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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR2111 |
来源ID | RR-2111-OSD |
Provider Interventions to Increase Uptake of Evidence-Based Treatment for Depression: A Systematic Review | |
Eric R. Pedersen; Ryan Kandrack; Marjorie Danz; Aneesa Motala; Marika Booth; Jody Larkin; Susanne Hempel | |
发表日期 | 2018-09-10 |
出版年 | 2018 |
页码 | 182 |
语种 | 英语 |
结论 | Studies evaluated diverse provider interventions to promote uptake of clinical practice guidelines and guideline-concordant practices
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摘要 | The objective of this systematic review was to synthesize the effectiveness of health care provider interventions that aim to increase the uptake of evidence-based treatment of depression in routine clinical practice. This report summarizes results of comprehensive searches in the quality improvement, implementation science, and behavior change literature. Studies evaluated diverse provider interventions such as sending out depression guidelines to providers, education and training such as academic detailing, and combinations of education with other components such as targeting implementation barriers. A detailed critical appraisal process assessed risk of bias and study quality. The body of evidence was graded using established evidence synthesis criteria. Twenty-two randomized controlled trials promoting uptake of clinical practice guidelines and guideline-concordant practices met inclusion criteria. Results were heterogeneous and analyses comparing interventions with usual clinical practice did not indicate a statistically significant difference in guideline adherence across studies. There was some evidence that interventions improved individual outcomes such as medication prescribing and indirect comparisons indicated that more complex interventions may be associated with more favorable outcomes. However, we did not identify types of interventions that were consistently associated with improvements across indicators of guideline adherence and across studies. Due to the small number of studies reporting team interventions or approaches tested in specialty care we did not identify robust evidence that effects vary by provider group or setting. Low quality of evidence and lack of replication of specific intervention strategies limited conclusions that can be drawn from the existing research. |
目录 |
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主题 | Depression ; Evidence Based Health Practice ; Health Interventions ; Mental Health Treatment |
URL | https://www.rand.org/pubs/research_reports/RR2111.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523616 |
推荐引用方式 GB/T 7714 | Eric R. Pedersen,Ryan Kandrack,Marjorie Danz,et al. Provider Interventions to Increase Uptake of Evidence-Based Treatment for Depression: A Systematic Review. 2018. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR2111.pdf(2019KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1539261210759.jpg(5KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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