纵向远程辅导在围产期协作护理中的实施：混合方法分析。
Longitudinal Remote Coaching for Implementation of Perinatal Collaborative Care: A Mixed-Methods Analysis.
机构信息
Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
出版信息
Psychiatr Serv. 2020 May 1;71(5):518-521. doi: 10.1176/appi.ps.201900341. Epub 2020 Jan 30.
The collaborative care model (CoCM) is a multicomponent, team-based integrated behavioral health framework. Its effectiveness in the treatment of perinatal depression is established, but implementation has been limited. The authors used longitudinal remote coaching (LRC) as a novel implementation strategy to support systematic case review in a multistate cluster-randomized trial of CoCM for perinatal depression. They describe LRC for perinatal CoCM in three clinics and use of a mixed-methods analysis of data from LRC feedback forms and interviews with participants. LRC is a scalable implementation strategy with potential to support complex models of integrated behavioral health, such as perinatal CoCM.
协作式护理模式（CoCM）是一种多组分、以团队为基础的综合行为健康框架。它在治疗围产期抑郁症方面的有效性已得到证实，但实施范围有限。作者使用纵向远程辅导（LRC）作为一种新的实施策略，在一项针对围产期抑郁症的 CoCM 的多州聚类随机试验中支持系统的病例审查。他们描述了在三个诊所中使用 LRC 对围产期 CoCM 的应用，并对 LRC 反馈表的数据和对参与者的访谈进行了混合方法分析。LRC 是一种具有扩展性的实施策略，有可能支持综合行为健康的复杂模式，如围产期 CoCM。
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