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Rev Med Chil. 2011 May;139(5):592-9. Epub 2011 Sep 16.
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Facilitators and barriers to implementing quality measurement in primary mental health care: Systematic review.促进和阻碍初级精神卫生保健中实施质量测量的因素:系统评价。
Can Fam Physician. 2010 Dec;56(12):1322-31.
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The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review.患者健康问卷躯体、焦虑和抑郁症状量表:系统评价。
Gen Hosp Psychiatry. 2010 Jul-Aug;32(4):345-59. doi: 10.1016/j.genhosppsych.2010.03.006. Epub 2010 May 7.
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Treatment of postnatal depression in low-income mothers in primary-care clinics in Santiago, Chile: a randomised controlled trial.智利圣地亚哥初级保健诊所中低收入母亲产后抑郁症的治疗:一项随机对照试验。
Lancet. 2007 Nov 10;370(9599):1629-37. doi: 10.1016/S0140-6736(07)61685-7.
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Treatment and prevention of mental disorders in low-income and middle-income countries.低收入和中等收入国家精神障碍的治疗与预防
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[A randomized trial of pharmacotherapy with telephone monitoring to improve treatment of depression in primary care in Santiago, Chile].[一项在智利圣地亚哥进行的关于药物治疗结合电话监测以改善初级保健中抑郁症治疗的随机试验]
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Cost-effectiveness of a primary care treatment program for depression in low-income women in Santiago, Chile.智利圣地亚哥针对低收入女性抑郁症的初级保健治疗项目的成本效益
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智利圣地亚哥初级保健中加强抑郁症管理的综合技术辅助培训与监督计划:一项整群随机对照试验的研究方案

Comprehensive technology-assisted training and supervision program to enhance depression management in primary care in Santiago, Chile: study protocol for a cluster randomized controlled trial.

作者信息

Rojas Graciela, Martínez Pablo, Vöhringer Paul A, Martínez Vania, Castro-Lara Ariel, Fritsch Rosemarie

机构信息

Universidad de Chile, Departamento de Psiquiatría y Salud Mental, Clínica Psiquiátrica Universitaria, Av. La Paz 1003, Recoleta, Santiago, Chile.

Núcleo Milenio de Intervención Psicológica y Cambio en Depresión, Av. Vicuña Mackenna 4860, Macul, Santiago, Chile.

出版信息

Trials. 2015 Jul 24;16:311. doi: 10.1186/s13063-015-0845-4.

DOI:10.1186/s13063-015-0845-4
PMID:26201546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4512091/
Abstract

BACKGROUND

Depression is a common and disabling condition. Since 2001, Chile has had a national program for depression in primary care and universal access to treatment for depressed people over the age of 15. There are National Guidelines to treat depression but no training program exists. The aim of the present study protocol is to measure the effectiveness of a comprehensive technology-assisted training and supervision program to enhance depression management in primary care.

METHODS AND DESIGN

This is a two-arm, single-blind, cluster randomized controlled trial to compare the efficacy of the program versus usual care to treat depression in primary care clinics. In total, 434 depressed persons 18 to 65 years of age, recruited from four primary care clinics located in Santiago, will participate in the study.

DISCUSSION

In order to ensure the quality of interventions supported by the national program for depression in Chile, it is desirable to have training programs of proven effectiveness.

TRIAL REGISTRATION

NCT02232854, registered on 2 September 2014.

摘要

背景

抑郁症是一种常见且使人致残的疾病。自2001年以来,智利实施了一项针对初级保健中抑郁症的国家项目,15岁以上的抑郁症患者可普遍获得治疗。有治疗抑郁症的国家指南,但没有培训项目。本研究方案的目的是衡量一项全面的技术辅助培训与监督项目对改善初级保健中抑郁症管理的有效性。

方法与设计

这是一项双臂、单盲、整群随机对照试验,旨在比较该项目与常规护理在初级保健诊所治疗抑郁症的疗效。总共434名年龄在18至65岁之间、从圣地亚哥的四家初级保健诊所招募的抑郁症患者将参与该研究。

讨论

为确保智利国家抑郁症项目所支持干预措施的质量,拥有经证实有效的培训项目是可取的。

试验注册

NCT02232854,于2014年9月2日注册。