PRESTO
PRESTO combines scientific evidence and mobile technology to deliver faster, more personalised mental health care in primary care centres.
Data collected between January and September 2026 from 75 participants seen by the Occupational Health Service at Hospital Clínic.
21 of 31 participants improved · p = 0.007
18 of 31 participants improved · p = 0.046
Preliminary, exploratory results. PHQ-9 and GAD-7: participants with at least two assessments on different days (n = 31), comparing the first and the latest. Rating: final survey (n = 15). Without a control group, the change cannot be attributed to the app alone.
The pilot study has begun in primary care centres across Catalonia. We sincerely thank all the professionals and teams taking part.
A digital product to promote mental health in primary care, made up of two components that work together.
A web-based decision support platform for primary care physicians that recommends a therapeutic line of intervention based on the information reported by the patient, with the aim of optimising the care pathway.
PRESTO App: personalised psychological treatment, on your phone, from day one.
The primary care professional administers a set of validated clinical questionnaires to the patient and, based on the results, PRESTO proposes the most appropriate line of intervention.
It also includes training resources for professionals, a directory of community resources and a link to PRESTO App to follow the patient's progress.
Questionnaires on anxiety, depression and other symptoms to get to know each person.
22 interactive modules based on cognitive behavioural therapy and mindfulness.
Mood tracking, goals and charts to see how each person is progressing.
Automatic alert to the care team in the event of suicidal ideation or worsening symptoms.
We are the team of mental health professionals (psychologists, psychiatrists and nurses) at Hospital Clínic de Barcelona, with extensive clinical experience in mental health care, from the mildest problems to the most severe disorders.
We also work with leading professionals from a range of fields and disciplines, including software developers, statisticians, artificial intelligence researchers, graphic designers, audiovisual producers and neurolinguists.
This highly qualified multidisciplinary team is the greatest strength of a project whose ambition is to offer society a comprehensive mental health solution through new digital technologies and artificial intelligence.
Professionals at Hospital Clínic de Barcelona working together to make PRESTO possible.
The scientific articles the project has produced so far.
How mental health diagnoses in Catalan primary care evolved over ten years, using PADRIS data.
Read the article →Development, feasibility and first results of a chatbot for primary care patients and healthcare professionals.
Read the article →Antidepressant prescribing in primary care has grown faster than mental health diagnoses.
Read the article →The design, development and study protocol of the PRESTO project.
Read the article →
Digital Innovation Group · Bipolar and Depressive Disorders Unit · Department of Psychiatry and Psychology · Hospital Clínic de Barcelona