Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study)

Zimmermann, Thomas; Puschmann, Egina; Bussche, Hendrik van den; Wiese, Birgitt; Ernst, Andrej; Porzelt, Sarah; Daubmann, Anne; Scherer, Martin

doi:10.1016/j.ijnurstu.2016.08.007

Cited by 48 publications

(49 citation statements)

References 31 publications

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“…These findings align with the recovery approach in mental health, which involves people making sense of their experiences in a way that allows them to maintain a sense of personal efficacy or control (Chambers et al, 2015;Turner et al, 2015). In addition, each of these studies highlighted the need for health professionals to encourage individuals to take active roles in self-managing their mental and physical health (Chambers et al, 2015;Turner et al, 2015;Van Grieken et al, 2013;Zimmermann et al, 2016). Thus, the process of managing depression typically commences with seeking a diagnosis (Atkins, Naismith, Luscombe, & Hickie, 2015).…”

Section: Introductionmentioning

confidence: 55%

Factors influencing self-management of depression in older adults: a qualitative study

Polacsek

Boardman

McCann

2019

Aging & Mental Health

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Objectives: A considerable body of work addresses prevalence and treatment options for depression in older adults. However, less is known about their capacity to selfmanage their depression. Effective self-management of depression has the potential to improve individuals' quality of life through information, empowerment and perceived control, while enabling more efficient health service utilisation. The aim of this paper was to identify the barriers and facilitators to self-management of depression in older adults. Method: A qualitative study comprising in-depth, semi-structured interviews with 32 older adults with a diagnosis of moderate depression. Results: Three over-arching themes captured the barriers and facilitators to participants' capacity to self-manage their depression. Perspectives on age and depression represented how views of older age and mental health influenced the approach to self-management. Ability to access the health care system concerned the ability to identify and engage with different services and support. Individual capacity for self-management reflected participants' views on and the resources required for effective self-management. Conclusion: This study offers a better understanding of the factors that positively or negatively influence older adults' ability to self-manage their depression. Strategies to improve self-management should address misconceptions about age and depression, and older adults' interest in and capacity to embrace self-management practices.

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Section: Introductionmentioning

confidence: 55%

Factors influencing self-management of depression in older adults: a qualitative study

Polacsek

Boardman

McCann

2019

Aging & Mental Health

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“…In contrast, it might be important to strengthen and to expand formal and informal networks as well as systematically and o cially include allied health professionals into structured care pathways. For instance, a model programme in Baden Württemberg, Germany, successfully implemented interprofessional quality circles that subsequently increased collaboration and networking (29), or collaborative nurse-led self-management support for primary care patients (30).…”

Section: Discussionmentioning

confidence: 99%

“We’re in Good Hands There.” - Acceptance, Barriers and Facilitators of a Primary Care-based Health Coaching Programme for Children With Mental Health Problems: A Qualitative Study (Prima-quo)

Decke

Deckert

Lang

et al. 2020

Preprint

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Background:About 17 % of children aged 3-17 years are affected by a mental health problem (MHP). Office-based paediatricians are the first in line to be contacted. Nevertheless, even for less severely affected patients, referral rates to specialised care are constantly high. A major statutory health insurance fund introduced a Health Coaching (HC) programme, including a training concept for paediatricians, standardized guidelines for actions, and additional payments to strengthen primary care consultation for MHP and to decrease referrals to specialized care. The aim of this study was to examine how the HC is perceived and implemented in daily practice to indicate potential strengths and challenges.Methods:In 2017 and 2018, a series of guideline-based interviews were conducted by phone with HC-developers, HC-qualified paediatricians, parents and patients (≥14 years) treated according to the HC programme. Paediatricians were selected from a Bavarian practice network. Parents of patients with the four most common MHP diagnoses were approached by their health insurance. All interviews were recorded and transcribed verbatim. Structuring content analysis derived from Mayring was used for analysis. Sample size was determined by saturation.Results:11 paediatricians, 3 developers, 22 parents and four adolescents were included. Families were generally satisfied with paediatric care received in the programme’s context. The HC supported paediatricians’ essential role as consultants and improved their diagnostic skills. Time and financial restrictions as well as patients’ challenging family structures were reported as major barriers to success.Conclusion: The HC programme is perceived as a facilitator for more patient-centeredcare, however, structural barriers remain.

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“…Nurses play an integral role in patient care, and research has shown that nurse‐led care significantly and positively impacts the self‐efficacy of depressed patients (Zimmermann et al, ). Given the importance of mental health and psychiatric nurses in mental health care, additional tools and conceptual models can help support their important role in care and facilitate positive patient outcomes.…”

Section: Implications For Psychiatric and Mental Health Nursesmentioning

confidence: 99%

“It's Not Serious”: A threat‐based model to help‐seeking for depression

Peterson

Chen

Karver

2019

Psychiatric Ment Health Nurs

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Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study)

Cited by 48 publications

References 31 publications

Factors influencing self-management of depression in older adults: a qualitative study

Factors influencing self-management of depression in older adults: a qualitative study

“We’re in Good Hands There.” - Acceptance, Barriers and Facilitators of a Primary Care-based Health Coaching Programme for Children With Mental Health Problems: A Qualitative Study (Prima-quo)

“It's Not Serious”: A threat‐based model to help‐seeking for depression

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