Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol

Roberge, Pasquale; Fournier, Louise; Brouillet, Hélène; Hudon, Catherine; Houle, Janie; Provencher, Martin D.; Lévesque, Jean‐Frédéric

doi:10.1186/1748-5908-8-26

Cited by 8 publications

(10 citation statements)

References 60 publications

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“…The results of this study are in line with several studies stating that there is a significant relationship between knowledge and situation (29,37). The above is closely related to public awareness about hypertension if individual knowledge about hypertension will motivate patients to participate in modifying lifestyles such as losing weight, reducing alcohol consumption, regular exercise and increased consumption of fruits and vegetables.…”

Section: Relationship Knowledge and Anxiety Respondents Hypertensionsupporting

confidence: 89%

Factors Affecting Anxiety in Hypertension Patients at M.Th.Djaman General Hospital Sanggau District, West Borneo 2018

Hermawan¹,

Silalahi²,

Lautan³

2019

IJNHS

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Hipertensi adalah suatu kondisi di mana seseorang mengalami peningkatan tekanan darah di atas normal pada pemeriksaan tekanan darah. Berdasarkan kriteria JNC-VII yang diterapkan di Indonesia Hipertensi dinyatakan sebagai tekanan darah sama dengan atau lebih dari 140/90 mmHg. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor itukebanyakanmempengaruhi pasien kecemasan hipertensi di Rumah Sakit Umum M.Th. Djaman Sanggau. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode penelitian deskriptif analisis denganCpendekatan. This study using purposive sampling involved 45 samples of hypertensive patients undergoing treatment at the hospital M.Th.Djaman Sanggau. Data analysis using Chi-Square. The result is there was no relationship between age and anxiety levels of hypertension patients p = 0.246 (p> 0.05), there was no relationship between sex with anxiety levels of hypertension patients p = 0.495 (p> 0.05), there was a relationship between the level of education and the level of anxiety of patients hypertension p = 0.011 (p <0.05). There is a relationship between work with the anxiety level of hypertension patients p = 0,000 (p <0,05). There is a significant relationship between the level of knowledge with the level of anxiety of patients with hypertension p = 0.001 (p <0.05). Anxiety is directly related to an increase in blood pressure so that someone needs to do counseling related to his condition to reduce anxiety, and need changes from individuals to change the risk factors for hypertension with healthy lifestyles such as fruit, vegetables, exercise regularly and reduce excessive consumption of calories and fat.

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Section: Relationship Knowledge and Anxiety Respondents Hypertensionsupporting

confidence: 89%

Factors Affecting Anxiety in Hypertension Patients at M.Th.Djaman General Hospital Sanggau District, West Borneo 2018

Hermawan¹,

Silalahi²,

Lautan³

2019

IJNHS

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“…A consulting psychiatrist was available to assist family physicians in the diagnosis and treatment of psychiatric illnesses. Four quality improvement research projects involving the implementation of evidence-based practices for anxiety and depression [ 33 ], case management by nurses and self-management support for frequent users with chronic disease [ 34 ], chronic disease prevention and management services in primary care with primary care physician and nurse collaboration [ 35 ] and health equity for individuals living in poverty [ 36 ] had recently been carried out or were simultaneously underway.…”

Section: Resultsmentioning

confidence: 99%

A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients

et al. 2016

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BackgroundThe prevalence of comorbid anxiety and depressive disorders is high among patients with chronic diseases in primary care, and is associated with increased morbidity and mortality rates. The detection and treatment of common mental disorders in patients with chronic diseases can be challenging in the primary care setting. This study aims to explore the perceived needs, barriers and facilitators for the delivery of mental health care for patients with coexisting common mental disorders and chronic diseases in primary care from the clinician and patient perspectives.MethodsIn this qualitative descriptive study, we conducted semi-structured interviews with clinicians (family physician, nurse, psychologist, social worker; n = 18) and patients (n = 10) from three primary care clinics in Quebec, Canada. The themes explored included clinician factors (e.g., attitudes, perception of roles, collaboration, management of clinical priorities) and patient factors (e.g., needs, preferences, access to care, communication with health professionals) associated with the delivery of care. Qualitative data analysis was conducted based on an interactive cyclical process of data reduction, data display and conclusion drawing and verification.ResultsClinician interviews highlighted a number of needs, barriers and enablers in the provision of patient services, which related to inter-professional collaboration, access to psychotherapy, polypharmacy as well as communication and coordination of services within the primary care clinic and the local network. Two specific facilitators associated with optimal mental health care were the broadening of nurses’ functions in mental health care and the active integration of consulting psychiatrists. Patients corroborated the issues raised by the clinicians, particularly in the domains of whole-person care, service accessibility and care management.ConclusionsThe results of this project will contribute to the development of quality improvement interventions to increase the uptake of organizational and clinical evidence-based practices for patients with chronic diseases and concurrent common mental disorders, in priority areas including collaborative care, access to psychotherapy and linkages with specialized mental health care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-016-0531-y) contains supplementary material, which is available to authorized users.

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“…We reviewed this literature and materials and found wide variability in the naming and description of skills. For example, where some authors suggested facilitators need communication skills [38,45], others suggested they need specific communication skills, e.g., good listening skills [21], presentation skills [46], or the ability to put arguments across [47].…”

Section: Discussionmentioning

confidence: 99%

From novice to expert: a qualitative study of implementation facilitation skills

Ritchie

Parker

Kirchner

2020

Implement Sci Commun

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Background: It is widely reported that facilitation can aid implementation of evidence-based practices. Although scholars agree that facilitators need a diverse range of skills, only a few retrospective studies have identified some of these. During the test of a facilitation strategy within the context of a VA initiative to implement evidence-based care delivery models, we documented the skills an expert external facilitator transferred to two initially novice internal regional facilitators. Ours is the first study to explore facilitation skills as they are being applied and transferred. Methods: Facilitators applied the strategy at eight primary care clinics that lacked implementation capacity in two VA networks. We conducted monthly debriefing interviews over a 30-month period and documented these in detailed notes. External facilitator interviews focused specifically on training and mentoring internal facilitators and the skills that she transferred. We also conducted, recorded, and transcribed two qualitative interviews with each facilitator and queried them about training content and process. We conducted a content analysis of the data, using deductive and inductive methods, to identify skills the external facilitator helped internal facilitators learn. We also explored the complexity of facilitation skills and grouped them into overarching skillsets. Results: The external facilitator helped internal facilitators learn 22 complex skills; with few exceptions, these skills were not unique but overlapped with one another. We clustered 21 of these into 5 groups of overarching skillsets: (1) building relationships and creating a supportive environment, (2) changing the system of care and the structure and processes that support it, (3) transferring knowledge and skills and creating infrastructure support for ongoing learning, (4) planning and leading change efforts, and (5) assessing people, processes, and outcomes and creating infrastructure for program monitoring. Conclusions: This study documented a broad range of implementation facilitation skills that are complex and overlapping. Findings suggest that studies and initiatives planning or applying facilitation as an implementation strategy should ensure that facilitators have or have the opportunity to learn the skills they need. Because facilitation skills are complex, the use of didactic methods alone may not be sufficient for transferring skills; future work should explore other methods and techniques.

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Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol

Cited by 8 publications

References 60 publications

Factors Affecting Anxiety in Hypertension Patients at M.Th.Djaman General Hospital Sanggau District, West Borneo 2018

Factors Affecting Anxiety in Hypertension Patients at M.Th.Djaman General Hospital Sanggau District, West Borneo 2018

A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients

From novice to expert: a qualitative study of implementation facilitation skills

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