Healthcare team training programs aimed at improving depression management in primary care: A systematic review

Vöhringer, Paul A.; Castro, Ariel; Tala, Álvaro; Medina, Simón; Rojas, Graciela

doi:10.1016/j.jad.2016.04.029

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…We screened the remaining 5,447 records, and 63 satisfied our inclusion criteria (see Figure 1). 8913.20,23-81 For details of all included studies, see Appendix 1. Included knowledge syntheses represent providers from an array of health care professions undertaking CPD and applying the training in a variety of patient care settings.…”

Section: Resultsmentioning

confidence: 99%

Effect of Continuing Professional Development on Health Professionals’ Performance and Patient Outcomes: A Scoping Review of Knowledge Syntheses

et al. 2021

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PurposeContinuing professional development (CPD) programs, which aim to enhance health professionals' practice and improve patient outcomes, are offered to practitioners across the spectrum of health professions through both formal and informal learning activities. Various knowledge syntheses (or reviews) have attempted to summarize the CPD literature; however, these have primarily focused on continuing medical education or formal learning activities. Through this scoping review, the authors seek to answer the question, What is the current landscape of knowledge syntheses focused on the impact of CPD on health professionals' performance, defined as behavior change and/or patient outcomes?

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Section: Resultsmentioning

confidence: 99%

Effect of Continuing Professional Development on Health Professionals’ Performance and Patient Outcomes: A Scoping Review of Knowledge Syntheses

et al. 2021

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“…These longer-term assessments could be conducted over a remote platform (such as an online survey completed at the participants' convenience) or via the telephone to reduce burden on participants. Another area for future work includes taking into account what other researchers conducting work in this region have strongly suggested: The need to integrate such trainings as what was done here into a larger healthcare system in order to promote sustainability and maximal positive effect [35]. To this end, this study closely partnered with the Ministry of Health and Wellness on the island, in order to provide this training to health educators embedded in larger healthcare systems on the island, although the dissemination of this training across these systems was not explicitly discussed, which would be fruitful to do moving forward with this and other similar collaborations.…”

Section: Discussionmentioning

confidence: 99%

Trauma Education and Stigma Reduction in Global Settings: An Evaluation of the Impact of a One-Day Trauma Psychoeducation Workshop with Community Stakeholders in the Caribbean Nation of Saint Lucia

Asnaani

White²,

Majeed

et al. 2020

IJERPH

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The independent island nation of Saint Lucia and surrounding Caribbean countries have fairly well-documented high reported rates of trauma, but limited training infrastructure for trauma-related mental health support and treatment services. This study addresses this disparity between high trauma exposure and sparse trauma-related resources by studying how a one-day training workshop impacted self-rated knowledge about trauma and stigma towards trauma survivors. The training was provided by a licensed clinical psychologist in partnership with a local women’s rights group. Participants (n = 41) included school counselors, nurses, psychiatric providers, health educators, and advocates on the island. Participants completed pre- and post-workshop measures examining the variables of interest. The one-day workshop provided training on trauma types, post-trauma reactions, options for treatment, and hands-on training for trauma crisis-management and short-term interventions. Following the workshop, participants reported increased knowledge of trauma, more accurate perceptions of its prevalence, better understanding of evidence-based treatments, and lower trauma survivor-related stigma. This is the first trauma-focused workshop tested in St. Lucia, where the need for such training is considerable given few treatment options for trauma survivors in this area. Work is underway to provide more expansive services for trauma across the Caribbean region, given these preliminary promising findings.

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“…This multi-faceted approach to expand primary care systems by combining community education, staff training, decision-making support tools and team-based interventions has been shown to be successful in other Latin American contexts (Vöhringer et al, 2016). Approaches to mental health treatment which use non-specialists, such as community health workers, to deliver interventions have been increasing utilized and preferred in other limited-resource contexts (Jordans et al, 2019; Kakuma et al, 2011; Myers et al, 2018; Shidhaye et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

‘Depression is not a familiar word’: A mixed-methods approach to describe the experience of primary care nurses treating depression in rural Guatemala

Stryker

Kishton

Nichols

et al. 2021

Int J Soc Psychiatry

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Background: As the burden of mental health disorders continues to increase worldwide, there is significant need to describe the cultural variations in presentation, diagnosis and treatment of these diseases. An understanding of these variations can lead to the development of more effective programs to manage these conditions. In Guatemala, depression is the second-leading cause of disability and yet mental health treatment resources are scarce, particularly for indigenous individuals. Aims: The primary research aim was to describe primary care nurses’ explanatory models of depression in their clinical work in indigenous communities in Guatemala. A secondary research aim was to describe training and resources which would support and empower these nurses, in order to lessen risk for burnout. Methods: A cross-sectional mixed methods survey was designed to elicit nurses’ perspectives on the presentation, cause and treatment of depression in the communities they serve, as well as their clinical and emotional comfort in working with depressed individuals. Two subsequent focus groups gathered qualitative commentary which informed training and resource recommendations. Theoretical thematic analysis was used to generate codes and themes from focus group transcripts and survey responses. Results: Guatemalan primary care nurses described symptoms of depression in their cultural context, identified socioeconomic factors which contribute to depression in their communities, and detailed treatment preferences. Limited referral options and concern for privacy made connecting patients to mental health care difficult. Nurses emphasized the need for community education on depression and for supplemental mental health resources which would increase their capacity to identify and treat depression. Conclusions: Primary care nurses in Guatemala identify and treat depression despite limited resources. Further investigations should focus on creating training modalities which include front-line nurses, given their critical role in the health system.

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Healthcare team training programs aimed at improving depression management in primary care: A systematic review

Cited by 9 publications

References 19 publications

Effect of Continuing Professional Development on Health Professionals’ Performance and Patient Outcomes: A Scoping Review of Knowledge Syntheses

Effect of Continuing Professional Development on Health Professionals’ Performance and Patient Outcomes: A Scoping Review of Knowledge Syntheses

Trauma Education and Stigma Reduction in Global Settings: An Evaluation of the Impact of a One-Day Trauma Psychoeducation Workshop with Community Stakeholders in the Caribbean Nation of Saint Lucia

‘Depression is not a familiar word’: A mixed-methods approach to describe the experience of primary care nurses treating depression in rural Guatemala

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