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Verfasst von:Tönnies, Justus [VerfasserIn]   i
 Hartmann, Mechthild [VerfasserIn]   i
 Wensing, Michel [VerfasserIn]   i
 Szecsenyi, Joachim [VerfasserIn]   i
 Friederich, Hans-Christoph [VerfasserIn]   i
 Haun, Markus W. [VerfasserIn]   i
Titel:Mental health specialist video consultations for patients with depression or anxiety disorders in primary care
Titelzusatz:protocol for a randomised controlled feasibility trial
Verf.angabe:Justus Tönnies, Mechthild Hartmann, Michel Wensing, Joachim Szecsenyi, Andrea Icks, Hans-Christoph Friederich, Markus W Haun
Jahr:2019
Umfang:8 S.
Fussnoten:Gesehen am 19.12.2019
Titel Quelle:Enthalten in: BMJ open
Ort Quelle:London : BMJ Publishing Group, 2011
Jahr Quelle:2019
Band/Heft Quelle:9(2019,9) Artikel-Nummer e030003, 8 Seiten
ISSN Quelle:2044-6055
Abstract:Introduction Most people suffering from depression and anxiety disorders are entirely treated in primary care. Due to growing challenges in ageing societies, for example, patients’ immobility and multimorbidity, the transition to specialised care becomes increasingly difficult. Although the co-location of general practitioners and mental health specialists improves the access to psychosocial care, integrated in-person approaches are not practical for rural and single-doctor practices with limited personnel and financial resources. Treating primary care patients via internet-based video consultations by remotely located mental health specialists bears the potential to overcome structural barriers and provide low-threshold care. The aim of this randomised controlled feasibility trial is to investigate the feasibility of implementing of mental health specialist video consultations in primary care practices. - Methods and analysis Fifty primary care patients with significant depression and/or anxiety symptomatology will be randomised in two groups receiving either the treatment as usual as provided by their general practitioner or up to five video consultations conducted by a mental health specialist. The video consultations focus on (1) systematic diagnosis plus proactive monitoring using validated clinical rating scales, (2) the establishment of an effective working alliance and (3) a stepped-care algorithm within integrated care adjusting treatments based on clinical outcomes. We will investigate the following outcomes: effectiveness of the recruitment strategies, patient acceptance of randomisation, practicability of the technical and logistical processes related to implementing video consultations in the practices’ workflows, feasibility of the data collection and clinical parameters. - Ethics and dissemination This trial has undergone ethical scrutiny and has been approved by the Medical Faculty of the University of Heidelberg Ethics Committee (S-634/2018). The findings will be disseminated to the research community through presentations at conferences and publications in scientific journals. This feasibility trial will prepare the ground for a large-scale, fully powered randomised controlled trial. - Trial registration number DRKS00015812.
DOI:doi:10.1136/bmjopen-2019-030003
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1136/bmjopen-2019-030003
 Verlag: https://bmjopen.bmj.com/content/9/9/e030003
 DOI: https://doi.org/10.1136/bmjopen-2019-030003
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:feasibility
 mental health
 primary care
 telemedicine
 video consultations
K10plus-PPN:1686056311
Verknüpfungen:→ Zeitschrift

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