Evidence map›Paper›PMID 36378766›Full record

ReviewCirculation. Cardiovascular quality and outcomes2022

Increasing Uptake of Depression Screening and Treatment Guidelines in Cardiac Patients: A Behavioral and Implementation Science Approach to Developing a Theory-Informed, Multilevel Implementation Strategy.

Katja Reuter, Kirali Genao, Emily M Callanan, Diane E Cannone, Elsa-Grace Giardina, Bruce L Rollman, Jessica Singer, Amy R Slutzky, Siqin Ye, Andrea T Duran and 1 more

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Circulation. Cardiovascular quality and outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  13. Review
  14. Depression Following Acute Coronary Syndrome: A Review.Reviews in cardiovascular medicine · 2023
    Review
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  16. Article
  17. 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

11 authors at 3 institutions in 1 country.

Katja ReuterDepartment of Medicine, SUNY Upstate Medical University, New York, NY (K.R.).ORCID 0000-0002-1559-9058
Kirali GenaoColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).
Emily M CallananColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).
Diane E CannoneColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).
Elsa-Grace GiardinaDivision of Cardiology, Columbia University Irving Medical Center, New York, NY (E.-G.G.).
Bruce L RollmanCenter for Behavioral Health, Media and Technology, University of Pittsburgh School of Medicine, PA (B.L.R.).
Jessica SingerColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).
Amy R SlutzkyHealth Sciences Library, SUNY Upstate Medical University, New York, NY (A.R.S.).ORCID 0000-0002-0695-1371
Siqin YeColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).
Andrea T DuranColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).ORCID 0000-0002-1214-1914
Nathalie MoiseColumbia University Irving Medical Center, New York, NY (K.G., E.M.C., D.E.C., J.S., S.Y., A.T.D., N.M.).ORCID 0000-0002-5660-5573
Columbia University Irving Medical Center · USSUNY Upstate Medical University · USDepartment of Behavioral Health · US

Funding

Depression Screening RCT in ACS patients: Quality of Life and Cost OutcomesR01HL114924 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KRONISH, IAN MATTHEW · 2013 to 2017
$4.2M
An Information tecHnology approach to implEmenting depression treAtment in caRdiac patienTs: [iHeart Trial]R01HL141609 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOISE, NATHALIE · 2018 to 2022
$4.0M
NHLBI NIH HHS R01 HL114924NHLBI NIH HHS R01 HL141609
6 · The paper itself

Abstract

backgroundDepression leads to poor health outcomes in patients with coronary heart disease (CHD). Despite guidelines recommending screening and treatment of depressed patients with CHD, few patients receive optimal care. We applied behavioral and implementation science methods to (1) identify generalizable, multilevel barriers to depression screening and treatment in patients with CHD and (2) develop a theory-informed, multilevel implementation strategy for promoting guideline adoption.

methodsWe conducted a narrative review of barriers to depression screening and treatment in patients with CHD (ie, medications, exercise, cardiac rehabilitation, or therapy) comprising data from 748 study participants. Informed by the behavior change wheel framework and Expert Recommendations for Implementing Change, we defined multilevel target behaviors, characterized determinants (capability, opportunity, motivation), and mapped barriers to feasible, acceptable, and equitable intervention functions and behavior change techniques to develop a multilevel implementation strategy, targeting health care systems/providers and patients.

resultsWe identified implementation barriers at the system/provider level (eg, Capability: knowledge; Opportunity: workflow integration; Motivation: ownership) and patient level (eg, Capability: knowledge; Opportunity: mobility; Motivation: symptom denial). Acceptable, feasible, and equitable intervention functions included education, persuasion, environmental restructuring, and enablement. Expert Recommendations for Implementing Change strategies included learning collaborative, audit, feedback, and educational materials. The final multicomponent strategy (iHeart DepCare) for promoting depression screening/treatment included problem-solving meetings with clinic staff (system); educational/motivational videos, electronic health record reminders/decisional support (provider); and a shared decision-making (electronic shared decision-making) tool with several functions for patients, for example, patient activation, patient treatment selection support.

conclusionsWe applied implementation and behavioral science methods to identify implementation barriers and to develop a multilevel implementation strategy for increasing uptake of depression screening and treatment in patients with CHD as a use case. The multilevel implementation strategy will be evaluated in a future hybrid II effectiveness-implementation trial.

Indexed as

Cardiac RehabilitationImplementation ScienceDepressionExerciseHumansMotivationcardiovascular diseasedepressionelectronic health recordheart diseaseimplementation science

Identifiers

PMID36378766
PMCPMC9909565
OpenAlexW4309083989

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.