Evidence map›Paper›PMID 28962555›Full record

ArticleBMC family practice2017

Family-centered depression treatment for older men in primary care: a qualitative study of stakeholder perspectives.

Ladson Hinton, Andrés F Sciolla, Jürgen Unützer, Edward Elizarraras, Richard L Kravitz, Ester Carolina Apesoa-Varano

Abstract read
In one paragraph

Article in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Pooled it
  2. Article
  3. Article
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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

6 authors.

Ladson HintonDepartment of Psychiatry and Behavioral Sciences, University of California Davis, 2230 Stockton Blvd., Sacramento, CA, 95618, USA. lwhinton@ucdavis.edu.
Andrés F SciollaDepartment of Psychiatry, University of California Davis, 2230 Stockton Blvd., Sacramento, CA, 95618, USA.
Jürgen UnützerDepartment of Psychiatry and Behavioral Sciences, 1959 NE Pacific Street, Seattle, WA, 98195, USA.
Edward ElizarrarasDepartment of Biology, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA, 94132, USA.
Richard L KravitzDivision of General Internal Medicine, University of California Davis, 4150 V Street, Sacramento, CA, 95817, USA.
Ester Carolina Apesoa-VaranoBetty Irene School of Nursing, University of California Davis, 4610 X Street, Sacramento, CA, 95817, USA.

Funding

UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI DECARLI, CHARLES · 1991 to 2020
$28.3M
A Family-based Primary Care Intervention to Enhance Older Men's Depression CareR34MH099296 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HINTON, WALTER LADSON · 2013 to 2015
$725k
NIA NIH HHS P30 AG010129NIMH NIH HHS R34 MH099296
6 · The paper itself

Abstract

backgroundFamily members often play important roles in the lives of depressed older men and frequently attend primary care visits with their loved ones, yet surprisingly little is known about how to most effectively engage and include family members in depression treatment. However, including family in depression treatment may be difficult due to several factors, such as depression stigma and family conflicts. The objective of this study was to describe challenges in engaging family members in older men's depression treatment and potential strategies to overcome those challenges.

methodsA cross-sectional, qualitative descriptive interview study was conducted in a safety-net, Federally Qualified Health Center in California's Central Valley. A total of 37 stakeholders were recruited, including 15 depressed older (i.e. age ≥ 60) men, 12 family members, and 10 clinic staff. Depressed men were identified through mail outreach, waiting room screening, and referral. Depressed men identified family members who were later approached to participate. We also recruited a purposeful sample of clinic staff. Interviews explored stakeholder perspectives on family involvement in men's depression treatment as part of a primary care intervention. Interviews were conducted using a semi-structured interview guide, tape-recorded, transcribed verbatim, and translated if the interview was conducted in Spanish.

resultsFour themes were identified representing core challenges: engaging men at the right time; preserving men's sense of autonomy; managing privacy concerns; and navigating family tensions. Stakeholders also provided practical suggestions and advice about how each of these challenges might be addressed.

conclusionsWhile engaging family is a promising approach to strengthen depression care for older men in primary care settings, several potential challenges exist. Family- centered depression intervention development and clinical practice need to anticipate these challenges and to develop approaches and guidelines to address them.

Indexed as

FamilyCaliforniaCross-Sectional StudiesDepressionDepressive DisorderFamily ConflictHumansMaleMass ScreeningMenMiddle AgedPrimary Health CareQualitative ResearchReferral and ConsultationSocial StigmaDepressionFamilyOlder menQualitative

Identifiers

PMID28962555
PMCPMC5622558

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.