Depression Clinical Trial
Official title:
Study Protocol: Development and Assessment of an Active Strategy for the Implementation of a Collaborative Care Approach for Depression in Primary Care. The INDI·i Project
Depression is one of the most common conditions among primary care patients. Nevertheless, there are several problems in depression diagnosis, clinical management and outcomes. The INDI study, which is based in a collaborative care model, aims to improve the management of depression in primary care patients. It is intended to be implemented in clinical practice within the context of primary care.
BACKGROUND Depression is one of the most common conditions among primary care patients.
Nevertheless, there are several problems in its diagnosis, clinical management and outcomes.
The INDI study, which is based in a collaborative care model, aims to improve the management
of depression in primary care patients. INDI has been proved previously to be an efficient
intervention showing clinical and socio-economic benefits. INDI is intended to be implemented
in the clinical practice within the context of primary care.
METHOD Aim: Test the feasibility and the impact of an implementation strategy of the INDI
model for the management of depression in primary care.
Design: This is a casi-experimental study within the context of primary care. Specific
geographic areas will be identified to implement the INDI program (intervention group) and
other areas with similar features will to be compared (control group.
Participants: Patients diagnosed with depression will be invited to voluntarily participate
in this study. Additionally, the investigators will also consider as participants the health
professionals, the centres of primary care, as well as the health organizations of the
geographic areas where the study will take place: Camp de Tarragona and Valles Occidental
(Catalonia, Spain).
Intervention: The INDI model is a health care program for improving the management of
depression. INDI includes clinical, training and organizational interventions with the
participation of nurses as care managers. An active strategy based on the Promoting Action on
Research Implementation in Health Services's model (PARIHS) will be designed for the
implementation.
Evaluation: This study will use qualitative and quantitative methods to obtain data on the
variables related to a successful implementation: feasibility, acceptability, and impact.
Discussion: In this study, the investigators aim to test the feasibility of a clinical
intervention INDI, based on a collaborative care model, in the management of depression in
primary care setting. If the implementation of such intervention is successful, then the
achieved data and experience will help to plan a strategy to generalize the INDI model to the
Catalan health system. The investigators expect significant clinical benefits to the
patients, the health system and to the society.
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