scholarly journals Mental health interventions and future major depression among primary care patients with subthreshold depression

2015 ◽  
Vol 177 ◽  
pp. 65-73 ◽  
Author(s):  
Sandra K. Davidson ◽  
Meredith G. Harris ◽  
Christopher F. Dowrick ◽  
Caroline A. Wachtler ◽  
Jane Pirkis ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Major Depression ◽  
Health Interventions ◽  
Subthreshold Depression ◽  
Mental Health Interventions ◽  
Primary Care Patients

Does patient–provider gender concordance affect mental health care received by primary care patients with major depression?

2006 ◽  
Vol 16 (3) ◽  
pp. 122-132 ◽  
Author(s):  
Kitty S. Chan ◽  
Chloe E. Bird ◽  
Robert Weiss ◽  
Naihua Duan ◽  
Lisa S. Meredith ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Major Depression ◽  
Mental Health Care ◽  
Gender Concordance ◽  
Primary Care Patients

scholarly journals Engagement and Clinical Improvement Among Older Adult Primary Care Patients Using a Mobile Intervention for Depression and Anxiety: Case Studies (Preprint)

2019 ◽  
Author(s):  
L Casey Orr ◽  
Andrea K Graham ◽  
David C Mohr ◽  
Carolyn J Greene
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Interventions ◽  
Depression And Anxiety ◽  
Health Technologies ◽  
Mental Health Interventions ◽  
Mobile Intervention ◽  
Study Participants

BACKGROUND Technology-based mental health interventions are an increasingly attractive option for expanding access to mental health services within the primary care system. Older adults are among the groups that could potentially benefit from the growing ubiquity of technology-based mental health interventions; however, older adults are perceived to be averse to using technology and have reported barriers to use. OBJECTIVE The aim of this paper is to present a case study of 3 participants from a clinical trial evaluating IntelliCare, an evidence-based mobile intervention for depression and anxiety, among adults recruited from primary care clinics. Our report of these 3 participants, who were aged 60 years or older, focuses on their engagement with the IntelliCare service (ie, app use, coach communication) and clinical changes in depression or anxiety symptoms over the intervention period. METHODS The 3 case study participants were offered IntelliCare with coaching for 8 weeks. The intervention consisted of 5 treatment intervention apps that support a variety of psychological skills, a <i>Hub</i> app that contained psychoeducational content and administered weekly assessments, and coaching for encouragement, accountability, and technical assistance as needed. The 3 case study participants were selected to reflect the overall demographics of participants within the trial and because their interactions with IntelliCare provided a good illustration of varied experiences regarding engagement with the intervention. RESULTS The 3 participants’ unique experiences with the intervention are described. Despite potential barriers and experiencing some technical glitches, the participants showed proficient ability to use the apps, high levels of participation through frequent app use and coach interaction, and decreased depression and anxiety scores. At the end of the 8-week intervention, each of these 3 participants expressed great enthusiasm for the benefit of this program through feedback to their coach, and they each identified a number of ways they had seen improvements in themselves. CONCLUSIONS These 3 cases provide examples of older individuals who engaged with and benefitted from the IntelliCare service. Although the results from these 3 cases may not generalize to others, they provide an important, informed perspective of the experiences that can contribute to our understanding of how older adults use and overcome barriers to mental health technologies. The findings also contribute toward the ultimate goal of ensuring that the IntelliCare intervention is appropriate for individuals of all ages.

scholarly journals Engagement and Clinical Improvement Among Older Adult Primary Care Patients Using a Mobile Intervention for Depression and Anxiety: Case Studies

10.2196/16341 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e16341
Author(s):  
L Casey Orr ◽  
Andrea K Graham ◽  
David C Mohr ◽  
Carolyn J Greene
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Interventions ◽  
Depression And Anxiety ◽  
Health Technologies ◽  
Mental Health Interventions ◽  
Mobile Intervention ◽  
Study Participants

Background Technology-based mental health interventions are an increasingly attractive option for expanding access to mental health services within the primary care system. Older adults are among the groups that could potentially benefit from the growing ubiquity of technology-based mental health interventions; however, older adults are perceived to be averse to using technology and have reported barriers to use. Objective The aim of this paper is to present a case study of 3 participants from a clinical trial evaluating IntelliCare, an evidence-based mobile intervention for depression and anxiety, among adults recruited from primary care clinics. Our report of these 3 participants, who were aged 60 years or older, focuses on their engagement with the IntelliCare service (ie, app use, coach communication) and clinical changes in depression or anxiety symptoms over the intervention period. Methods The 3 case study participants were offered IntelliCare with coaching for 8 weeks. The intervention consisted of 5 treatment intervention apps that support a variety of psychological skills, a Hub app that contained psychoeducational content and administered weekly assessments, and coaching for encouragement, accountability, and technical assistance as needed. The 3 case study participants were selected to reflect the overall demographics of participants within the trial and because their interactions with IntelliCare provided a good illustration of varied experiences regarding engagement with the intervention. Results The 3 participants’ unique experiences with the intervention are described. Despite potential barriers and experiencing some technical glitches, the participants showed proficient ability to use the apps, high levels of participation through frequent app use and coach interaction, and decreased depression and anxiety scores. At the end of the 8-week intervention, each of these 3 participants expressed great enthusiasm for the benefit of this program through feedback to their coach, and they each identified a number of ways they had seen improvements in themselves. Conclusions These 3 cases provide examples of older individuals who engaged with and benefitted from the IntelliCare service. Although the results from these 3 cases may not generalize to others, they provide an important, informed perspective of the experiences that can contribute to our understanding of how older adults use and overcome barriers to mental health technologies. The findings also contribute toward the ultimate goal of ensuring that the IntelliCare intervention is appropriate for individuals of all ages.

scholarly journals GPs’ attitudes towards digital technologies for depression: an online survey in primary care

2018 ◽  
Vol 69 (680) ◽  
pp. e164-e170 ◽  
Author(s):  
Josefien JF Breedvelt ◽  
Victoria Zamperoni ◽  
David Kessler ◽  
Heleen Riper ◽  
Annet M Kleiboer ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Online Survey ◽  
Health Interventions ◽  
Mental Health Training ◽  
Multiple Choice Questions ◽  
Knowledge Use ◽  
Effective Interventions ◽  
Mental Health Interventions ◽  
The Uk

BackgroundDigital or electronic mental health (e-mental health) interventions can be useful approaches in reducing the burden of depression, with tools available for use in prevention, treatment, or relapse prevention. They may have specific benefit for primary care, as depression is often managed in this setting. However, little is known about attitudes and barriers among GPs towards e-mental health interventions for depression.AimThis study aimed to assess attitudes, knowledge, use, and barriers for depression-focused e-mental health among GPs across the UK.Design and settingAn online survey of self-selecting GPs in the UK conducted over a 10-day period in December 2017.MethodThe survey consisted of 13 multiple choice questions posted on the Doctors.net.uk (DNUK) website.ResultsIn all, 1044 responses were included; 72% of GPs reported using at least one type of e-mental health intervention for depression. Overall, GPs reported that e-mental health interventions are most effective when delivered in a guided way, rather than in an unguided manner. In addition, 92% of GPs reported that neither they nor their colleagues received e-mental health training.ConclusionA moderate number of GPs use e-mental health for depression in their services, and report it is likely that its use will increase. There is a gap in training and awareness of effective interventions. GPs consider guided e-mental health interventions to be most effective, in contrast to the unguided way it is mostly offered in primary care.

Sign in / Sign up

Export Citation Format

Share Document