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[Simple guideline-oriented supportive tools in primary care: Effects on adherence to the S3/NV guideline unipolar
Susanne Knappe1, Franziska Einsle1, Christine Rummel-Kluge2,3
1Institut für Klinische Psychologie und Psychotherapie Chemnitzer Str. 46 01187 Dresden Deutschland Institut für Klinische Psychologie und Psychotherapie, Technische Universität Dresden.
Abstract:
Simple guideline-oriented supportive tools in primary care: Effects on adherence to the S3/NV guideline unipolar depression Objectives: Does the provision of supportive tools improve guideline-oriented recognition and treatment of patients with depression in primary care?
Methods:
In a nested intervention study, as part of a larger epidemiological study program in German primary care, 46 randomly drawn practices received tools to facilitate identification and treatment decisions.Pre-post effects were compared to 42 matched control practices without intervention.
Results:
The proportion of correctly identified depression cases was similar in the intervention (47.2%) and the control group (42.3%, p = 0.537). Compared to controls, practitioners in the intervention group rated their competence in case identification and treatment at post-intervention more positively (p = 0.016). No effects were observed regarding the usage of the tools, practitioners' attitudes towards national depression guidelines, and depression treatment procedures.
Conclusions:
Since provision of guideline-oriented tools did not improve recognition and quality of treatment, delineation of alternative strategies for enhanced guideline adherence in primary care for depression is warranted.
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