Effect of depression awareness and management training on the attitudes of rural primary health care workers

Abstract

Objective To measure the effect of depression awareness and management training on the attitudes of rural primary health care workers. Design A repeated measures design in which participants acted as their own controls. Setting The training program occurred in 6 locations across rural South Australia. Participants The study enrolled primary care workers in general practitioner surgeries, Aboriginal Community Controlled Health Organisations, community health centres, public hospitals, regional health services and non‐government organisations. Intervention A six‐session training workshop that was informed by the National Institute for Health and Care Excellence guidelines for the treatment and care of people with depression. Main outcome measure The 22‐item Revised Depression Attitude Questionnaire comprised the main outcome measure. Participants were assessed 12 weeks before the training, again on the day of commencement of the training and after the training. Results Seventy‐two primary health workers completed the training program in depression awareness, building therapeutic relationships, working with ambivalence, and goal setting. Between the 2 pre‐training assessments mean scores showed no significant difference. There were statistically significant improvements on the overall attitudes and the subscales therapeutic optimism and professional confidence between pre‐training and post‐training. Conclusion Training rural primary health care workers in depression may improve their attitudes to working with people living with depression.

Rural health workers' perspectives and experience with an online educational program in behavioural activation: A thematic analysis

“…This suggests that it may be worthwhile to expand and replicate the BA training programme in other areas to reach more health workers and broaden its impact. The finding is similar to others from a previous study in rural Australia which used traditional training approaches to educate non‐specialist mental workers to recognise and treat depression (Muyambi et al, 2021 ). Muyambi et al ( 2021 ) used a repeated measures design to assess the effectiveness of a training workshop on depression recognition and management.…”

“…The finding is similar to others from a previous study in rural Australia which used traditional training approaches to educate non‐specialist mental workers to recognise and treat depression (Muyambi et al, 2021 ). Muyambi et al ( 2021 ) used a repeated measures design to assess the effectiveness of a training workshop on depression recognition and management. Seventy‐two primary health workers in rural South Australia completed the training.…”

“…Seventy‐two primary health workers in rural South Australia completed the training. The same authors reported improvements in workers' confidence and optimism in working with people with depression (Muyambi et al, 2021 ). We are speculating that this online education programme in BA for non‐specialist mental health workers may increase access to psychological treatments for depression in people in under‐served rural and regional communities.…”

Validity and Reliability of the Depression Attitude Questionnaire: Korean Version

“…우울장애 대상자가 입원할 경우 자살이나 자해 혹은 타인을 향한 폭력 등으로 간호사는 병동환경을 안전하게 관리하는데 큰 부담을 느낀다 [6]. 또한 우울증상이 신체질환과 유사하여 의료진은 정확한 진단을 내리고 적절한 간호를 제공 하는데 어려움을 겪는다 [7,8]. 이러한 상황들은 간호사의 우울 증태도에 부정적인 영향을 주어 우울증 진단과 치료를 방해하 는 것으로 나타났다 [8].…”

“…또한 우울증상이 신체질환과 유사하여 의료진은 정확한 진단을 내리고 적절한 간호를 제공 하는데 어려움을 겪는다 [7,8]. 이러한 상황들은 간호사의 우울 증태도에 부정적인 영향을 주어 우울증 진단과 치료를 방해하 는 것으로 나타났다 [8]. 해야 한다 [11].…”