Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Qualitative study of an educational intervention for GPs in the assessment and management of depression.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Process evaluations of primary care interventions addressing chronic disease: a systematic review.BMJ open · 2019Pooled it
- Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2015Pooled it
- Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2010Pooled it
- Systematic depression screening in high-risk patients attending primary care: a pragmatic cluster-randomized trial.BMC psychiatry · 2013Trial
- Effect of educational outreach on general practice prescribing of antibiotics and antidepressants: a two-year randomised controlled trial.Scandinavian journal of primary health care · 2009Trial
- Information-seeking behaviour of primary care clinicians in Singapore at the point-of-care: A qualitative study.Health information and libraries journal · 2024Article
- Detection and treatment of depressive disorder in the spanish health system: a critical review.Actas espanolas de psiquiatria · 2022Review
- Determinants of adherence to recommendations for depressed elderly patients in primary care: a multi-methods study.Scandinavian journal of primary health care · 2014Article
- A qualitative comparison of primary care clinicians' and their patients' perspectives on achieving depression care: implications for improving outcomes.BMC family practice · 2014Article
- Patients' opinions about knowing their risk for depression and what to do about it. The predictD-qualitative study.PloS one · 2014Article
- General practitioners' experiences using cognitive behavioural therapy in general practice: a qualitative study.Scandinavian journal of primary health care · 2011Article
- Beyond the limits of clinical governance? The case of mental health in English primary care.BMC health services research · 2008Article
- Chronic use of diazepam in primary healthcare centers: user profile and usage pattern.Sao Paulo medical journal = Revista paulista de medicina · 2007Article
- Learning by doing: a novel approach to improving general practitioners' diagnostic skills for common mental disorders.Wiener klinische Wochenschrift · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious research has not shown any significant health gain for patients as a result of providing education about depression for GPs. Reasons for this, however, are unclear.
aimsTo explore relationships between process and outcome in the setting of a randomised controlled trial of a complex educational intervention designed to provide GPs with training in the assessment and management of depression. DESIGN OF STUDY: Qualitative study utilising semi-structured interviews.
settingGeneral practice in the northwest of England.
methodSemi-structured interviews with 30 GPs in Liverpool and Manchester who participated in a randomised controlled trial.
resultsThree major barriers to the effectiveness of the intervention were identified: the lack of the GP's belief that he/she could have an impact on the outcome of depression, the appropriateness of the training, and the organisational context in which doctors had to implement what they had learned.
conclusionAttitudes toward treating depression may need addressing at a much earlier point in medical education. If students are introduced to a biosocial model of depression at an early stage, they may feel more hopeful about their ability to intervene when faced with patients who exhibit significant degrees of functional disability in the context of apparently socially determined disorders. Postgraduate interventions should be tailored to the treatment of depression as a common chronic condition and be focused at the level of the organisation, not the individual practitioner.
Indexed as
Identifiers
16282001PMC1570781W1874113426What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.