School of Health Sciences, Áras Moyola, National University of Ireland, Galway, Ireland.
HRB Primary Care Clinical Trials Network Ireland, Discipline of General Practice, HRB Clinical Research Facility, NUI Galway, Galway, Ireland.
Scand J Occup Ther. 2022 Jul;29(5):415-429. doi: 10.1080/11038128.2021.1882561. Epub 2021 Feb 8.
Despite high demand, mental health services in primary care in Ireland are underdeveloped. People with mild/moderate anxiety, depression and unspecified psychological distress are frequently seen in primary care settings, mostly by general practitioners (GPs). Occupational therapists have the potential to contribute to service-provision with interventions specially designed for the targeted group e.g. the Redesigning Daily Occupations programme (ReDO-10).
AIMS/OBJECTIVES: This study aimed to explore the feasibility of a future RCT of the ReDO-10 programme in Ireland and the contextual factors that would influence future implementation.
Using a multi-phase, mixed-method design, qualitative and quantitative data were gathered from key stakeholders: ReDO-10 participants ( = 10), GPs ( = 9) and occupational therapists ( = 2). Acceptability, satisfaction, cultural fit and demand were explored, as well as methodological issues such as appropriateness of recruitment methods, outcome measures and randomization.
ReDO-10 was acceptable to participants who reported improvements in their occupational patterns and valued the group-based format. GPs and occupational therapists welcomed the intervention, but acknowledged the limitations of time and resources in the Irish primary care context.
ReDO-10 is feasible to explore in a future RCT in Ireland and this study provides important context for future implementation and/or research.
尽管需求很高,但爱尔兰初级保健中的心理健康服务仍不发达。轻度/中度焦虑、抑郁和未明确的心理困扰的人经常在初级保健环境中出现,主要由全科医生(GP)治疗。职业治疗师有可能通过专门针对目标人群的干预措施来为服务提供做出贡献,例如重新设计日常生活方案(ReDO-10)。
目的/目标:本研究旨在探索在爱尔兰进行 ReDO-10 方案未来 RCT 的可行性,以及影响未来实施的背景因素。
使用多阶段混合方法设计,从主要利益相关者那里收集了定性和定量数据:ReDO-10 参与者( = 10)、全科医生( = 9)和职业治疗师( = 2)。探讨了可接受性、满意度、文化适应性和需求,以及方法学问题,如招募方法、结果测量和随机化的适当性。
ReDO-10 对报告其职业模式有所改善且重视基于小组的格式的参与者来说是可接受的。全科医生和职业治疗师欢迎这种干预,但承认在爱尔兰初级保健环境中时间和资源的限制。
ReDO-10 可以在爱尔兰进行未来的 RCT 中进行探索,本研究为未来的实施和/或研究提供了重要的背景信息。