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Sökning: WFRF:(Hedman Lagerlöf Erik) > (2023) > Feasibility of a vi...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
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003SwePub
008231107s2023 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:236690940
009oai:prod.swepub.kib.ki.se:154964233
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5156202 URI
024a https://doi.org/10.1186/s12875-023-01989-82 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:2366909402 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1549642332 URI
040 a (SwePub)uud (SwePub)kid (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Kolaas, Karolineu Karolinska Institutet4 aut
2451 0a Feasibility of a video-delivered mental health course for primary care patients :b a single-group prospective cohort study
264 c 2023-01-23
264 1b BioMed Central (BMC),c 2023
338 a electronic2 rdacarrier
520 a BACKGROUND: In many health care systems, primary care is tasked with offering psychological treatment for common mental disorders. Resources are often limited, which complicates widespread dissemination of traditional psychological treatments. Stepped care models where the less resource-intensive interventions are delivered first, can be employed, but often do not eliminate the need for a thorough diagnostic assessment, which can be time-consuming, has the potential to bottleneck patient intake, and can add to waiting times. Novel low-threshold formats are needed to improve access to mental health care in the primary care setting.METHODS: This was a single-group prospective cohort study (N = 91). We assessed the feasibility of a video-delivered course as a first-line intervention for patients seeking help for mental health problems at a primary care center. The course had a transdiagnostic approach, suitable for both depression and anxiety disorders, and was based on cognitive behavioral techniques. Patients in need of psychosocial assessment, which usually entailed a four- to six-week wait, were referred by physicians or triage nurses. Study participants could start within a week, without the need for conventional diagnostic assessment, and were informed that they would be offered assessment after the course if needed. Key feasibility outcomes included participant satisfaction, attendance rates, the proportion of participants in need of additional clinical intervention after the course, and the rate of clinically significant improvement in anxiety and depression symptoms.RESULTS: Participants scored a mean of 21.8 (SD = 4.0, 9-32, n = 86) on the Client Satisfaction Questionnaire-8; just below our target of 22. The mean attendance rate was 5.0/6 lectures (SD = 1.6, range: 0-6, n = 91). Forty-six percent (37/81) reported experiencing no need of further clinical intervention after the course. The rate of clinically significant improvement was 59% (27/46) for anxiety and 48% (22/46) for depression. No serious adverse event was reported.CONCLUSIONS: Delivering a low-threshold online video-delivered mental health course in primary care appears to be feasible. Adjustments to further improve patient satisfaction are warranted, such as offering the choice of participating online or face-to-face.TRIAL REGISTRATION: (ClinicalTrials.gov NCT04522713) August 21, 2020.
650 7a SAMHÄLLSVETENSKAPx Psykologix Tillämpad psykologi0 (SwePub)501022 hsv//swe
650 7a SOCIAL SCIENCESx Psychologyx Applied Psychology0 (SwePub)501022 hsv//eng
653 a Anxiety disorders
653 a Cognitive behavioral therapy
653 a Depression
653 a Primary health care
653 a Telepsychiatry
653 a Transdiagnostic
653 a Video
653 a eHealth
700a Berman, Anne H.,c Professoru Karolinska Institutet,Uppsala universitet,Institutionen för psykologi,Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Norra Stationsgatan 69, SE-113 64, Stockholm, Sweden4 aut0 (Swepub:uu)annhb275
700a Hedman-Lagerlöf, Eriku Karolinska Institutet4 aut
700a Zakrevska, Anastasiya4 aut
700a Epstein, Majken4 aut
700a Hammarberg, Sandra Af Winklerfeltu Karolinska Institutet4 aut
700a Axelsson, Erlandu Karolinska Institutet4 aut
710a Karolinska Institutetb Institutionen för psykologi4 org
773t BMC Primary Cared : BioMed Central (BMC)g 24:1q 24:1x 2731-4553
856u https://doi.org/10.1186/s12875-023-01989-8y Fulltext
856u https://uu.diva-portal.org/smash/get/diva2:1810422/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-515620
8564 8u https://doi.org/10.1186/s12875-023-01989-8
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:236690940
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:154964233

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