Integrated collaborative care intervention for depression and obesity in primary care: translation from research to practice.
Integrated collaborative care intervention for depression and obesity in primary care: translation from research to practice.
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DOI：
10.1093/her/cyac017
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发表时间：
2022-08-01
影响因子：
2.4
通讯作者：
Ma, Jun
中科院分区：
文献类型：
--
作者：
Ronneberg, Corina R.;Lv, Nan;Ajilore, Olusola A.;Gerber, Ben S.;Venditti, Elizabeth M.;Snowden, Mark B.;Steinman, Lesley E.;Wittels, Nancy E.;Barve, Amruta;Dosala, Sushanth;Rosas, Lisa G.;Kringle, Emily A.;Ma, Jun
本研究的目的是介绍在提供社会经济、种族和民族多样化样本的协作护理干预时，有关参与、交付模式和大流行影响的经验教训。参与者完成了一项关于经验和首选干预提供方式的干预后调查（n = 41），冠状病毒2019（COVID-19）影响调查（n = 50），并提供了关于干预的开放式反馈（n = 27）。干预过程数据包括出勤率、方式和退出。数据分析采用描述性统计和归纳内容分析。在71名干预参与者中，6名（8%）在第1次会议之前退出。完成者遵守干预时间轴的情况优于退出者。参与者喜欢面对面的互动，高效的教练支持，面对面和Zoom与电话会话的问责制，以及电话和Zoom与面对面会话的灵活性和便利性。大多数参与者报告说，他们经历了大流行的影响，如情绪困扰加剧，活动参与减少，饮食行为变差以及无法满足基本需求。偏离干预时间表的参与者可以通过有针对性的外联尝试重新参与。视频会议有潜力提供必要的辅导。未来的干预措施可能会得到优化，以解决受大流行病影响的地区。研究结果揭示了可以在未来的干预措施中实施的具体策略，以改善不同人群的情绪和身体健康。
The objective of this study was to present lessons learned about engagement, delivery modality and pandemic impact while delivering a collaborative care intervention with a socioeconomically, racially and ethnically diverse sample. Participants completed a post-intervention survey (n = 41) on experiences and preferred intervention delivery modality, coronavirus 2019 (COVID-19) Impact Survey (n = 50) and provided open-ended feedback about the intervention (n = 27). Intervention process data included attendance, modality, and withdrawals. Data were analyzed using descriptive statistics and inductive content analyses. Of 71 intervention participants, 6 (8%) withdrew before session 1. Completers adhered to intervention timeline better than withdrawals. Participants liked the in-person interaction, efficient coach support, accountability of in-person and Zoom vs. phone sessions and the flexibility and convenience of phone and Zoom vs. in-person sessions. A majority of participants reported experiencing pandemic impacts such as heightened emotional distress, decreased activity engagement, poorer eating behaviors and being unable to meet basic needs. Participants deviating from intervention timelines may be re-engaged by targeted outreach attempts. Videoconference has the potential for providing as-needed coaching. Future interventions may be optimized to account for and address areas impacted by the pandemic. Findings revealed specific strategies that can be implemented in future interventions to improve emotional and physical health among diverse populations.
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