Actitudes y opiniones de los médicos de familia frente a la depresión: una aproximación con el Depression Attitudes Questionnaire (DAQ)

Aragonès, Enric; Piñol, Josep; López-Cortacans, Germán; Hernández, Josep M; Caballero, Antonia

doi:10.1016/j.aprim.2010.05.009

Cited by 9 publications

(11 citation statements)

References 19 publications

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“…The participants recognized the existence of shortcomings in the current management of depression and viewed the INDI program as a valuable tool that could overcome these shortcomings. Our results confirm previous reports of largely favorable attitudes among primary care practitioners towards managing depression in primary care [ 34 , 35 ] and increasing nurses’ responsibilities in this area. These attitudes must be harnessed to drive effective change through clear institutional buy-in and leadership and the implementation of structural changes, but with an active bottom-up approach involving front-line professionals and local clinical leaders to champion the program.…”

Section: Discussionsupporting

confidence: 91%

Barriers, facilitators, and proposals for improvement in the implementation of a collaborative care program for depression: a qualitative study of primary care physicians and nurses

Aragonès

López-Cortacans

Cardoner

et al. 2022

BMC Health Serv Res

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Background Primary care plays a central role in the treatment of depression. Nonetheless, shortcomings in its management and suboptimal outcomes have been identified. Collaborative care models improve processes for the management of depressive disorders and associated outcomes. We developed a strategy to implement the INDI collaborative care program for the management of depression in primary health care centers across Catalonia. The aim of this qualitative study was to evaluate a trial implementation of the program to identify barriers, facilitators, and proposals for improvement. Methods One year after the implementation of the INDI program in 18 public primary health care centers we performed a qualitative study in which the opinions and experiences of 23 primary care doctors and nurses from the participating centers were explored in focus groups. We performed thematic content analysis of the focus group transcripts. Results The results were organized into three categories: facilitators, barriers, and proposals for improvement as perceived by the health care professionals involved. The most important facilitator identified was the perception that the INDI collaborative care program could be a useful tool for reorganizing processes and improving the management of depression in primary care, currently viewed as deficient. The main barriers identified were of an organizational nature: heavy workloads, lack of time, high staff turnover and shortages, and competing demands. Additional obstacles were inertia and resistance to change among health care professionals. Proposals for improvement included institutional buy-in to guarantee enduring support and the organizational changes needed for successful implementation. Conclusions The INDI program is perceived as a useful, viable program for improving the management of depression in primary care. Uptake by primary care centers and health care professionals, however, was poor. The identification and analysis of barriers and facilitators will help refine the strategy to achieve successful, widespread implementation. Trial registration ClinicalTrials.gov identifier: NCT03285659; Registered 18th September, 2017.

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Section: Discussionsupporting

confidence: 91%

Barriers, facilitators, and proposals for improvement in the implementation of a collaborative care program for depression: a qualitative study of primary care physicians and nurses

Aragonès

López-Cortacans

Cardoner

et al. 2022

BMC Health Serv Res

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Section: Discussionsupporting

confidence: 90%

Barriers, Facilitators, and Proposals for Improvement in the Implementation of a Collaborative Care Program for Depression: A Qualitative Study of Primary Care Doctor and Nurse Experiences

Aragonès

López-Cortacans

Cardoner

et al. 2021

Preprint

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Background: Primary care plays a central role in the treatment of depression. Nonetheless, shortcomings in its management and suboptimal outcomes have been identified. Collaborative care models improve processes for the management of depressive disorders and associated outcomes. We developed a strategy to implement the INDI collaborative care program for the management of depression in primary health care centers across Catalonia. The aim of this qualitative study was to evaluate a trial implementation of the program to identify barriers, facilitators, and proposals for improvement. Methods: One year after the implementation of the INDI program in 18 public primary health care centers we performed a qualitative study in which the opinions and experiences of 23 primary care doctors and nurses from the participating centers were explored in focus groups. We performed thematic content analysis of the focus group transcripts. Results: The results were organized into three categories: facilitators, barriers, and proposals for improvement as perceived by the health care professionals involved. The most important facilitator identified was the perception that the INDI collaborative care program could be a useful tool for reorganizing processes and improving the management of depression in primary care, currently viewed as deficient. The main barriers identified were of an organizational nature: heavy workloads, lack of time, high staff turnover and shortages, and competing demands. Additional obstacles were inertia and resistance to change among health care professionals. Proposals for improvement included institutional buy-in to guarantee enduring support and the organizational changes needed for successful implementation.Conclusions: The INDI program is perceived as a useful, viable program for improving the management of depression in primary care. Uptake by primary care centers and health care professionals, however, was poor. The identification and analysis of barriers and facilitators will help refine the strategy to achieve successful, widespread implementation.Trial registration: ClinicalTrials.gov identifier: NCT03285659; Registered 18th September, 2017.

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“…Regarding the participants, most articles deal with samples of the general population (Aznar-Lou et al, 2016;García-Galindo et al, 2012;González-Sanguino et al, 2019;Lahera et al, 2019;Mogollón-Rodríguez et al, 2014;Olafsdottir & Pescosolido, 2011;Ruiz et al, 2012), nursing or medical health professionals (Aragonès et al, 2011;Castillejos-Anguiano et al, 2019;García-Galindo et al, 2012;Guerrero-Díaz et al, 2021), mental health professionals (Del Olmo-Romero et al, 2019) or university students in health degrees (Failde et al, 2014;González-Sanguino et al, 2019;Granados-Gámez et al, 2016;Masedo et al, 2021;O'Ferrall-González et al, 2020;Rodríguez-Almagro et al, 2019) or other degrees (Barroso-Hurtado & Mendo-Lázaro, 2018;Gallego et al, 2020). There are also studies with family members of people with a diagnosis (Ahmedani et al, 2013;Domínguez-Martínez et al, 2014;Revilla et al, 2010) and people with mental health problems (Domínguez-Martínez et al, 2014;García-Galindo et al, 2012;Muñoz et al, 2011).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Social Stigma Towards Mental Health Problems in Spain: A Systematic Review

et al. 2023

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Stigma towards psychological problems is an ongoing issue that negatively affects people living with these circumstances, diminishing their quality of life and well-being. This stigma can even aggravate the symptomatology itself and hinder the recovery process (Corrigan et al., 2012;Del Rosal et al., 2020;Livingston & Boyd, 2010).The Mental Illness Stigma Framework (MISF) (Fox et al., 2018) conceptualises stigma towards mental health problems from two perspectives: that of the person who stigmatises and that of the stigmatised person. The conceptual cores of the stigmatiser, which make up social stigma, refer to stereotypes (cognitive dimension), prejudice (affective dimension), and discrimination (behavioural dimension) (Corrigan & Watson, 2002). Therefore, social stigma occurs when the general population, based on their shared beliefs about the illness and the negative emotions it generates, acts in a discriminatory manner towards people with psychological problems. From the perspective of the stigmatised person, meanwhile, there is internalised stigma, resulting from the internalisation and selfapplication of these prejudices and stereotypes, as well as from the discriminatory experiences lived (Livingston & Boyd, 2010). Finally, as a common element in both prisms, there is structural stigma, which limits the opportunities of people with psychological problems at institutional, political and legal levels (Fox et al., 2018).

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Actitudes y opiniones de los médicos de familia frente a la depresión: una aproximación con el Depression Attitudes Questionnaire (DAQ)

Abstract: In general, there is a favourable predisposition to deal with depression in Primary Care where training and organisational initiatives can be introduced to improve clinical outcomes of depression in Primary Care.

Cited by 9 publications

References 19 publications

Barriers, facilitators, and proposals for improvement in the implementation of a collaborative care program for depression: a qualitative study of primary care physicians and nurses

Barriers, facilitators, and proposals for improvement in the implementation of a collaborative care program for depression: a qualitative study of primary care physicians and nurses

Barriers, Facilitators, and Proposals for Improvement in the Implementation of a Collaborative Care Program for Depression: A Qualitative Study of Primary Care Doctor and Nurse Experiences

Social Stigma Towards Mental Health Problems in Spain: A Systematic Review

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