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Related Experiment Videos

A case report: implementing a nurse telecare program for treating depression in primary care.

Joel F Meresman1, Enid M Hunkeler, William A Hargreaves

  • 1Department of Psychiatry, Kaiser Permanente Medical Care Program, Northern California Region, Santa Clara, CA 95051, USA. joel.f.meresman@kp.org

The Psychiatric Quarterly
|February 27, 2003
PubMed
Summary

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A nurse telecare intervention significantly improves depression treatment outcomes in primary care. This model is feasible for widespread dissemination, requiring minimal resources and no negative impact on clinic operations.

Area of Science:

  • Primary care
  • Mental health
  • Telehealth

Background:

  • Depression treatment in primary care requires enhancement.
  • Previous studies demonstrated the efficacy of nurse telecare for depression.
  • Dissemination feasibility is key for widespread adoption.

Purpose of the Study:

  • To describe the nurse telecare model for depression.
  • To outline implementation steps and dissemination strategies.
  • To evaluate feasibility across diverse settings.

Main Methods:

  • Nurse telecare includes behavioral activation, emotional support, education, adherence promotion, and progress monitoring.
  • Delivered via ten brief telephone appointments over four months by primary care nurses.
  • Implementation requires administrative support, clinical champions, and dedicated nurse time.

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Main Results:

  • The nurse telecare model was successfully piloted and disseminated in various settings.
  • Minimal modifications were needed for implementation.
  • The intervention was resource-efficient with no negative impact on clinic operations.

Conclusions:

  • Nurse telecare is a feasible and effective intervention for depression in primary care.
  • The model's adaptability supports broad dissemination.
  • Successful implementation hinges on dedicated resources and stakeholder support.