Browsing by Autor "Jorge Gaete"

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Acceptability and feasibility of “Yo Sé Lo Que Quiero (YSLQQ)” (Unplugged) program: a drug prevention intervention for adolescents in Chile
(2021) Gabriel Salgado; Saray Ramírez; Sofía Gana; Daniela Valenzuela; Jorge Gaete
Acceptability and feasibility of a universal online preventive intervention for depression and anxiety among university students: protocol of a pilot randomized controlled trial.
(2025) Jorge Gaete; Daniel Núñez; Valentina Romo; Saray Ramírez; Fabián Andrés Barrera; Ricardo Araya
<title>Abstract</title> <bold>Background</bold>. The mental health of university students is a global concern, with high rates of depression, anxiety, and stress significantly impacting their well-being and academic performance. Several studies reveal high prevalence rates, highlighting the need for effective prevention strategies. Evidence shows that digital interventions incorporating mindfulness, emotional regulation, and cognitive-behavioral techniques can reduce symptoms of mental illness. However, such programs are scarce in Latin America. This study proposes developing and evaluating "CUIDATE," a brief online universal preventive intervention targeting depression and anxiety among university students, focusing on acceptability, feasibility, and potential improvements in mental health and quality of life. <bold>Methods:</bold>This is a pilot randomized controlled trial, parallel-group type, where students using CUIDATE, a 6-session online self-guided universal preventive intervention, are compared to students doing regular academic work. 50 students in a private university in Santiago, Chile, are expected to be recruited and randomized with 1:1 allocation. Assessments of acceptability and feasibility during the whole project will be collected at the end of the intervention. Measurements of depression and anxiety symptoms, quality of life, and several mindfulness, emotional regulation, and cognitive-behavioral skills will be conducted among students of both groups at baseline, post-intervention and 12-week follow-up. <bold>Discussion. </bold>This pilot Randomized Controlled Trial aims to evaluate the acceptability and feasibility of "CUIDATE," a self-guided online intervention promoting cognitive-behavioral therapy skills, emotion regulation, and a healthy lifestyle to prevent depression and anxiety. Unlike existing programs, often limited to developed countries, CUIDATE is designed for accessibility and cost-effectiveness, using the widely adopted Canvas platform to engage university students. While challenges like recruitment and task adherence are anticipated, proactive measures, including student leaders’ network support, will mitigate these risks. The study's findings will produce relevant information about these novel designs and may help guide future studies, such as a randomized controlled trial on a large scale. <bold>Trial registration:</bold> Clinical Trials NCT06419868, May 14. 2024 [https://www.clinicaltrials.gov/study/NCT06419868]
Acceptability, feasibility and fidelity of the culturally adapted version of Unplugged (“Yo Se Lo Que Quiero”), a substance use preventive program among adolescents in Chile: a pilot randomized controlled study
(2024) Gabriel Salgado; Jorge Gaete; Sofía Gana; Daniela Valenzuela; Ricardo Araya
<title>Abstract</title> <bold>Introduction.</bold> The consumption of alcohol, tobacco, and marijuana is a public health problem that impacts the cognitive, social, and emotional development of adolescents. Prevention strategies such as the "Unplugged" program are effective in delaying the progression of daily smoking and episodes of drunkenness among adolescents. "Yo Se Lo Que Quiero" (YSLQQ) corresponds to the adaptation of this program to the Chilean context. This study assesses the acceptability and feasibility of implementing this program to the local reality. <bold>Material and methods</bold>. This was a cluster-randomized controlled pilot study conducted on six public schools. All consented students attending 6th, 7<sup>th</sup>, and 8th grades (n = 1,180) participated in the study. The schools were randomly assigned to one of two conditions in a 1:1 ratio: 1) the "YSLQQ" intervention group (n = 526), and 2) the Control group (n = 654). The program consisted of a 12-hour class-based curriculum based on a comprehensive social-inﬂuence approach delivered by a trained facilitator. The acceptability and feasibility were assessed in the intervention group at the end of the intervention using questionnaires answered by students and facilitators. The quality and fidelity of the program were evaluated during the implementation using self-ported surveys answered by the facilitators and the assessment of video-recorded sessions rated by external observers. Finally, a pre-test and a post-test survey assessing past and current substance use and risk and protective factors were conducted before and immediately after the program's implementation. <bold>Results</bold>. A high proportion of students (49.6%) liked the sessions. 79.2% reported that the YSLQQ helped them learn about the dangers of drugs, while 65.8% reported having more skills to avoid drug use in the future. Regarding students' satisfaction with YSLQQ, 62.9% reported being happy or very happy with the program. Facilitators reported implementing the intervention according to the manual in 73.9% of sessions. Regarding drug use, students who participated in the intervention groups reported a significant reduction in drunkenness in the last year and last 30-day prevalence and also a significant reduction in a lifetime and 30-day prevalence of cannabis use when compared with those students in the control group. <bold>Conclusions.</bold> Our results suggest that YSLQQ has adequate acceptability and feasibility to be implemented in the Chilean context, and there were promising results in reducing drunkenness and cannabis use. Future research should confirm these results in a larger RCT study. <bold>Trial registration:</bold> NCT04566627
Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of The Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study
(2025) Saray Ramírez; Natalia Ríos; Cristian A. Rojas‐Barahona; Marcela Cárcamo; Alejandro Sepúlveda-Peñaloza; Ricardo Araya; Jorge Gaete
<title>Abstract</title> Introduction. Substance use among adolescents is a public health problem. We culturally adapted The Social Competence Promotion Program for Young Adolescents (SCPP-YA) program to the school context in Chile (henceforth “Mi Mejor Plan or MMP”) and assessed the acceptability, feasibility, fidelity, and quality of the implementation among 6<sup>th</sup> graders. We also explored the efficacy of the program in improving individual protective factors and reducing risk factors and substance use. Methods. Cluster randomized controlled trial conducted in Chile. The schools were randomly assigned to one of two conditions in a 1:1 ratio: 1) the "MMP" intervention group, and 2) the Control group. The program consisted of a 16-hour class-based curriculum promoting social problem-solving skills delivered by a trained facilitator. Primary outcomes were acceptability, feasibility, fidelity, and quality of the implementation using detailed reports of facilitators and from observers of the performance of the facilitators in vivo. Additionally, we explored the efficacy of the intervention on secondary outcomes: 30-day prevalence of tobacco, alcohol, and cannabis use and individual risk and protective factors promoted by MMP. We performed an intention-to-treat analysis using mixed models, taking into account the hierarchical nature of the data. Results. 765 6th graders from 11 schools were enrolled (one school dropped out after the randomization); 608 were analyzed at baseline, and 538 were analyzed post-intervention. 52.5% were male, and the average age was 11.3 in both groups. All 16 sessions were implemented, and students’ attendance at each session ranged from 83.8% to 92.4%. The program was generally well-received, with up to 91.3% of students rating acceptability positively. Facilitators and observers reported high adherence to the contents of the program in most sessions. Protective factors, such as negative beliefs about tobacco and alcohol, increased significantly in the IG. Still, there were no significant changes in substance use, risk factors, emotion regulation, or school membership. Conclusions. The MMP program was well accepted, and we achieved high levels of implementation and fidelity. The program improved some individual protective factors, such as negative beliefs about tobacco and alcohol, with changes in substance use among adolescents. Trial registration. Registered on ClinicalTrials.gov, number NCT04236947.
Análisis factorial de las variables relacionadas a la calidad de vida en pacientes con insuficiencia renal crónica en terapia de reemplazo renal
(2004) Jorge Gaete; Adonay A. Pizarro; María Graciela Rojas; Esterbina Olivares; Verónica Restrepo; María Bejares; Nicolás Hidalgo
Asociación de historia previa de TDAH y consumo de riesgo de nootrópicos en universitarios: un estudio transversal
(2021) José Valdés; Francisco Javier Díaz; Pascale Marie Christiansen; Gabriel Arturo Lorca; Francisco Javier Solorza; Jorge Gaete
Asociación del uso de tecnología digital con el bienestar y rendimiento académico entre niños y adolescentes: rol de la privación de sueño como mediador.
(2021) Saray Ramírez; Sofía Gana; Jorge Gaete
Association between living arrangements and time to drop out in patients between 18 and 29 years of age, under treatment for substance abuse disorders in Chile, 2010-2019
(Research Square (United States), 2024) Joel Castellano; Andrés González Santa-Cruz; Álvaro Castillo‐Carniglia; Jorge Gaete
Abstract Substance use disorders (SUDs) are the leading cause of premature death and disability in the Americas, causing approximately 47% of deaths in the world's adult population, posing an enormous public health challenge. One of these challenges is the treatment drop-out, which significantly compromises the efficacy of SUD interventions. Despite the implementation of advanced monitoring programs in Chile, evidence concerning the medium- and long-term effects of SUD treatment remains limited. This study explores the correlation between living arrangements (alone, with the family of origin, or with a partner with or without children [partner/children]) at the onset of initial treatment and the time until treatment drop-out among emerging adults (18–29 years) in public SUD programs in Chile from 2010 to 2019. Employing a retrospective cohort design, health records of adult patients aged 18 to 29 who underwent public SUD treatment between 2010 and 2019 in general population programs were analyzed. Using survival analysis and inverse probability-weighted multinomial logistic regression models, the findings reveal consistent patterns: individuals living with family of origin had the highest survival rates and prolonged treatment retention, followed by those living with partner/children, and those living alone had the lowest survival rates (Restricted mean survival times (year) were 0.60, 0.57, and 0.55 to at one year, respectively). The study emphasizes the crucial role of social bonds, particularly familial and relational ties, in influencing treatment outcomes. In conclusion, this study underscores the necessity to consider social support when formulating effective SUD treatment strategies and the potential positive impact of familial and relational bonds, especially during the critical phase of emerging adulthood.
Association between living arrangements and time to drop out in patients between 18 and 29 years of age, under treatment for substance abuse disorders in Chile, 2010-2019.
(Research Square (United States), 2024) Joel Castellano; Andrés González; Álvaro Castillo‐Carniglia; Jorge Gaete
Abstract Substance use disorders (SUDs) are the leading cause of premature death and disability in the Americas, causing approximately 47% of deaths in the world's adult population, posing an enormous public health challenge. One of these challenges is the treatment drop-out, which significantly compromises the efficacy of SUD interventions. Despite the implementation of advanced monitoring programs in Chile, evidence concerning the medium- and long-term effects of SUD treatment remains limited. This study explores the correlation between living arrangements (alone, with the family of origin, or with a partner with or without children [partner/children]) at the onset of initial treatment and the time until treatment drop-out among emerging adults (18–29 years) in public SUD programs in Chile from 2010 to 2019. Employing a retrospective cohort design, health records of adult patients aged 18 to 29 who underwent public SUD treatment between 2010 and 2019 in general population programs were analyzed. Using survival analysis and inverse probability-weighted multinomial logistic regression models, the findings reveal consistent patterns: individuals living with family of origin had the highest survival rates and prolonged treatment retention, followed by those living with partner/children, and those living alone had the lowest survival rates (Restricted mean survival times (year) were 0.60, 0.57, and 0.55 to at one year, respectively). The study emphasizes the crucial role of social bonds, particularly familial and relational ties, in influencing treatment outcomes. In conclusion, this study underscores the necessity to consider social support when formulating effective SUD treatment strategies and the potential positive impact of familial and relational bonds, especially during the critical phase of emerging adulthood.
Bullying en Chile: Prevalencia y Factores Asociados fue analizado por los revisores y fue aceptado para su presentación
(2020) Jorge Gaete; Daniela Valenzuela; Catalina González; Matías Alvear; Bernardita Ljubetic
Bullying in Chile: prevalence and associated factors
(2021) Daniela Valenzuela; Marcela Cárcamo; Saray Ramírez; Cristian A. Rojas‐Barahona; Ricardo Araya; Jorge Gaete
Consumo de Tabaco y Alcohol en jóvenes de 10 a 14 a los: prevalencia y factores asociados
(2014) Jorge Gaete; Esterbina Olivares; Cristian A. Rojas‐Barahona; Fernanda Villarreal; Leticia Lepe; Magdalena Silva
Development, usability, and feasibility pilot cluster randomized controlled study of a videogame aiming to stimulate cognitive and non-cognitive skills among low-income preschoolers in Santiago, Chile
(2025) Jorge Gaete; Natalia Ríos; Cristian A. Rojas‐Barahona; Saray Ramírez; Ricardo Araya
<title>Abstract</title> <bold>Background</bold>. Early childhood is a crucial period for mental health, with many preschoolers experiencing emotional and behavioral issues. Early interventions targeting executive functions and socio-emotional skills are essential. Digital tools, such as tablets, offer promising solutions, despite limited research. This study aims to develop and test a video game to enhance these skills in vulnerable preschoolers, assessing its feasibility, engagement, and impact. <bold>Methods</bold>. Cluster Randomized Controlled Pilot Study. Eight schools were randomly allocated to the Intervention group (Japi 1.0) and the Control group in a 1:1 ratio. A video game was developed by the research team, aiming to stimulate cognitive and non-cognitive skills. We registered problems in the functionality of the video game while implementing it and student engagement and classroom climate. Additionally, we assessed before and after the intervention cognitive and non-cognitive skills among children's psychological functioning using the parental reports over the Strengths and Difficulties Questionnaire. <bold>Results</bold>. Before implementing Japi 1.0 in the classroom, the most frequent functional problems detected by the research team were audio volume variations, abrupt changes in activity, and game freezing. Once corrected, during the implementation of an improved version, game freezing and correct answers registered as incorrect were the most frequent problems. Additionally, 26.6% of students had data not recorded on the server. The engagement with the game was high, and there were very few behavioral problems during the implementation. Most of the secondary outcomes were improved after the intervention, but no significant changes were found when compared with the control group. <bold>Conclusions</bold>. The pilot study demonstrated high student engagement and a positive classroom climate during the implementation of Japi 1.0. While initial functionality issues were identified and corrected, some technical problems persisted, including game freezing and data loss. Although improvements in cognitive and non-cognitive skills were observed post-intervention, no significant differences were found compared to the control group. These findings highlight the feasibility of using digital interventions in preschool settings but underscore the need for further refinement and a larger trial to assess the game’s full impact. <bold>Trial registration:</bold> Clinical Trials NCT07048119, February 26th, 2025. [https://www.clinicaltrials.gov/study/NCT07048119]
Influencia de factores escolares contextuales en el consumo de tabaco, alcohol y marihuana en adolescentes chilenos: un studio multinivel
(2014) Jorge Gaete; Catalina Ortúzar; Fernanda Villarreal; Alan Montgomery; Ricardo Araya
Medición calidad de vida en pacientes con insuficiencia renal crónica en hemodiálisis y su valor pronóstico
(2004) Jorge Gaete; María Graciela Rojas; Esterbina Olivares; Verónica Restrepo; María Bejares; Nicolás Hidalgo
Mental health service use and barriers to help-seeking among LGBTQ+ first-year college students in Chile
(Taylor & Francis, 2024) Marcelo A. Crockett; Vania Martínez; Scarlett Mac‐Ginty; Álvaro I. Langer; Jorge Gaete; Daniel Núñez; Irene Léniz
This study aimed to describe university students' use of mental health services and the barriers to help-seeking by sexual orientation and gender identity and to examine the factors related to these variables. A total of 7,136 first-year students from five Chilean universities participated. They answered an online survey on mental health service use, barriers to help-seeking, 12-month mental disorders, and sociodemographic variables. Data were analyzed using logistic and negative binomial regression models. Lesbian, gay, bisexual, trans, questioning, and other sexual and gender minority (LGBTQ+) students, especially trans and gender non-conforming participants, reported higher mental health service use than non-LGBTQ+ students. Sexual minority students were less likely to report the help-seeking barriers "prefer to handle on one's own" and "talk with friends/family", but were more likely to report the barriers "cost", "unsure where to go", and "time, transportation, or scheduling problems". Some variables were associated with service use and barriers in both groups (e.g. lower parental education was associated with lower service use), while others were only associated with one group (e.g. non-LGBTQ+ women reported higher service use). These results suggest that initiatives aimed at promoting access to mental health services should be tailored to different subpopulations of university students.
Prevalencia de consumo de riesgo de alcohol y drogas en universitarios: un estudio transversal
(2021) Gabriel Arturo Lorca; José Miguel Guraieb Valdés; Francisco Javier Rodríguez Díaz; Pascale Marie Christiansen; Francisco Javier Solorza; Jorge Gaete
PREVALENCIA DE INFECCIONES DE TRANSMISIÓN SEXUAL EN ESTUDIANTES DE PREGRADO DE LA UNIVERSIDAD DE LOS ANDES
(2021) José Valdés; Francisco Javier Díaz; Pascale Marie Christiansen; Gabriel Arturo Lorca; Francisco Javier Solorza; Jorge Gaete; Matías Alvear
PREVALENCIA DE REALIZACIÓN DE ACTIVIDAD FÍSICA EN ESTUDIANTES DE PREGRADO DE LA UNIVERSIDAD DE LOS ANDES DURANTE COVID-19
(2021) José Valdés; Francisco Javier Díaz; Pascale Marie Christiansen; Gabriel Arturo Lorca; Francisco Javier Solorza; Matías Alvear; Jorge Gaete
Prevención de problemas de conducta y promoción de salud mental en pre-escolares: Estudio piloto de la adaptación del Programa de resolución de problemas “I Can Problem Solve (ICPS)”
(2020) Jorge Gaete; Lorena Nejaz; Mikele Otegui; Matías Alvear; Bernardita Ljubetic; Catalina González