ArticleFamilies, systems & health : the journal of collaborative family healthcare2018
Implementation of evidence-based practices for complex mood disorders in primary care safety net clinics.
Article in Families, systems & health : the journal of collaborative family healthcare, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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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
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Knowledge and attitudes of Implementation Support Practitioners-Findings from a systematic integrative review.PloS one · 2022Pooled it
- Implementation Strategies to Enhance the Implementation of eHealth Programs for Patients With Chronic Illnesses: Realist Systematic Review.Journal of medical Internet research · 2019Pooled it
- Effectiveness of Collaborative Care and Colocated Specialty Care for Bipolar Disorder in Primary Care: A Secondary Analysis of a Randomized Clinical Trial.Journal of the Academy of Consultation-Liaison PsychiatryTrial
- Economic cost of strategic implementation approaches to increase uptake of digital therapeutics for substance use disorders in a large integrated health system.PLOS digital health · 2026Article
- Stakeholder and Equity Data-Driven Implementation: a Mixed Methods Pilot Feasibility Study.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Mis-implementation of evidence-based behavioural health practices in primary care: lessons from randomised trials in Federally Qualified Health Centers.Evidence & policy : a journal of research, debate and practice · 2024Article
- Facilitators and barriers to providing affirming care for transgender patients in primary care practices in Arkansas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Evidence-Based Quality Improvement (EBQI) in the pre-implementation phase: key steps and activities.Frontiers in health services · 2023Article
- Evidence-Based Quality Improvement: a Scoping Review of the Literature.Journal of general internal medicine · 2022Article
- Care team and practice-level implementation strategies to optimize pediatric collaborative care: study protocol for a cluster-randomized hybrid type III trial.Implementation science : IS · 2022Article
- Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- An evaluation of the spread and scale of PatientToc™ from primary care to community pharmacy practice for the collection of patient-reported outcomes: A study protocol.Research in social & administrative pharmacy : RSAP · 2021Article
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
introductionUse quality improvement methods to implement evidence-based practices for bipolar depression and treatment-resistant depression in 6 Federally Qualified Health Centers.
methodFollowing qualitative needs assessments, implementation teams comprised of front-line providers, patients, and content experts identified, adapted, and adopted evidence-based practices. With external facilitation, onsite clinical champions led the deployment of the evidence-based practices. Evaluation data were collected from 104 patients with probable bipolar disorder or treatment-resistant depression via chart review and an interactive voice response telephone system.
resultsFive practices were implemented: (a) screening for bipolar disorder, (b) telepsychiatric consultation, (c) prescribing guidelines, (d) online cognitive-behavioral therapy, and (e) online peer support. Implementation outcomes were as follows: (a) 15% of eligible patients were screened for bipolar disorder (interclinic range = 3%-70%), (b) few engaged in online psychotherapy or peer support, (c) 38% received telepsychiatric consultation (interclinic range = 0%-83%), and (d) 64% of patients with a consult were prescribed the recommended medication. Clinical outcomes were as follows: Of those screening at high risk or very high risk, 67% and 69%, respectively, were diagnosed with bipolar disorder. A third (32%) of patients were prescribed a new mood stabilizer, and 28% were prescribed a new antidepressant. Clinical response (50% reduction in depression symptoms), was observed in 21% of patients at 3-month follow-up. DISCUSSION: Quality improvement processes resulted in the implementation and evaluation of 5 detection and treatment processes. Though varying by site, screening improved detection and a substantial number of patients received consultations and medication adjustments; however, symptom improvement was modest. (PsycINFO Database Record
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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.