RT Journal Article
T1 A multifaceted provider-centred intervention versus usual care to improve the recognition and diagnosis of depression in primary health care: a hybrid study
A1 Nogueras, Eva Vanesa
A1 Cantero, Nazaret
A1 Macías, María
A1 Morales-Asencio, José Miguel
A1 García-Herrera Pérez-Bryan, José María
A1 Hurtado, María M.
K1 Psicología clínica
K1 Psicosis maniacodepresiva
AB Background: The aim of this study was to evaluate the impact of a multifaceted intervention toimplement an adapted guideline for the management of depression in primary health care.Methods: A hybrid trial was carried out to determine the effect of a multicomponent provider centred intervention to improve the detection and diagnosis of depression in primary care, aspart of the guideline implementation process, and to collect information about barriers andfacilitators in a real-world context. Before the multicomponent intervention, a descriptivecross-sectional study was performed to assess the population prevalence of depression inthe participating health centres and to detect possible differences. Subsequently, a quasi experimental two-phase study was carried out with a concurrent control group to assess theimpact of the multicomponent intervention on the main outcomes (detection of depression,evaluation of its severity and the use of structured methods to support the diagnosis). Results:Nine-hundred seventy-four patients took part in the first phase. According to their clinicalrecords, the prevalence of depression ranged from 7.2% to 7.9%, and there were no significantdifferences between the health centres scheduled to receive the intervention and those inthe control group. In the experimental phase, 797 randomly selected participants receivedthe multicomponent intervention. Adjusted multivariable analysis performed before theimplementation revealed no significant differences in depression between the experimental andcontrol groups. However, after the intervention, modest but significant differences wereobserved, which persisted at 1 year after the intervention. Conclusions: A multicomponentintervention for the implementation of a clinical guideline for the management of depression inprimary care produced improvements in the identification of depression and in the degree ofseverity recorded.
PB Cambridge University Press
YR 2023
FD 2023
LK https://hdl.handle.net/10630/27363
UL https://hdl.handle.net/10630/27363
LA eng
NO Nogueras, E., Cantero, N., Macías, M., Morales-Asencio, J., García-Herrera Pérez-Bryan, J., & Hurtado, M. (2023). A multifaceted provider-centred intervention versus usual care to improve the recognition and diagnosis of depression in primary health care: A hybrid study. Primary Health Care Research & Development, 24, E45. doi:10.1017/S1463423623000300
NO Funding for open access charge: Universidad de Málaga.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 21 ene 2026