[Simple guideline-oriented supportive tools in primary care: Effects on adherence to the S3/NV guideline unipolar depression]. / Niederschwellige leitlinienorientierte supportive Materialien (NILS) in der primärärztlichen Versorgung: Effekte auf die Orientierung an der S3/NV-Leitlinie Unipolare Depression.
Z Psychosom Med Psychother
; 64(3): 298-311, 2018 Sep.
Article
en De
| MEDLINE
| ID: mdl-30829159
ABSTRACT
Simple guideline-oriented supportive tools in primary care Effects on adherence to the S3/NV guideline unipolar depression Objectives:
Does the provision of supportive tools improve guideline-oriented recognition and treatment of patients with depression in primary care?METHODS:
In a nested intervention study, as part of a larger epidemiological study program in German primary care, 46 randomly drawn practices received tools to facilitate identification and treatment decisions.Pre-post effects were compared to 42 matched control practices without intervention.RESULTS:
The proportion of correctly identified depression cases was similar in the intervention (47.2%) and the control group (42.3%, p = 0.537). Compared to controls, practitioners in the intervention group rated their competence in case identification and treatment at post-intervention more positively (p = 0.016). No effects were observed regarding the usage of the tools, practitioners' attitudes towards national depression guidelines, and depression treatment procedures.CONCLUSIONS:
Since provision of guideline-oriented tools did not improve recognition and quality of treatment, delineation of alternative strategies for enhanced guideline adherence in primary care for depression is warranted.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Adhesión a Directriz
/
Sistemas de Apoyo a Decisiones Clínicas
/
Trastorno Depresivo Mayor
Tipo de estudio:
Clinical_trials
/
Guideline
/
Prognostic_studies
Límite:
Humans
Idioma:
De
Revista:
Z Psychosom Med Psychother
Asunto de la revista:
PSICOFISIOLOGIA
Año:
2018
Tipo del documento:
Article