Implementing a stepped-care approach in primary care: Results of a qualitative study

Implementation Science

Volumn 7, Issue 1, 2012, Pages

  Franx, Gerdien ^a   Oud, Matthijs ^a   de Lange, Jacomine ^a   Wensing, Michel ^b   Grol, Richard ^b  

^a NETHERLANDS INSTITUTE OF MENTAL HEALTH AND ADDICTION   (Netherlands)

^b RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTITUDE TO HEALTH; DEPRESSION; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN; NETHERLANDS; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; PROGRAM DEVELOPMENT; PSYCHOLOGICAL RATING SCALE; PSYCHOMETRY; PUBLIC RELATIONS; QUALITATIVE RESEARCH; QUESTIONNAIRE; TREATMENT OUTCOME;

ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; DEPRESSIVE DISORDER; HUMANS; INTERPROFESSIONAL RELATIONS; NETHERLANDS; PATIENT CARE TEAM; PRIMARY HEALTH CARE; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; PSYCHIATRIC STATUS RATING SCALES; PSYCHOMETRICS; QUALITATIVE RESEARCH; QUESTIONNAIRES; TREATMENT OUTCOME;

EID: 84856359561     PISSN: None     EISSN: 17485908     Source Type: Journal    
DOI: 10.1186/1748-5908-7-8     Document Type: Article

References (31)

1. New Zealand Guidelines Group Identification of common mental disorders and management of depression in primary care 2008, Wellington: New Zealand Guidelines Group, New Zealand Guidelines Group.
2. Landelijke Stuurgroep Multidisciplinaire Richtlijnontwikkeling in de GGZ Multidisciplinaire richtlijn Depressie: richtlijn voor de diagnostiek en behandeling van volwassen cliënten met een depressie: 2005 [Multidisciplinary guideline depression: guideline for diagnostics and treatment of adult clients with a major depressive disorder 2005] 2005, Utrecht: Trimbos-instituut [in Dutch], Landelijke Stuurgroep Multidisciplinaire Richtlijnontwikkeling in de GGZ.
3. National Collaborating Centre for Mental Health Depression: the treatment and management of depression in adults: NICE clinical guideline 90 2009, London: National Institute for Health and Clinical Excellence, National Collaborating Centre for Mental Health.
4. Veer-Tazelaar P, Smit F, van Hout H, van Oppen P, van der Horst H, Beekman A, van Marwijk H. Cost-effectiveness of a stepped care intervention to prevent depression and anxiety in late life: randomised trial. The British Journal Of Psychiatry: The Journal Of Mental Science 2010, 196:319-325.
5. Scogin FR, Hanson A, Welsh D. Self-administered treatment in stepped-care models of depression treatment. J Clin Psychol 2003, 59:341-349. 10.1002/jclp.10133, 12579549.
6. Meeuwissen JA, Van der Feltz-Cornelis CM, Van Marwijk HW, Rijnders PB, Donker MC. A stepped care programme for depression management: an uncontrolled pre-post study in primary and secondary care in The Netherlands. Int J Integr Care 2008, 8:e05. 2254490, 18317562.
7. Gjerdingen D, Katon W, Rich DE. Stepped care treatment of postpartum depression: A primary care-based management model. Women's Health Issues 2008, 18:44-52. 10.1016/j.whi.2007.09.001, 22303539.
8. Van 't Veer-Tazelaar PJ, van Marwijk HWJ, van Oppen P, van Hout HPJ, van der Horst H, Cuijpers P, Smit F, Beekman ATF. Stepped-care prevention of anxiety and depression in late life: A randomized controlled trial. Arch Gen Psychiatry 2009, 66:297-304. 10.1001/archgenpsychiatry.2008.555, 19255379.
9. Kroenke K, Bair MJ, Damush TM, Wu J, Hoke S, Sutherland J, Tu W. Optimized antidepressant therapy and pain self-management in primary care patients with depression and musculoskeletal pain: a randomized controlled trial. JAMA 2009, 301:2099-2110. 10.1001/jama.2009.723, 2884224, 19470987.
10. Bower P, Gilbody S. Stepped care in psychological therapies: access, effectiveness and efficiency. Narrative literature review. Br J Psychiatry 2005, 186:11-17. 10.1192/bjp.186.1.11, 15630118.
11. Van Straten A, Seekles W, van 't Veer-Tazelaar NJ, Beekman AT, Cuijpers P. Stepped care for depression in primary care: what should be offered and how?. Med J Aust 2010, 192:S36-S39.
12. Van Marwijk HW, Bijl D, Ader HJ, De Haan M. Antidepressant prescription for depression in general practice in The Netherlands. Pharm World Sci 2001, 23:46-49. 10.1023/A:1011294305606, 11411443.
13. Volkers A, De Jong A, De Bakker D, Van Dijk L. Doelmatig voorschrijven van antidepressiva in de huisartsenpraktijk [Efficient prescription of antidepressants in general practice] 2005, Utrecht: Nivel.
14. Morrison J, Anderson MJ, Sutton M, Munoz-Arroyo R, McDonald S, Maxwell M, Power A, Smith M, Wilson P. Factors influencing variation in prescribing of antidepressants by general practices in Scotland. Br J Gen Pract 2009, 59:e25-e31. 10.3399/bjgp09X395076, 2629838, 19192364.
15. Hansen T, Nuyen J, Hingstman L. Monitor multidisciplinaire samenwerkingsverbanden in de eerstelijn [Monitor of multidisciplinary collaboration in primary care] 2007, Utrecht: Nivel [in Dutch].
16. Achterberg W, Van Asch IFM, Van Dijk CM, Frijters D, Van Mierlo FGJ, Nijen J, Onrust SA, Pot A, Romijn GA, Veerbeek-Senster MA, et al. Trendrapportage GGz 2010. Deel 2 Toegang en zorggebruik [Trendreport Mental Healthcare 2010. Part 2 Access and consumption of care] 2010, Utrecht: Trimbos-instituut [in Dutch].
17. Grol R, Wensing M, Hulscher M, Eccles M. Theories on implementation of change in healthcare. Improving patient care: the implementation of change in clinical practice 2005, Edinburgh: Elsevier, Grol R, Wensing M, Eccles M.
18. Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust 2004, 180:S57-S60.
19. May CR, Mair F, Finch T, MacFarlane A, Dowrick C, Treweek S, Rapley T, Ballini L, Ong BN, Rogers A, et al. Development of a theory of implementation and integration: Normalization Process Theory. Implement Sci 2009, 4:29. 10.1186/1748-5908-4-29, 2693517, 19460163.
20. Gunn JM, Palmer VJ, Dowrick CF, Herrman HE, Griffiths FE, Kokanovic R, Blashki GA, Hegarty KL, Johnson CL, Potiriadis M, et al. Embedding effective depression care: using theory for primary care organisational and systems change. Implement Sci 2010, 5:62. 10.1186/1748-5908-5-62, 2925331, 20687962.
21. Franx G, Meeuwissen JA, Sinnema H, Spijker J, Huyser J, Wensing M, De Lange J. Quality improvement in depression care in the Netherlands: the Depression Breakthrough Collaborative. A quality improvement report. Int J Integr Care 2009, 9:e84. 2707591, 19590610.
22. Wilson T, Berwick DM, Cleary PD. What do collaborative improvement projects do? Experience from seven countries. Jt Comm J Qual Saf 2003, 29:85-93.
23. Schouten LM, Hulscher ME, van Everdingen JJ, Huijsman R, Grol RP. Evidence for the impact of quality improvement collaboratives: systematic review. BMJ 2008, 336:1491-1494. 10.1136/bmj.39570.749884.BE, 2440907, 18577559.
24. Langley GJ, Nolan KM, Nolan TW, Norman CL, Provost LP. The improvement guide. A practical approach to enhancing organizational performance 1996, Jossey-Bass.
25. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961, 4:561-571. 10.1001/archpsyc.1961.01710120031004, 13688369.
26. Meredith LS, Mendel P, Pearson M, Wu SY, Joyce G, Straus JB, Ryan G, Keeler E, Unutzer J. Implementation and maintenance of quality improvement for treating depression in primary care. Psychiatr Serv 2006, 57:48-55. 10.1176/appi.ps.57.1.48, 16399962.
27. Dietrich AJ, Oxman TE, Williams JW, Schulberg HC, Bruce ML, Lee PW, Barry S, Raue PJ, Lefever JJ, Heo M, et al. Re-engineering systems for the treatment of depression in primary care: Cluster randomised controlled trial. BMJ: British Medical Journal 2004, 329:618-622. 10.1136/bmj.329.7466.618, 516665, 15361449.
28. Nutting PA, Gallagher KM, Riley K, White S, Dietrich AJ, Dickinson WP. Implementing a depression improvement intervention in five health care organizations: experience from the RESPECT-Depression trial. Adm Policy Ment Health 2007, 34:127-137. 10.1007/s10488-006-0090-y, 16967338.
29. Richards DA, Weaver A, Utley M, Bower P, Cape J, Gallivan S, Gilbody S, Hennessey S, Leibowitz J, Lovell K, et al. Developing evidence-based and acceptable stepped care systems in mental health care: an operational research project, Executive Summary 2010, London: London School of Hygiene & Tropical Medicine: National Coordinating Centre for the Service Delivery and Organisation (NCCSO).
30. Gask L, Rogers A, Campbell S, Sheaff R. Beyond the limits of clinical governance? The case of mental health in English primary care. BMC Health Serv Res 2008, 8:63. 10.1186/1472-6963-8-63, 2292707, 18366779.
31. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001, 16:606-613. 10.1046/j.1525-1497.2001.016009606.x, 1495268, 11556941.