Evidence map›Paper›PMID 22537909›Full record

ArticlePreventing chronic disease2012

Implementation of an evidence-based depression care management program (PEARLS): perspectives from staff and former clients.

Lesley Steinman, Margaret Cristofalo, Mark Snowden

Abstract read
In one paragraph

Article in Preventing chronic disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Depression in Homebound Older Adults: Recent Advances in Screening and Psychosocial Interventions.Current translational geriatrics and experimental gerontology reports · 2013
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lesley SteinmanUniversity of Washington Health Promotion Research Center, 1107 NE 45th St, Suite 200, Box 354804, Seattle, WA 98105, USA. lesles@uw.edu
Margaret Cristofalo
Mark Snowden

Funding

PEARLS DisseminationR18DP001150 · DP · UNIVERSITY OF WASHINGTON · PI SNOWDEN, MARK · 2007 to 2009
$1.2M
NCCDPHP CDC HHS R18 DP001150NCCDPHP CDC HHS R18/ DP001150
6 · The paper itself

Abstract

introductionAlthough researchers develop evidence-based programs for public health practice, rates of adoption and implementation are often low. This qualitative study aimed to better understand implementation of the Program to Encourage Active, Rewarding Lives for Seniors (PEARLS), a depression care management program at a Seattle-King County area agency on aging.

methodsWe used stratified, purposive sampling in 2008 to identify 38 PEARLS clients and agency staff for participation. In 9 focus groups and 1 one-on-one interview, we asked participants to identify benefits and negative consequences of PEARLS, facilitators of and barriers to program implementation, and strategies for overcoming the barriers. Two independent researchers used thematic analysis to categorize data into key themes and subthemes.

resultsPEARLS benefits clients by decreasing depression symptoms and addressing other concerns, such as health problems. For staff, PEARLS provides "another set of eyes" and is a comprehensive program to help them meet clients' mental health needs. Barriers included issues with implementation process (eg, lack of communication) and the perception that eligibility criteria were more rigid than those of other agency programs. Recommended solutions included changing eligibility criteria, providing additional staff training, increasing communication, and clarifying referral procedures, roles, and responsibilities.

conclusionBarriers to PEARLS delivery discourage referrals to what is generally viewed as a beneficial program. Implementing participants' strategies for overcoming these barriers can enhance delivery of PEARLS to a greater number of older adults and help them improve their depression symptoms.

Indexed as

Community Health ServicesEvidence-Based MedicineProgram EvaluationPublic Health AdministrationCase ManagementDepressionHealth Services AccessibilityHumansInterviews as TopicWashington

Identifiers

PMID22537909
PMCPMC3406738

What OpenQuestion holds

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Registered trials

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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.