Alicia Salamanca | Swiss Federal Institute of Technology (ETH) (original) (raw)

Papers by Alicia Salamanca

Annals of Behavioral Medicine

Background Despite an abundance of digital health interventions (DHIs) targeting the prevention a... more Background Despite an abundance of digital health interventions (DHIs) targeting the prevention and management of noncommunicable diseases (NCDs), it is unclear what specific components make a DHI effective. Purpose This narrative umbrella review aimed to identify the most effective behavior change techniques (BCTs) in DHIs that address the prevention or management of NCDs. Methods Five electronic databases were searched for articles published in English between January 2007 and December 2022. Studies were included if they were systematic reviews or meta-analyses of DHIs targeting the modification of one or more NCD-related risk factors in adults. BCTs were coded using the Behavior Change Technique Taxonomy v1. Study quality was assessed using AMSTAR 2. Results Eighty-five articles, spanning 12 health domains and comprising over 865,000 individual participants, were included in the review. We found evidence that DHIs are effective in improving health outcomes for patients with cardi...

Background: Despite an abundance of digital health interventions (DHIs) targeting the prevention ... more Background: Despite an abundance of digital health interventions (DHIs) targeting the prevention and management of common non-communicable diseases (NCDs), it is unclear what specific components make an intervention effective in changing human behavior.Purpose: The aim of this umbrella review was to identify the most effective behavior change techniques (BCTs) in DHIs that address the most common NCDs. Methods: Five electronic databases were searched for articles published in English between 1st January 2007 and 24th January 2021. Studies were included if they were systematic reviews or meta-analyses of e- or mHealth interventions targeting the modification of one or more NCD-related risk factors in adults. Study quality was assessed using AMSTAR 2. Sixty-one articles, spanning 10 health domains and comprising over half a million individual participants, were included in the review. Results: DHIs are favorably associated with improved health outcomes for patients with cardiovascular...

Internet Interventions, 2019

Background: Culturally adapted psychotherapy (CAP) studies are limited and until now there are fe... more Background: Culturally adapted psychotherapy (CAP) studies are limited and until now there are few published examples that illustrate the process of cultural adaptation with internet-delivered treatments. Aim: This paper aims to illustrate an integrative approach to the cultural adaptation of an evidence-based internet-delivered cognitive-behavioural therapy intervention for depression (Space from Depression programme). Method: Mixed method approach utilising quantitative and qualitative methods to assist in the cultural adaptation of the Space from Depression programme was used. The adaptation involved a framework for cultural sensitivity (CSF), alongside an ecological validity framework (EVF) and principles from cross-cultural assessment research. The method included the development of a theory-informed measure, the Cultural Relevance Questionnaire (CRQ), designed specifically for this research. Results: The adaptation included an establishment of CSF, which included the incorporation of Colombian cultural expressions. College students' (n = 5) and experts' (n = 7) evaluated the EVF based on cross-cultural assessment principles of a preliminary adapted version through the CRQ, showing reliability in the sample (Cronbach's Alpha 0.744). Qualitative analysis supported the culturally sensitive changes or incorporations made to the programme, such as: personal stories and textual translations from English and these were considered ecologically valid and representative. Conclusions: The research provided support for the idea that CAP can be conducted systematically for internetdelivered interventions.

The Journal of Psychology, 2014

Content should not be relied upon and should be independently verified with primary sources of in... more Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.

Internet Interventions, 2019

Background: Exposure to new stressors places college students at increased risk for developing me... more Background: Exposure to new stressors places college students at increased risk for developing mental health problems. Preventive interventions aimed at enhancing resilience have the potential to improve mental health and well-being in college students and internet-delivery may improve access to these interventions. However, few studies have evaluated the efficacy of online interventions for resilience in college students. The present study seeks to assess the feasibility [initial efficacy and acceptability] of a newly developed internet-delivered intervention for resilience provided with human or automated support, in a sample of college students. Method: A pilot randomised controlled trial including three groups: 1) an intervention group with human support; 2) an intervention group with automated support; and 3) a waiting list control group. The intervention, Space for Resilience, is based on positive psychology and consists of seven modules, delivered over a period of eight weeks. Primary outcomes measures will include the Connor-Davidson Resilience Scale (CD-RISC) and the Pemberton Happiness Index (PHI). Secondary outcomes measures will include the Brief Resilience Scale (BRS), the Patient Health Questionnaire-4 items (PHQ-4), the Rosenberg Self-Esteem Scale (RSES), and the Perceived Stress Scale-4 items (PSS-4). Acceptability will be examined using the Satisfaction with Treatment (SAT) questionnaire. Analysis will be conducted on an intention-to-treat basis. Discussion: The study seeks to establish the initial efficacy and acceptability of an internet-delivered intervention for resilience with human support and automated support. Apart from determining the impact of the intervention on acceptability and effectiveness, this study will be a first to explore more clearly the relative benefits of different support modes.

usbbog.edu.co

Este trabajo aborda la relación existente entre los factores biológicos y psicológicos en la derm... more Este trabajo aborda la relación existente entre los factores biológicos y psicológicos en la dermatitis atópica. Esta es una enfermedad crónica que tiene graves secuelas en el funcionamiento psicológico del individuo, así mismo esta patología esta mediada por el sistema inmune, en la que ...

Conflict and Health

Background Despite the widely recognised importance of cultural adaptation to increase the effect... more Background Despite the widely recognised importance of cultural adaptation to increase the effectiveness of psychological interventions, there is little guidance on its process. Developed based on existing theory, we applied a four-step process to culturally adapt a low-intensity psychological intervention for use in humanitarian settings. Methods The four-step process was applied to adapt a WHO low-intensity psychological intervention (i.e. Problem Management Plus, or PM+) for use with displaced Venezuelans and Colombians in Colombia. First, a rapid desk review was used as an (1) information gathering tool to identify local population characteristics. Next, the results were taken forward for the (2) formulation of adaptation hypotheses, whereby PM+ protocols were screened to identify components for adaptation, drawing on the Ecological Validity Model. Third, the elements flagged for adaptation were taken forward for (3) local consultation to firstly, verify the components identifie...

JMIR Mental Health

BackgroundInternet-delivered treatments for depressive symptoms have proved to be successful in h... more BackgroundInternet-delivered treatments for depressive symptoms have proved to be successful in high-income Western countries. There may be potential for implementing such treatments in low- and middle-income countries such as Colombia, where access to mental health services is limited.ObjectiveThe objective of this study was to assess the efficacy of a culturally adapted cognitive behavioral internet-delivered treatment for college students with depressive symptoms in Colombia.MethodsThis was a randomized controlled trial with a 3-month follow-up. The program comprised seven modules. A total of 214 Colombian college students were recruited. They were assessed and randomly assigned to either the treatment group (n=107) or a waiting list (WL) control group (n=107). Participants received weekly support from a trained supporter. The primary outcome was symptoms of depression, as measured by the Patient Health Questionnaire - 9, and the secondary outcomes were anxiety symptoms assessed ...

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El presente ejercicio de investigacion cualitativa se realiza con base en los relatos de mujeres... more El presente ejercicio de investigacion cualitativa se realiza con base en los relatos de mujeres que ejercen la prostitucion en la zona de alto impacto de la localidad de los Martires. Se utiliza el metodo biografico en su modalidad relatos de vida con tres mujeres mayores de 18 anos. El instrumento utilizado fue una guia de entrevista compuesta por preguntas abiertas de acuerdo con la secuencia temporal, pasado presente y perspectivas a futuro teniendo en cuenta las categorias de analisis, que son los factores psicosociales, tomados como: familiares, socioculturales, socioeconomicos y psicologicos; y las perspectivas a futuro que se evaluaron de acuerdo con las metas a corto y largo plazo. Los resultados muestran condiciones similares, caracterizado por familias numerosas y modelos no funcionales, asi mismo provenientes de zonas rurales, niveles educativos bajos y recursos economicos escasos. Los factores psicologicos muestran comportamiento desafiante y oposicionista, abuso...

Background: Depressive disorders are the principal cause of disability in the world, with an upwa... more Background: Depressive disorders are the principal cause of disability in the world, with an upward trend in prevalence in low and middle income countries (LMICs). Depression can be effectively treated, however, several barriers in Colombia affect people's access to treatment (e.g. cost, personal stigma, limited availability of the mental health service). Internetdelivered interventions have demonstrated efficacy in high income countries and therefore may have relevance in LMICs. Aims: To assess the efficacy of the culturally adapted cognitive behavioural internet-delivered for depression Method: The study used a mixed method approach utilising in study 1, the development of a systematic and theoretically informed approach, using quantitative and qualitative methods to assist in the cultural adaptation of the Space from Depression intervention and in study 2 a randomised control design to examine the efficacy of the culturally-adapted intervention in college students in Colombia. Study (1) involved the cultural adaptation of the Space from Depression cognitive-behavioural internet-delivered programme for depressive symptoms. The adaptation involved a cultural sensitivity framework (CSF), alongside an ecological validity framework (EVF) and principles from cross-cultural assessment research. This includes initial researcher/clinician adaptation and the integration of cultural assessment feedback of the programme by a panel of experts and users using the theoretically-based Cultural Relevance Questionnaire (CRQ). Study (2) consisted of the implementation of the culturally adapted intervention using a randomised controlled design. The efficacy trial included an internetdelivered cognitive behavioural therapy (iCBT) group and a waiting list (WL) control group of participants meeting eligibility criteria (mild to moderate depressive symptoms). The active condition consisted of 7 weekly modules of CBT Space from Depression, with post-session feedback from a trained supporter. The primary outcome included the Patient Health I would like to acknowledge my mother, family and friends. In memory of my father who was and still is my intellectual inspiration. I want to acknowledge Santiago for all of the support and patience on these years from Colombia. I also want to thank you, my brother, Juan Camilo who was my personal designer on these years, who made the animations in the online programme intervention and helped me with the posters' design in my presentations. A special thank you to my supervisor Derek Richards, who supported this project at the very beginning and in the end, who always believe in me and encourage me to do my best. Also, a special thanks to my supervisor Laco Timulak for all your support and learning experience. Thank you to the whole team in SilverCloud who facilitated this research and let me learn more about online interventions. Sarah Connell thanks to helping in my data analysis. Thanks for the collaborations in Colombia who made possible this project and all of the volunteers' supporters from the two universities in Colombia. A special thank you, Leonidas Castro, for your support in this project.

El objetivo de esta revision documental es abordar la utilidad de los modelos de salud en areas ... more El objetivo de esta revision documental es abordar la utilidad de los modelos de salud en areas tales como la prevencion de enfermedades cronicas, adicciones y la promocion de habitos saludables. El articulo busca profundizaren la fundamentacion, en las fortalezas y debilidades de los modelos cognitivos y cognitivos sociales, tales como: el modelo de creencias en salud (MCS), la Teoria de la Motivacion a la Proteccion (TMP), los modelos de Accion Razonada y Accion Planeada (TAP) y(TAR) y la Teoria de la Autoeficacia de Bandura. Se concluye que es innegable la importancia e implementacion de estos modelos en la elaboracion de proyectos e intervenciones para la comunidad tanto en el sector hospitalario como en el sector publico . Palabras claves: Psicologia de la Salud, Modelos de creencias en salud (MCS), Teoria de la motivacion a la proteccion (TMP),Teoria de accion razonada(TAR), Teoria de accion planeada (TAP), teoria de autoeficacia de Bandura. A...

BACKGROUND Internet-delivered treatments for depression have proved successful in high-income Wes... more BACKGROUND Internet-delivered treatments for depression have proved successful in high-income Western countries. There may be potential for implementing such treatments in low and middle-income countries such as Colombia, where access to mental health services is limited. OBJECTIVE To assess the efficacy of the culturally adapted internet-delivered treatment for depression METHODS The study consisted of the implementation of a culturally adapted intervention using a randomised controlled trial (RCT) and 3-months follow-up. The internet-delivered cognitive behavioural therapy (CBT) programme consisted of 7-modules. Two hundred and fourteen Colombian college students with depressive symptoms were randomly assigned to either the treatment group (n= 107) or a waiting list control group (n=107). Participants received weekly support from a trained supporter. The primary outcome was symptoms of depression as measured by the Patient Health Questionnaire (PHQ-9) and the secondary outcomes we...

Revista Vanguardia Psicologica Clinica Teorica Y Practica, 2011

This exercise of qualitative investigation is made with base in the stories of women who exert pr... more This exercise of qualitative investigation is made with base in the stories of women who exert prostitution the zone of high impact of the locality of Martires. The biographical method in its modality is used stories of life with three women greater of 18 years. The used instrument was a guide of interview composed by questions opened according to the temporary sequence, present past and perspective to future having in account the categories of analyses, that are the psycho-social factors, taken like: familiry, sociocultural, socioeconomic and psychological; and the perspective to future that were evaluated in the short and long term according to the goals. The results show similar conditions, characterized by numerous families and nonfunctional models, also originating of countryside, educative levels low and limited economic resources. The psychological factors show challenging and oposicionista behavior, abuse of substances, low self-esteem, deficit in control of impulses and solution of problems. The perspective to future in the stories demonstrate the intention to leave the exercise of the prostitution showed by concrete plans of change. In the discussion the necessity considers to create programs of prevention and promotion considering the factors before mentioned, that include intervention in solution of problems and strategies of facing. Also investigations in greater depth with ample samples are required but, from the conductual cognoscitivo Revista Vanguardia Psicológica / Año 2 / Volumen 2 / Numero 1, abril-septiembre / pp. 31-50 / ISSN 2216-0701 approach that is new in this population considering that takes itself from the psicoanalica perspective in most of reviewed studies. It is also required to apply psicometricas tests that they allow to identify pathologies in this population and thus to make effective interventions.

El objetivo de esta revisión documental es abordar la utilidad de los modelos de salud en áreas t... more El objetivo de esta revisión documental es abordar la utilidad de los modelos de salud en áreas tales como la prevención de enfermedades crónicas, adicciones y la promoción de hábitos saludables. El articulo busca profundizaren la fundamentación, en las fortalezas y debilidades de los modelos cognitivos y cognitivos sociales, tales como: el modelo de creencias en salud (MCS), la Teoría de la Motivación a la Protección (TMP), los modelos de Acción Razonada y Acción Planeada (TAP) y(TAR) y la Teoría de la Autoeficacia de Bandura. Se concluye que es innegable la importancia e implementación de estos modelos en la elaboración de proyectos e intervenciones para la comunidad tanto en el sector hospitalario como en el sector público.

internet interventions, 2019

Background: Exposure to new stressors places college students at increased risk for developing me... more Background:
Exposure to new stressors places college students at increased risk for developing mental health problems. Preventive interventions aimed at enhancing resilience have the potential to improve mental health and well-being in college students and internet-delivery may improve access to these interventions. However,
few studies have evaluated the efficacy of online interventions for resilience in college students. The present study seeks to assess the feasibility [initial efficacy and acceptability] of a newly developed internet-delivered intervention for resilience provided with human or automated support, in a sample of college students.
Method: A pilot randomised controlled trial including three groups: 1) an intervention group with human-support; 2) an intervention group with automated support, and 3) a waiting list control group. The intervention, Space for Resilience, is based on positive psychology and consists of seven modules, delivered over a period of eight weeks. Primary outcomes measures will include the Connor-Davidson Resilience Scale (CD-RISC) and the Pemberton Happiness Index (PHI). Secondary outcomes measures will include the Brief Resilience Scale (BRS), the Patient Health Questionnaire, 4 items (PHQ-4), the Rosenberg Self-Esteem Scale (RSES), and the Perceived Stress Scale
4 items (PSS-4). Acceptability will be examined using the Satisfaction with Treatment (SAT) questionnaire. Analysis will be conducted on an intention-to-treat basis.
Discussion: The study seeks to establish the initial efficacy and acceptability of an internet-delivered intervention for resilience with human support and automated support. Apart from determining the impact of the intervention on acceptability and effectiveness, this study will be a first to explore more clearly the relative benefits of different support modes.

Background: Depression is the principal cause of disability in the world. High prevalence rates o... more Background: Depression is the principal cause of disability in the world. High prevalence rates of depression in general populations and college students have been found worldwide and in various cultural groups. Lowintensity cognitive behavioural internet-delivered treatment has demonstrated efficacy in high-income-countries (HICs). However little is known of their potential for adaptation and efficacy in low and middle-income countries. Methods: Study (1) involves the cultural adaptation of the Space from Depression cognitive-behaviour internet-delivered programme with an asynchronous support for depressive symptoms. This includes initial researcher/clinician adaptation and the integration of cultural assessment feedback of the programme by a panel of experts and users through the theoretically-based Cultural Relevance Questionnaire (CRQ). Study (2) describes the implementation of the culturally adapted intervention using a randomised controlled trial methodology. The efficacy trial will include an active treatment group and a waiting-list control group of participants meeting eligibility criteria (mild to moderate depression symptoms). The active condition will consist of 7 weekly modules of internet-delivered cognitive behavioural therapy (iCBT) Space from Depression, with post-session feedback support. The primary outcome will be the Patient Health Questionnaire (PHQ-9). The study also involves collection of client reported significant events and client satisfaction with the internetdelivered treatment. Data will be collected at baseline and at post-treatment (week 7), and at follow-up (week 20/ 3 months). Analysis will be conducted on the intention-to-treat basis.

Internet interventions, 2019

Background: Culturally adapted psychotherapy (CAP) studies are limited and until now there are fe... more Background: Culturally adapted psychotherapy (CAP) studies are limited and until now there are few published examples that illustrate the process of cultural adaptation with internet-delivered treatments. Aim: This paper aims to illustrate an integrative approach to the cultural adaptation of an evidence-based in-ternet-delivered cognitive-behavioural therapy intervention for depression (Space from Depression programme). Method: Mixed method approach utilising quantitative and qualitative methods to assist in the cultural adaptation of the Space from Depression programme was used. The adaptation involved a framework for cultural sensitivity (CSF), alongside an ecological validity framework (EVF) and principles from cross-cultural assessment research. The method included the development of a theory-informed measure, the Cultural Relevance Questionnaire (CRQ), designed specifically for this research. Results: The adaptation included an establishment of CSF, which included the incorporation of Colombian cultural expressions. College students' (n = 5) and experts' (n = 7) evaluated the EVF based on cross-cultural assessment principles of a preliminary adapted version through the CRQ, showing reliability in the sample (Cronbach's Alpha 0.744). Qualitative analysis supported the culturally sensitive changes or incorporations made to the programme, such as: personal stories and textual translations from English and these were considered ecologically valid and representative. Conclusions: The research provided support for the idea that CAP can be conducted systematically for internet-delivered interventions.

Annals of Behavioral Medicine

Internet Interventions, 2019

The Journal of Psychology, 2014

Internet Interventions, 2019

usbbog.edu.co

Conflict and Health

JMIR Mental Health

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Revista Vanguardia Psicologica Clinica Teorica Y Practica, 2011

internet interventions, 2019

Background: Exposure to new stressors places college students at increased risk for developing me... more Background:
Exposure to new stressors places college students at increased risk for developing mental health problems. Preventive interventions aimed at enhancing resilience have the potential to improve mental health and well-being in college students and internet-delivery may improve access to these interventions. However,
few studies have evaluated the efficacy of online interventions for resilience in college students. The present study seeks to assess the feasibility [initial efficacy and acceptability] of a newly developed internet-delivered intervention for resilience provided with human or automated support, in a sample of college students.
Method: A pilot randomised controlled trial including three groups: 1) an intervention group with human-support; 2) an intervention group with automated support, and 3) a waiting list control group. The intervention, Space for Resilience, is based on positive psychology and consists of seven modules, delivered over a period of eight weeks. Primary outcomes measures will include the Connor-Davidson Resilience Scale (CD-RISC) and the Pemberton Happiness Index (PHI). Secondary outcomes measures will include the Brief Resilience Scale (BRS), the Patient Health Questionnaire, 4 items (PHQ-4), the Rosenberg Self-Esteem Scale (RSES), and the Perceived Stress Scale
4 items (PSS-4). Acceptability will be examined using the Satisfaction with Treatment (SAT) questionnaire. Analysis will be conducted on an intention-to-treat basis.
Discussion: The study seeks to establish the initial efficacy and acceptability of an internet-delivered intervention for resilience with human support and automated support. Apart from determining the impact of the intervention on acceptability and effectiveness, this study will be a first to explore more clearly the relative benefits of different support modes.

Internet interventions, 2019

Background: Culturally adapted psychotherapy (CAP) studies are limited and until now there are fe... more Background: Culturally adapted psychotherapy (CAP) studies are limited and until now there are few published examples that illustrate the process of cultural adaptation with internet-delivered treatments. Aim: This paper aims to illustrate an integrative approach to the cultural adaptation of an evidence-based in-ternet-delivered cognitive-behavioural therapy intervention for depression (Space from Depression programme). Method: Mixed method approach utilising quantitative and qualitative methods to assist in the cultural adaptation of the Space from Depression programme was used. The adaptation involved a framework for cultural sensitivity (CSF), alongside an ecological validity framework (EVF) and principles from cross-cultural assessment research. The method included the development of a theory-informed measure, the Cultural Relevance Questionnaire (CRQ), designed specifically for this research. Results: The adaptation included an establishment of CSF, which included the incorporation of Colombian cultural expressions. College students' (n = 5) and experts' (n = 7) evaluated the EVF based on cross-cultural assessment principles of a preliminary adapted version through the CRQ, showing reliability in the sample (Cronbach's Alpha 0.744). Qualitative analysis supported the culturally sensitive changes or incorporations made to the programme, such as: personal stories and textual translations from English and these were considered ecologically valid and representative. Conclusions: The research provided support for the idea that CAP can be conducted systematically for internet-delivered interventions.