","Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0003-0500-9314","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio Grande do Sul image/svg+xml","institution_ids":["https://openalex.org/I130442723"]},{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007317719","display_name":"Maria Alice de Mathis","orcid":"https://orcid.org/0000-0001-8296-9680","observed_orcids":["https://orcid.org/0000-0001-8296-9680"]},"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":"Maria Alice de Mathias","raw_affiliation_strings":["Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0001-8296-9680","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030214754","display_name":"Renatha El Rafihi\u2010Ferreira","orcid":"https://orcid.org/0000-0002-2212-4608","observed_orcids":["https://orcid.org/0000-0002-2212-4608"]},"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":"Renatha El Rafihi-Ferreira","raw_affiliation_strings":["Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0002-2212-4608","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002459800","display_name":"L\u00e9o Paulos\u2010Guarnieri","orcid":"https://orcid.org/0000-0003-3269-7941","observed_orcids":["https://orcid.org/0000-0003-3269-7941"]},"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":"L\u00e9o Paulos-Guarnieri","raw_affiliation_strings":["Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0003-3269-7941","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083553906","display_name":"Paola Palombo","orcid":"https://orcid.org/0000-0001-9721-2867","observed_orcids":["https://orcid.org/0000-0001-9721-2867"]},"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":"Paola Palombo","raw_affiliation_strings":["Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0001-9721-2867","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047166469","display_name":"Carolina Blaya Dreher","orcid":"https://orcid.org/0000-0001-9157-7785","observed_orcids":["https://orcid.org/0000-0001-9157-7785"]},"institutions":[{"id":"https://openalex.org/I130442723","display_name":"Universidade Federal do Rio Grande do Sul","ror":"https://ror.org/041yk2d64","country_code":"BR","type":"education","lineage":["https://openalex.org/I130442723"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Carolina Blaya Dreher","raw_affiliation_strings":["Universidade Federal do Rio Grande do Sul image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0001-9157-7785","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio Grande do Sul image/svg+xml","institution_ids":["https://openalex.org/I130442723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161000747","display_name":"Andrea Haas","orcid":"https://orcid.org/0009-0001-1392-9156","observed_orcids":["https://orcid.org/0009-0001-1392-9156"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrea Haas","raw_affiliation_strings":["Centro Universit\u00e1rio Max Planck"],"raw_orcid":"https://orcid.org/0009-0001-1392-9156","affiliations":[{"raw_affiliation_string":"Centro Universit\u00e1rio Max Planck","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049576849","display_name":"Vanessa Cristina Cabrelon Jusevicius","orcid":"https://orcid.org/0009-0002-9426-1860","observed_orcids":["https://orcid.org/0009-0002-9426-1860"]},"institutions":[{"id":"https://openalex.org/I4405283806","display_name":"Centro Universit\u00e1rio de Jaguari\u00fana","ror":"https://ror.org/02ae57z81","country_code":"BR","type":"education","lineage":["https://openalex.org/I4405283806"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Vanessa Cristina Cabrelon Jusevicius","raw_affiliation_strings":["Centro Universit\u00e1rio de Jaguari\u00fana image/svg+xml"],"raw_orcid":"https://orcid.org/0009-0002-9426-1860","affiliations":[{"raw_affiliation_string":"Centro Universit\u00e1rio de Jaguari\u00fana image/svg+xml","institution_ids":["https://openalex.org/I4405283806"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080061755","display_name":"Arthur Caye","orcid":"https://orcid.org/0000-0002-5341-7147","observed_orcids":["https://orcid.org/0000-0002-5341-7147"]},"institutions":[{"id":"https://openalex.org/I130442723","display_name":"Universidade Federal do Rio Grande do Sul","ror":"https://ror.org/041yk2d64","country_code":"BR","type":"education","lineage":["https://openalex.org/I130442723"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Arthur Caye","raw_affiliation_strings":["Universidade Federal do Rio Grande do Sul image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0002-5341-7147","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio Grande do Sul image/svg+xml","institution_ids":["https://openalex.org/I130442723"]}]},{"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":"Helo\u00edsa Garcia Claro","raw_affiliation_strings":["Universidade Estadual de Campinas (UNICAMP) image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0003-1504-7074","affiliations":[{"raw_affiliation_string":"Universidade Estadual de Campinas (UNICAMP) image/svg+xml","institution_ids":["https://openalex.org/I181391015"]}]},{"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":["Universidade de S\u00e3o Paulo image/svg+xml"],"raw_orcid":"https://orcid.org/0000-0001-6330-3314","affiliations":[{"raw_affiliation_string":"Universidade de S\u00e3o Paulo image/svg+xml","institution_ids":["https://openalex.org/I17974374"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"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":0.9994999766349792,"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":0.9994999766349792,"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":9.999999747378752e-05,"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/T10272","display_name":"Mental Health Treatment and Access","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.7089999914169312},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.746999979019165},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9919999837875366},{"id":"https://openalex.org/keywords/insomnia","display_name":"insomnia","score":0.6539999842643738},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7020000219345093},{"id":"https://openalex.org/keywords/digital-mental-health","display_name":"digital mental health","score":0.7089999914169312},{"id":"https://openalex.org/keywords/whatsapp-chatbot","display_name":"WhatsApp chatbot","score":0.902999997138977},{"id":"https://openalex.org/keywords/implementation","display_name":"implementation","score":0.4129999876022339},{"id":"https://openalex.org/keywords/implementation-effectiveness","display_name":"implementation effectiveness","score":0.5400000214576721},{"id":"https://openalex.org/keywords/behavioral-activation","display_name":"behavioral activation","score":0.824999988079071},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8740000128746033},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.7879999876022339},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.574999988079071}],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.6624000072479248},{"id":"https://openalex.org/C2781265626","wikidata":"https://www.wikidata.org/wiki/Q1147152","display_name":"Cognitive behavioral therapy","level":3,"score":0.616599977016449},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5946999788284302},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.536300003528595},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.515500009059906},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5059999823570251},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4634999930858612},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.4578999876976013},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.4544000029563904},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4480000138282776},{"id":"https://openalex.org/C2779477915","wikidata":"https://www.wikidata.org/wiki/Q13693745","display_name":"Cognitive therapy","level":3,"score":0.38690000772476196},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.38179999589920044},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.3650999963283539},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3628000020980835},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.33090001344680786},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.32760000228881836},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.3102000057697296},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.3098999857902527},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.30230000615119934},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.2973000109195709},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.28790000081062317},{"id":"https://openalex.org/C2776436463","wikidata":"https://www.wikidata.org/wiki/Q4967030","display_name":"Brief intervention","level":3,"score":0.2833999991416931},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.2816999852657318},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2741999924182892},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2694000005722046},{"id":"https://openalex.org/C2778529449","wikidata":"https://www.wikidata.org/wiki/Q1778909","display_name":"Patient Health Questionnaire","level":4,"score":0.25999999046325684},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2556000053882599},{"id":"https://openalex.org/C148374829","wikidata":"https://www.wikidata.org/wiki/Q1891605","display_name":"Behavioral activation","level":3,"score":0.25220000743865967},{"id":"https://openalex.org/C2992103866","wikidata":"https://www.wikidata.org/wiki/Q1147152","display_name":"Cognitive behaviour therapy","level":3,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1590/scielopreprints.18747","doi":"https://doi.org/10.1590/scielopreprints.18747","is_oa":true,"landing_page_url":"https://doi.org/10.1590/scielopreprints.18747","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.1590/scielopreprints.18747","doi":"https://doi.org/10.1590/scielopreprints.18747","is_oa":true,"landing_page_url":"https://doi.org/10.1590/scielopreprints.18747","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/study-protocol","display_name":"Study Protocol"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W6925272577","https://openalex.org/W1998795432","https://openalex.org/W2169599246","https://openalex.org/W2127552611","https://openalex.org/W4309659478","https://openalex.org/W4394989752","https://openalex.org/W2919679984","https://openalex.org/W4307901250","https://openalex.org/W6990822900","https://openalex.org/W4212818146"],"abstract_inverted_index":{"Background:":[0],"Depression":[1],"and":[2,6,26,64,93,127,144,153,160,169,175,214,232,278,281,285,319,323,339,344],"anxiety":[3,65,109],"are":[4,115,137],"common":[5],"disabling":[7],"mental":[8,271],"health":[9,158,272],"conditions.":[10],"Although":[11],"cognitive":[12],"behavioral":[13,176],"therapy":[14],"(CBT)":[15],"is":[16,84,199,215,252],"an":[17],"evidence-based":[18],"treatment,":[19],"access":[20,34],"remains":[21,46],"limited,":[22],"particularly":[23],"in":[24,67,71,74,87,91,166,205,211,237,250,287],"low-":[25],"middle-income":[27],"countries.":[28],"Internet-delivered":[29],"CBT":[30],"(iCBT)":[31],"may":[32],"expand":[33],"to":[35,201,217,247,258,283,315,329],"psychological":[36],"interventions,":[37],"but":[38],"integrating":[39],"digital":[40,270],"interventions":[41],"into":[42,274],"routine":[43,275],"primary":[44,68,88,132,239,276],"care":[45,69,89,133,240,277],"challenging.":[47],"This":[48,77],"study":[49,83,261],"protocol":[50],"describes":[51],"the":[52,197,233,243,266,297,302,321,325,330,349,352],"implementation":[53,138,284],"of":[54,173,223,268,299,351],"CONEMO":[55,119],"(Emotional":[56],"Control),":[57],"a":[58,117,124,128,269,309],"self-guided":[59],"iCBT":[60],"app":[61,148],"for":[62,101,131,327,348],"depression":[63,102],"symptoms,":[66,171],"units":[70,90,241,249,256],"2":[72,244],"municipalities":[73],"Brazil.":[75,97,288],"Methods:":[76],"mixed-methods":[78],"hybrid":[79],"type":[80],"III":[81],"implementation-effectiveness":[82],"being":[85],"conducted":[86],"Indaiatuba":[92],"Jaguari\u00fana,":[94],"S\u00e3o":[95],"Paulo,":[96],"Adults":[98],"screening":[99],"positive":[100],"(Patient":[103],"Health":[104],"Questionnaire-9":[105],"score":[106,113],"\u226510)":[107,114],"or":[108],"(Generalized":[110],"Anxiety":[111],"Disorder-7":[112],"offered":[116,200],"six-week":[118],"app-based":[120],"intervention":[121,198,234,273],"supported":[122],"by":[123],"WhatsApp":[125],"chatbot":[126],"monitoring":[129],"dashboard":[130],"professionals.":[134],"Primary":[135],"outcomes":[136,163],"outcomes,":[139],"including":[140,333],"penetration,":[141],"acceptability,":[142],"feasibility,":[143],"safety,":[145],"assessed":[146],"using":[147,186],"usage":[149],"data,":[150],"self-report":[151],"measures,":[152],"focus":[154],"groups":[155],"with":[156,254,317],"users,":[157],"professionals,":[159],"managers.":[161],"Secondary":[162],"include":[164],"changes":[165],"depression,":[167],"anxiety,":[168],"insomnia":[170],"quality":[172],"life,":[174],"activation":[177],"over":[178],"12":[179],"weeks.":[180],"Quantitative":[181],"data":[182],"will":[183,262],"be":[184],"analyzed":[185],"mixed-effects":[187],"models.":[188],"No":[189],"formal":[190],"sample":[191],"size":[192],"calculation":[193],"was":[194,235],"performed":[195],"because":[196],"all":[202,341],"eligible":[203],"users":[204],"participating":[206],"units.":[207],"Discussion:":[208],"Recruitment":[209],"began":[210],"January":[212],"2026":[213],"expected":[216,257],"continue":[218],"through":[219],"December":[220],"2026.":[221],"As":[222],"October":[224],"2026,":[225],"approximately":[226],"400":[227],"participants":[228],"had":[229],"been":[230],"enrolled,":[231],"available":[236],"21":[238],"across":[242],"municipalities.":[245],"Expansion":[246],"additional":[248],"Jaguari\u00fana":[251],"planned,":[253],"28":[255],"participate.":[259],"The":[260,336],"generate":[263],"evidence":[264],"on":[265],"integration":[267],"identify":[279],"barriers":[280],"facilitators":[282],"scale-up":[286],"DECLARA\u00c7\u00c3O":[289],"DE":[290,292],"USO":[291],"INTELIG\u00caNCIA":[293],"ARTIFICIAL":[294],"(IA):":[295],"During":[296],"preparation":[298],"this":[300],"work,":[301],"authors":[303,337],"used":[304],"Claude":[305],"Haiku":[306],"5.5":[307],"(Anthropic),":[308],"generative":[310],"artificial":[311],"intelligence":[312],"(AI)":[313],"tool,":[314],"assist":[316],"organizing":[318],"formatting":[320],"references":[322],"revising":[324],"manuscript":[326],"adherence":[328],"journal\u2019s":[331],"guidelines,":[332],"rewording":[334],"sections.":[335],"reviewed":[338],"edited":[340],"AI-assisted":[342],"content":[343,350],"take":[345],"full":[346],"responsibility":[347],"published":[353],"article.":[354]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}