Department of Kinesiology, Faculty of Education, University of British Columbia, 210-6081 University Boulevard, Vancouver, BC, V6T 1Z1, Canada.
Department of Psychiatry, Mood Disorders Centre, Faculty of Medicine, University of British Columbia, 420-5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
BMC Psychiatry. 2021 May 8;21(1):243. doi: 10.1186/s12888-021-03248-5.
Exercise is now recommended as a primary treatment for mild-moderate depression in Canada. The 'Exercise and Depression Toolkit' was developed to help health care providers (HCP) integrate these treatment guidelines into practice. The purpose of this study was to evaluate acceptability and perceived effectiveness of the toolkit in practice by HCPs working with individuals with depression.
A case study design was utilized. The toolkit was given to 6 HCPs to use in practice for 4 weeks. Pre- and post-intervention phone interviews were conducted, and weekly logs were provided to track use and satisfaction of interactions with individuals with depression when using the toolkit. The study was conceptually guided by a hybrid theoretical approach using the Diffusion of Innovation Theory and the Theoretical Framework of Acceptability.
All HCPs used the toolkit at least once. Participants viewed their interactions when using the toolkit to be successful (considering individuals' receptiveness, its usefulness and general satisfaction.) The average success score for all participants was 5.5/7. HCPs found the toolkit to be acceptable. All participants (n = 6) viewed the toolkit as having relative advantage in helping them to discuss exercise with individuals with depression, and as relatively simple and easy to use (not complex) and adaptable to their practice needs (having trialability). Participants liked the toolkit and had mostly positive things to say about it. Participants had mixed feelings about whether changes in the people they worked with (such as mood and activity levels) could be observed (observability) and whether the toolkit changed their belief in their ability to recommend or discuss exercise (self-efficacy). Recommended dissemination strategies were adopted in promoting the toolkit.
Future work should address observability and the ability for health care providers to see other providers using it, as well as effectiveness considering outcomes for people with depression such as mood and activity changes. The results of this initial evaluation seem promising for uptake and future adoption of the toolkit by health care providers working with adults with depression in Canada.
运动现被推荐为加拿大轻中度抑郁症的主要治疗手段。为帮助医疗保健提供者（HCP）将这些治疗指南纳入实践，开发了“运动与抑郁工具包”。本研究的目的是评估 HCP 在实践中使用该工具包的可接受性和感知效果，这些 HCP 为抑郁症患者提供服务。
采用案例研究设计。将工具包提供给 6 名 HCP，供他们在实践中使用 4 周。在干预前后进行电话访谈，并提供每周日志，以跟踪使用工具包与抑郁症患者互动的使用情况和满意度。该研究的概念框架是使用创新扩散理论和可接受性理论框架的混合理论方法。
所有 HCP 都至少使用过一次工具包。参与者认为他们在使用工具包时的互动是成功的（考虑到个人的接受度、其有用性和总体满意度）。所有参与者的平均成功率为 5.5/7。HCP 认为工具包是可以接受的。所有参与者（n=6）认为该工具包在帮助他们与抑郁症患者讨论运动方面具有相对优势，并且相对简单易用（不复杂），且能适应他们的实践需求（具有可试用性）。参与者喜欢该工具包，对其评价大多为正面。参与者对是否能观察到他们所服务的人的变化（如情绪和活动水平）（可观察性）以及工具包是否改变了他们推荐或讨论运动的能力（自我效能感）持不同看法。为推广该工具包，采用了推荐的传播策略。
未来的工作应解决可观察性问题，以及医疗保健提供者观察其他提供者使用该工具包的能力问题，还应考虑考虑抑郁症患者的结果，如情绪和活动变化等方面的有效性。该初步评估的结果似乎很有希望被加拿大治疗抑郁症的医疗保健提供者接受和采用该工具包。
