ArticleBMC family practice2014
Facilitating professional liaison in collaborative care for depression in UK primary care; a qualitative study utilising normalisation process theory.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 6 of them syntheses that pooled it.
What it found
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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.
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Who cites it
38 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Supporting translation of research evidence into practice-the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review.Implementation science : IS · 2023Pooled it
- Application of normalisation process theory in understanding implementation processes in primary care settings in the UK: a systematic review.BMC family practice · 2020Pooled it
- Process evaluations of primary care interventions addressing chronic disease: a systematic review.BMJ open · 2019Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Enablers and barriers to implementing collaborative care for anxiety and depression: a systematic qualitative review.Implementation science : IS · 2016Pooled it
- Living with complexity; marshalling resources: a systematic review and qualitative meta-synthesis of lived experience of mental and physical multimorbidity.BMC family practice · 2015Pooled it
- Trial
- Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT.Health technology assessment (Winchester, England) · 2020Trial
- Process evaluation of a cluster randomised intervention in Swedish primary care: using care managers in collaborative care to improve care quality for patients with depression.BMC family practice · 2019Trial
- Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation.BMC psychiatry · 2019Trial
- Trial
- Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.Community mental health journal · 2025Review
- Factors that influence inter-organisational integration: a qualitative exploration of service providers' perspectives from an integrated care initiative.BMC health services research · 2025Article
- Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic.AIDS care · 2025Article
- Article
- Mental health integrated care models in primary care and factors that contribute to their effective implementation: a scoping review.International journal of mental health systems · 2024Article
- Article
- Applying Structural Equation Modelling to Understand the Implementation of Social Distancing in the Professional Lives of Healthcare Workers.International journal of environmental research and public health · 2023Article
- GPs' experiences of a collaborative care model for patients with common mental disorders who need sick leave certification: a qualitative study.BJGP open · 2022Article
- Using Normalisation Process Theory (NPT) to develop an intervention to improve referral and uptake rates for self-management education for patients with type 2 diabetes in UK primary care.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundCollaborative care (CC) is an organisational framework which facilitates the delivery of a mental health intervention to patients by case managers in collaboration with more senior health professionals (supervisors and GPs), and is effective for the management of depression in primary care. However, there remains limited evidence on how to successfully implement this collaborative approach in UK primary care. This study aimed to explore to what extent CC impacts on professional working relationships, and if CC for depression could be implemented as routine in the primary care setting.
methodsThis qualitative study explored perspectives of the 6 case managers (CMs), 5 supervisors (trial research team members) and 15 general practitioners (GPs) from practices participating in a randomised controlled trial of CC for depression. Interviews were transcribed verbatim and data was analysed using a two-step approach using an initial thematic analysis, and a secondary analysis using the Normalisation Process Theory concepts of coherence, cognitive participation, collective action and reflexive monitoring with respect to the implementation of CC in primary care.
resultsSupervisors and CMs demonstrated coherence in their understanding of CC, and consequently reported good levels of cognitive participation and collective action regarding delivering and supervising the intervention. GPs interviewed showed limited understanding of the CC framework, and reported limited collaboration with CMs: barriers to collaboration were identified. All participants identified the potential or experienced benefits of a collaborative approach to depression management and were able to discuss ways in which collaboration can be facilitated.
conclusionPrimary care professionals in this study valued the potential for collaboration, but GPs' understanding of CC and organisational barriers hindered opportunities for communication. Further work is needed to address these organisational barriers in order to facilitate collaboration around individual patients with depression, including shared IT systems, facilitating opportunities for informal discussion and building in formal collaboration into the CC framework.
trial registrationISRCTN32829227 30/9/2008.
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Registered trials
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