Sökning: WFRF:(Hedman Lagerlöf Erik) > (2023) > Feasibility of a vi...
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008 | 231107s2023 | |||||||||||000 ||eng| | |
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024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5156202 URI |
024 | 7 | a https://doi.org/10.1186/s12875-023-01989-82 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:2366909402 URI |
024 | 7 | a 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 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Kolaas, Karolineu Karolinska Institutet4 aut |
245 | 1 0 | a 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 | 1 | b 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 | 7 | a SAMHÄLLSVETENSKAPx Psykologix Tillämpad psykologi0 (SwePub)501022 hsv//swe |
650 | 7 | a 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 | |
700 | 1 | a 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 |
700 | 1 | a Hedman-Lagerlöf, Eriku Karolinska Institutet4 aut |
700 | 1 | a Zakrevska, Anastasiya4 aut |
700 | 1 | a Epstein, Majken4 aut |
700 | 1 | a Hammarberg, Sandra Af Winklerfeltu Karolinska Institutet4 aut |
700 | 1 | a Axelsson, Erlandu Karolinska Institutet4 aut |
710 | 2 | a Karolinska Institutetb Institutionen för psykologi4 org |
773 | 0 | t BMC Primary Cared : BioMed Central (BMC)g 24:1q 24:1x 2731-4553 |
856 | 4 | u https://doi.org/10.1186/s12875-023-01989-8y Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1810422/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-515620 |
856 | 4 8 | u https://doi.org/10.1186/s12875-023-01989-8 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:236690940 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:154964233 |
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