Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study

Background The predictD intervention, a multicomponent intervention delivered by family physicians (FPs), reduced the incidence of major depression by 21% versus the control group and was cost-effective. A qualitative methodology was proposed to identify the mechanisms of action of these complex int...

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Authors: Moreno-Peral, P., Conejo-Ceron, S., Fernandez, A., Martin-Perez, C., Fernandez-Alonso, C., Rodriguez-Bayon, A., Ballesta-Rodriguez, M.I., Aiarzaguena, J.M., Monton-Franco, C., King, M., Nazareth, I., Bellon, J.A.
Format: article
Status:Published version
Publication Date:2019
Country:España
Institution:Universidad de Zaragoza
Repository:Zaguán. Repositorio Digital de la Universidad de Zaragoza
OAI Identifier:oai:zaguan.unizar.es:79758
Online Access:http://zaguan.unizar.es/record/79758
Access Level:Open access
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network_acronym_str ES
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repository_id_str
spelling Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative studyMoreno-Peral, P.Conejo-Ceron, S.Fernandez, A.Martin-Perez, C.Fernandez-Alonso, C.Rodriguez-Bayon, A.Ballesta-Rodriguez, M.I.Aiarzaguena, J.M.Monton-Franco, C.King, M.Nazareth, I.Bellon, J.A.Background The predictD intervention, a multicomponent intervention delivered by family physicians (FPs), reduced the incidence of major depression by 21% versus the control group and was cost-effective. A qualitative methodology was proposed to identify the mechanisms of action of these complex interventions. Purpose To seek the opinions of these FPs on the potential successful components of the predictD intervention for the primary prevention of depression in primary care and to identify areas for improvement. Method Qualitative study with FPs who delivered the predictD intervention at 35 urban primary care centres in seven Spanish cities. Face-to-face semi-structured interviews adopting a phenomenological approach. The data was triangulated by three investigators using thematic analysis and respondent validation was carried out. Results Sixty-seven FPs were interviewed and they indicated strategies used to perform the predictD intervention, including specific communication skills such as empathy and the activation of patient resources. They perceived barriers such as lack of time and facilitators such as prior acquaintance with patients. FPs recognized the positive consequences of the intervention for FPs, patients and the doctor-patient relationship. They also identified strategies for future versions and implementations of the predictD intervention. Conclusions The FPs who carried out the predictD intervention identified factors potentially associated with successful prevention using this program and others that could be improved. Their opinions about the predictD intervention will enable development of a more effective and acceptable version and its implementation in different primary health care settings.2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://zaguan.unizar.es/record/79758reponame:Zaguán. Repositorio Digital de la Universidad de Zaragozainstname:Universidad de ZaragozaInglésinfo:eu-repo/grantAgreement/ES/ISCIII/PI12-02755info:eu-repo/semantics/openAccessoai:zaguan.unizar.es:797582026-05-29T13:59:51Z
dc.title.none.fl_str_mv Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
title Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
spellingShingle Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
Moreno-Peral, P.
title_short Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
title_full Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
title_fullStr Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
title_full_unstemmed Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
title_sort Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study
dc.creator.none.fl_str_mv Moreno-Peral, P.
Conejo-Ceron, S.
Fernandez, A.
Martin-Perez, C.
Fernandez-Alonso, C.
Rodriguez-Bayon, A.
Ballesta-Rodriguez, M.I.
Aiarzaguena, J.M.
Monton-Franco, C.
King, M.
Nazareth, I.
Bellon, J.A.
author Moreno-Peral, P.
author_facet Moreno-Peral, P.
Conejo-Ceron, S.
Fernandez, A.
Martin-Perez, C.
Fernandez-Alonso, C.
Rodriguez-Bayon, A.
Ballesta-Rodriguez, M.I.
Aiarzaguena, J.M.
Monton-Franco, C.
King, M.
Nazareth, I.
Bellon, J.A.
author_role author
author2 Conejo-Ceron, S.
Fernandez, A.
Martin-Perez, C.
Fernandez-Alonso, C.
Rodriguez-Bayon, A.
Ballesta-Rodriguez, M.I.
Aiarzaguena, J.M.
Monton-Franco, C.
King, M.
Nazareth, I.
Bellon, J.A.
author2_role author
author
author
author
author
author
author
author
author
author
author
description Background The predictD intervention, a multicomponent intervention delivered by family physicians (FPs), reduced the incidence of major depression by 21% versus the control group and was cost-effective. A qualitative methodology was proposed to identify the mechanisms of action of these complex interventions. Purpose To seek the opinions of these FPs on the potential successful components of the predictD intervention for the primary prevention of depression in primary care and to identify areas for improvement. Method Qualitative study with FPs who delivered the predictD intervention at 35 urban primary care centres in seven Spanish cities. Face-to-face semi-structured interviews adopting a phenomenological approach. The data was triangulated by three investigators using thematic analysis and respondent validation was carried out. Results Sixty-seven FPs were interviewed and they indicated strategies used to perform the predictD intervention, including specific communication skills such as empathy and the activation of patient resources. They perceived barriers such as lack of time and facilitators such as prior acquaintance with patients. FPs recognized the positive consequences of the intervention for FPs, patients and the doctor-patient relationship. They also identified strategies for future versions and implementations of the predictD intervention. Conclusions The FPs who carried out the predictD intervention identified factors potentially associated with successful prevention using this program and others that could be improved. Their opinions about the predictD intervention will enable development of a more effective and acceptable version and its implementation in different primary health care settings.
publishDate 2019
dc.date.none.fl_str_mv 2019
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dc.identifier.none.fl_str_mv http://zaguan.unizar.es/record/79758
url http://zaguan.unizar.es/record/79758
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/grantAgreement/ES/ISCIII/PI12-02755
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Zaguán. Repositorio Digital de la Universidad de Zaragoza
instname:Universidad de Zaragoza
instname_str Universidad de Zaragoza
reponame_str Zaguán. Repositorio Digital de la Universidad de Zaragoza
collection Zaguán. Repositorio Digital de la Universidad de Zaragoza
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