Evidence map›Paper›PMID 34470624›Full record

ArticleBMC psychiatry2021

Barriers and facilitators to implementing measurement-based care for depression in Shanghai, China: a situational analysis.

Jill K Murphy, Erin E Michalak, Jing Liu, Heather Colquhoun, Hannah Burton, Xiaorui Yang, Tao Yang, Xing Wang, Yue Fei, Yanling He and 12 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

22 authors at 6 institutions in 2 countries.

Jill K MurphyDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. jill.murphy@ubc.ca.
Erin E MichalakDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Jing LiuDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Heather ColquhounDepartment of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.
Hannah BurtonDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Xiaorui YangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tao YangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xing WangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yue FeiHongkou District Mental Health Center, Shanghai, China.
Yanling HeShanghai CDC for Mental Health, Division of Training and Health Education, Shanghai, China.
Zuowei WangHongkou District Mental Health Center, Shanghai, China.
Yifeng XuShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ping ZhangFengxian District Mental Health Center, Shanghai, China.
Yousong SuShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jia HuangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Leping HuangHongkou District Mental Health Center, Shanghai, China.
Lu YangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiao LinShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yiru FangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tianli LiuPeking University, Institute of Population Research, Beijing, China.
Raymond W LamDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Jun ChenShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Mental Health Center · CNUniversity of British Columbia · CAShanghai Jiao Tong University · CNPeking University · CNUniversity of Toronto · CAXian Mental Health Center · CN

Funding

CIHR
6 · The paper itself

Abstract

backgroundMeasurement-based care (MBC) is an evidence-based practice for depression, but its use by clinicians remains low. Enhanced MBC (eMBC), which uses digital technologies, can help to facilitate the use of MBC by clinicians and patients. Understanding factors that act as barriers and drivers to the implementation of MBC and eMBC is important to support the design of implementation strategies, promoting uptake by clinicians and patients.

objectiveThis situational analysis identifies barriers and facilitators to the implementation of standard and eMBC at mental health centers in Shanghai, China.

methodsWe used mixed methods to develop a comprehensive understanding of the factors influencing MBC and eMBC implementation in Shanghai. This study took place across three mental health centers in Shanghai. We used situational analysis tools to collect contextual information about the three centers, conducted surveys with n = 116 clinicians and n = 301 patients, conducted semi-structured interviews with n = 30 clinicians and six focus groups with a total of n = 19 patients. Surveys were analysed using descriptive statistics, and semi-structured interviews and focus groups were analysed using framework analysis.

resultsSeveral potential barriers and facilitators to MBC and eMBC implementation were identified. Infrastructure, cost, attitudes and beliefs, and perceptions about feasibility and efficacy emerged as both challenges and drivers to MBC and eMBC implementation in Shanghai.

conclusionsThe results of this study will directly inform the design of an implementation strategy for MBC and eMBC in Shanghai, that will be tested via a randomized controlled trial. This study contributes to the emerging body of literature on MBC implementation and, to the best of our knowledge, is the first such study to take place in Asia. This study identifies several factors that are relevant to the equitable delivery of MBC, recognizing the need to explicitly address equity concerns in global mental health implementation research.

Indexed as

DepressionMental HealthChinaFocus GroupsHumansSurveys and QuestionnairesDepressionDigital healthGlobal mental healthImplementationMeasurement-based careSituational analysis

Identifiers

PMID34470624
PMCPMC8411506
OpenAlexW3154003926

What OpenQuestion holds

Textmetadata
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.