Development and assessment of an active strategy for the implementation of a collaborative care approach for depression in primary care (the INDI·i project)
Aragonès, Enric (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Palao, Diego (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
López-Cortacans, Germán (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Caballero, Antonia (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Cardoner, Narcís (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Casaus, Pilar (Hospital Universitari Institut Pere Mata)
Cavero, Myriam (Hospital Clínic i Provincial de Barcelona)
Monreal Ortiz, Jose Antonio (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Pérez Solà, Víctor (Hospital del Mar (Barcelona, Catalunya))
Cirera i Perich, Miquel (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Loren, Maite (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Bellerino, Eva (Institut Català de la Salut)
Tomé-Pires, Catarina (Universitat Rovira i Virgili. Departament de Psicologia)
Palacios, Laura (Servei Català de la Salut)

Data:	2017
Resum:	Primary care is the principal clinical setting for the management of depression. However, significant shortcomings have been detected in its diagnosis and clinical management, as well as in patient outcomes. We developed the INDI collaborative care model to improve the management of depression in primary care. This intervention has been favorably evaluated in terms of clinical efficacy and cost-effectiveness in a clinical trial. Our aim is to bring this intervention from the scientific context into clinical practice. Objective: To test for the feasibility and impact of a strategy for implementing the INDI model for depression in primary care. Design: A quasi-experiment conducted in primary care. Several areas will be established to implement the new program and other, comparable areas will serve as control group. The study constitutes the preliminary phase preceding generalization of the model in the Catalan public healthcare system. Participants: The target population of the intervention are patients with major depression. The implementation strategy will also involve healthcare professionals, primary care centers, as well as management departments and the healthcare organization itself in the geographical areas where the study will be conducted: Camp de Tarragona and Vallès Occidental (Catalonia). Intervention: The INDI model is a program for improving the management of depression involving clinical, instructional, and organizational interventions including the participation of nurses as care managers, the efficacy and efficiency of which has been proven in a clinical trial. We will design an active implementation strategy for this model based on the PARIHS (Promoting Action on Research Implementation in Health Services) framework. Measures: Qualitative and quantitative measures will be used to evaluate variables related to the successful implementation of the model: acceptability, utility, penetration, sustainability, and clinical impact. This project tests the transferability of a healthcare intervention supported by scientific research to clinical practice. If implementation is successful in this experimental phase, we will use the information and experience obtained to propose and plan the generalization of the INDI model for depression in the Catalan healthcare system. We expect the program to benefit patients, the healthcare system, and society.
Nota:	Funding: The study is funded by a grant from the Department of Health (Government of Catalonia) by means of the Strategic Plan for Research and Innovation in Health (PERIS) 2016-2020 (SLT002/16/00106) and has received accreditation and support as an innovative project from Innòbics (Open Innovation Initiative at the Catalan Health Institute). GLC is the beneficiary of a grant for intensifying research in the area of nursing (PERIS 2016-2020 (SLT002/16/00195).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Estudi clínic ; recerca ; Versió publicada
Matèria:	Depressive disorder ; Primary health care ; Health plan implementation ; Disease management ; Patient-centered care
Publicat a:	BMC health services research, Vol. 17 (december 2017) , ISSN 1472-6963

DOI: 10.1186/s12913-017-2774-2
PMID: 29237444

10 p, 785.6 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d’Investigació i Innovació Parc Taulí (I3PT)
Articles > Articles de recerca
Articles > Articles publicats