G2TT
来源类型Report
规范类型报告
DOIhttps://doi.org/10.7249/RR2111
来源IDRR-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

  • Twenty-two randomized controlled trials promoting uptake of clinical practice guidelines or 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 indication that more complex interventions may be associated with larger intervention effects and that interventions can improve individual outcomes such as medication prescribing.
  • Due to the small number of studies reporting team interventions or interventions in specialty care, robust evidence that effects vary by provider group or setting could not be reported.
  • Effects on patients' health were mixed across studies and outcomes, but interventions improved the number of patients responding to treatment.
  • The low quality of evidence and lack of replication of specific intervention strategies across studies limit the conclusions that can be drawn from the current literature.
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
  • Chapter One

    Introduction

  • Chapter Two

    Methods

  • Chapter Three

    Results

  • Chapter Four

    Discussion

  • Appendix A

    Search Strategy

  • Appendix B

    Excluded Publications

  • Appendix C

    Evidence Table of Included Studies

  • Appendix D

    Critical Appraisal Table

  • Appendix E

    Sensitivity Analyses for High-Quality Studies

主题Depression ; Evidence Based Health Practice ; Health Interventions ; Mental Health Treatment
URLhttps://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缩略图
浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Eric R. Pedersen]的文章
[Ryan Kandrack]的文章
[Marjorie Danz]的文章
百度学术
百度学术中相似的文章
[Eric R. Pedersen]的文章
[Ryan Kandrack]的文章
[Marjorie Danz]的文章
必应学术
必应学术中相似的文章
[Eric R. Pedersen]的文章
[Ryan Kandrack]的文章
[Marjorie Danz]的文章
相关权益政策
暂无数据
收藏/分享
文件名: RAND_RR2111.pdf
格式: Adobe PDF
文件名: 1539261210759.jpg
格式: JPEG

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。