Evidence map›Paper›PMID 26371473›Full record

ArticlePloS one2015

Advantages and Challenges of A Village Doctor-Based Cognitive Behavioral Therapy for Late-Life Depression in Rural China: A Qualitative Study.

Xinfeng Tang, Fahui Yang, Tan Tang, Xuemei Yang, Weijun Zhang, Xiaohua Wang, Li Ji, Yun Xiao, Kun Ma, Ying Wang and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

16 authors.

Xinfeng TangCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
Fahui YangFaculty of Humanities and Social Science, City University of Macau, Macau, China.
Tan TangDepartment of Social Work, The Chinese University of Hong Kong, Hong Kong, China.
Xuemei YangMental Health Education Center of College Student, Sichuan Normal University, Chengdu, China.
Weijun ZhangCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China; China Institute of Health, Beijing Normal University, Beijing, China.
Xiaohua WangCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
Li JiMianzhu Ankang Hospital, Deyang, China.
Yun XiaoMianzhu Maternal and Child Health Hospital, Mianzhu County, Sichuan Province, China.
Kun MaCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
Ying WangCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
Xianglei KongCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
Jianping WangSchool of Psychology, Beijing Normal University, Beijing, China; Department of Clinical Psychology, Capital Medical University, Beijing, China.
Jun LiuDepartment of Psychiatry and Clinical Psychology, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Qian XuCenter for Mental Health, Southwestern University Of Finance And Economics, Chengdu, China.
Donghua TianCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China; China Institute of Health, Beijing Normal University, Beijing, China.
Zhiyong QuCenter for Behavioral Health, Beijing Normal University, Beijing, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China; China Institute of Health, Beijing Normal University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe delivery of mental health services in rural China has been notably limited due to lack of qualified mental health professionals among other impeding factors. A village doctor-based cognitive behavioral therapy intervention may be one way of improving accessibility. The purpose of this study was to explore the advantages and challenges of implementing this intervention, as delivered by trained village doctors, to treat late-life depression in rural China.

methodsWe conducted one focus group discussion with 10 village doctors, 10 individual interviews with each of the village doctors, and individual interviews with 19 older adults. The topic guides were advantages and challenges of the intervention program from the perspective of the village doctors and older adults. Interviews were audio-recorded, transcribed, coded using NVivo 8, and analyzed using thematic analysis.

resultsThe village doctors stressed the importance of role-playing and using instructive manuals in the training. Proper supervision was also a key component of the program. The benefits received from the intervention for the village doctors and the elders were positive such that both the doctors and the older adults were willing to implement/receive this intervention. Cultural and political factors (renqing and perceived policy consideration) facilitated the elders' access to mental health services. Challenges included a lack of real therapy (in contrast to role-playing) demonstrated in the training and lack of a step-by-step manual based on different types of problems encountered. Other impediments to the successful implementation of the intervention included the time constraints of village doctors and the presence of other people when conducting the intervention.

conclusionsThe present study has demonstrated that the intervention program is likely to be an acceptable geriatric depression intervention in rural China if several challenges are appropriately addressed.

Indexed as

Community Health WorkersAgedAged, 80 and overChinaCognitive Behavioral TherapyDepressionDocumentationFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansLearningMaleMiddle AgedPoliticsPractice Guidelines as Topic

Identifiers

PMID26371473
PMCPMC4570773

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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.