Evidence map›Paper›PMID 33665738›Full record

ArticleCommunity mental health journal2021

Perspectives on the Implementation of Screening and Treatment for Depression and Alcohol Use Disorder in Primary Care in Colombia.

C L Shannon, S M Bartels, M Cepeda, S Castro, L Cubillos, F Suárez-Obando, M J Williams, C Gómez Restrepo, M Uribe, L Marsch and 1 more

Abstract read
In one paragraph

Article in Community mental health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 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

10 citing papers in PubMed, 3 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

11 authors.

C L ShannonCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, 46 Centerra Parkway, Lebanon, NH, 03766, USA. chelsea.l.shannon.med@dartmouth.edu.ORCID 0000-0002-3179-497X
S M BartelsCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, 46 Centerra Parkway, Lebanon, NH, 03766, USA.
M CepedaPontificia Universidad Javeriana, Bogotá, Colombia.
S CastroPontificia Universidad Javeriana, Bogotá, Colombia.
L CubillosCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, 46 Centerra Parkway, Lebanon, NH, 03766, USA.
F Suárez-ObandoPontificia Universidad Javeriana, Bogotá, Colombia.
M J WilliamsGlobal Mental Health Research Program, Office for Research on Disparities and Global Mental Health, National Institute of Mental Health, Bethesda, MD, USA.
C Gómez RestrepoPontificia Universidad Javeriana, Bogotá, Colombia.
M UribePontificia Universidad Javeriana, Bogotá, Colombia.
L MarschCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, 46 Centerra Parkway, Lebanon, NH, 03766, USA.
W C TorreyCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, 46 Centerra Parkway, Lebanon, NH, 03766, USA.

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Scaling up Science-based Mental Health Interventions in Latin AmericaU19MH109988 · NIMH · DARTMOUTH COLLEGE · PI GOMEZ, CARLOS · 2016 to 2020
$3.5M
NICHD NIH HHS P2C HD050924NICHD NIH HHS T32 HD007168NIDA NIH HHS P30 DA029926NIMH NIH HHS 1U19MH109988NIMH NIH HHS U19 MH109988
6 · The paper itself

Abstract

Depression and alcohol use disorder (AUD) greatly contribute to the burden of disease worldwide, and have large impact on Colombia's population. In this study, a qualitative analysis evaluates the implementation of a technology-supported model for screening, decision support, and digital therapy for depression and AUD in Colombian primary care clinics. Patient, provider, and administrator interviews were conducted, exploring attitudes towards depression and AUD, attitudes towards technology, and implementation successes and challenges. Researchers used qualitative methods to analyze interview themes. Despite stigma around depression and AUD, the model improved provider capacity to diagnose and manage patients, helped patients feel supported, and provided useful prevalence data for administrators. Challenges included limited provider time and questions about sustainability. The implementation facilitated the identification, diagnosis, and care of patients with depression and AUD. There is ongoing need to decrease stigma, create stronger networks of mental health professionals, and transition intervention ownership to the healthcare center.

Indexed as

AlcoholismColombiaDelivery of Health CareDepressionHumansPrimary Health CareAlcohol use disorderColombiaDepressionPrimary careQualitative analysis

Identifiers

PMID33665738
PMCPMC8658743

What OpenQuestion holds

Textmetadata
LicenceTDM
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.