Evidence map›Paper›PMID 29237444›Full record

ArticleBMC health services research2017

Development and assessment of an active strategy for the implementation of a collaborative care approach for depression in primary care (the INDI·i project).

Enric Aragonès, Diego Palao, Germán López-Cortacans, Antonia Caballero, Narcís Cardoner, Pilar Casaus, Myriam Cavero, José Antonio Monreal, Víctor Pérez-Sola, Miquel Cirera and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03285659 (Study Protocol), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03285659 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Study Protocol: Development and Assessment of an Active Strategy for the Implementation of a Collaborative Care Approach for Depression in Primary Care. The INDI·i Project

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2018 to 2019Enrolled44ConditionsDepressionArmsIntervention: INDI Implementation
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

14 authors.

Enric AragonèsPrimary Care Area Camp de Tarragona, Catalan Health Institute, Tarragona, Spain. earagones.tgn.ics@gencat.cat.ORCID http://orcid.org/0000-0002-5245-4667
Diego PalaoMental Health Service, University Hospital Parc Taulí, Sabadell, Spain.
Germán López-CortacansPrimary Care Area Camp de Tarragona, Catalan Health Institute, Tarragona, Spain.
Antonia CaballeroPrimary Care Area Camp de Tarragona, Catalan Health Institute, Tarragona, Spain.
Narcís CardonerMental Health Service, University Hospital Parc Taulí, Sabadell, Spain.
Pilar CasausUniversity Psychiatric Hospital Pere Mata Institute, Reus, Spain.
Myriam CaveroMental Health Centre Esquerra Eixample, Hospital Clínic, Barcelona, Spain.
José Antonio MonrealMental Health Service, University Hospital Parc Taulí, Sabadell, Spain.
Víctor Pérez-SolaInstitute of Neuropsychiatry and Addictions, Hospital del Mar, IMIM, Barcelona, Spain.
Miquel CireraHealthcare Corporation Parc Taulí, Primary Care Area, Sabadell, Spain.
Maite LorenHealthcare Corporation Parc Taulí, Primary Care Area, Sabadell, Spain.
Eva BellerinoPrimary Care Service Vallès Occidental, Catalan Health Institute, Sabadell, Spain.
Catarina Tomé-PiresPrimary Care Research Institute IDIAP Jordi Gol, Barcelona, Spain.
Laura PalaciosPrimary Care Area Camp de Tarragona, Catalan Health Institute, Tarragona, Spain.

Funding

Generalitat de Catalunya SLT002/16/00106
6 · The paper itself

Abstract

backgroundPrimary care is the principal clinical setting for the management of depression. However, significant shortcomings have been detected in its diagnosis and clinical management, as well as in patient outcomes. We developed the INDI collaborative care model to improve the management of depression in primary care. This intervention has been favorably evaluated in terms of clinical efficacy and cost-effectiveness in a clinical trial. Our aim is to bring this intervention from the scientific context into clinical practice.

methodsObjective: To test for the feasibility and impact of a strategy for implementing the INDI model for depression in primary care.

designA quasi-experiment conducted in primary care. Several areas will be established to implement the new program and other, comparable areas will serve as control group. The study constitutes the preliminary phase preceding generalization of the model in the Catalan public healthcare system.

participantsThe target population of the intervention are patients with major depression. The implementation strategy will also involve healthcare professionals, primary care centers, as well as management departments and the healthcare organization itself in the geographical areas where the study will be conducted: Camp de Tarragona and Vallès Occidental (Catalonia).

interventionThe INDI model is a program for improving the management of depression involving clinical, instructional, and organizational interventions including the participation of nurses as care managers, the efficacy and efficiency of which has been proven in a clinical trial. We will design an active implementation strategy for this model based on the PARIHS (Promoting Action on Research Implementation in Health Services) framework. MEASURES: Qualitative and quantitative measures will be used to evaluate variables related to the successful implementation of the model: acceptability, utility, penetration, sustainability, and clinical impact. DISCUSSION: This project tests the transferability of a healthcare intervention supported by scientific research to clinical practice. If implementation is successful in this experimental phase, we will use the information and experience obtained to propose and plan the generalization of the INDI model for depression in the Catalan healthcare system. We expect the program to benefit patients, the healthcare system, and society.

trial registrationClinicalTrials.gov identifier: NCT03285659 ; Registered 12th September, 2017.

Indexed as

Cooperative BehaviorPrimary Health CareCost-Benefit AnalysisDepressionFeasibility StudiesHumansPatient-Centered CareProgram EvaluationSocial BehaviorTreatment OutcomeDepressive disorderDisease managementHealth plan implementationPatient-centered carePrimary health care

Identifiers

PMID29237444
PMCPMC5729287

What OpenQuestion holds

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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.