Universidade Federal do Rio Grande do Sul. Hospital de Clínicas de Porto Alegre. Departamento de Psiquiatria e Medicina Legal. Porto Alegre, RS, Brasil.
University of Southern California. Psychiatry Department. Los Angeles, California, United States of America.
Rev Saude Publica. 2022 Apr 22;56:23. doi: 10.11606/s1518-8787.2022056003731. eCollection 2022.
To show the implementation process of IPT-G in primary care, including facilitating and obstructing factors, implementation strategies, and training and supervision of primary care professionals.
Quantitative (cross-sectional and longitudinal) analysis of pre and post-knowledge tests; qualitative analyses of the training courses; patient recruitment; conduction of IPT-G sessions; supervision of IPT-G therapists; application of a semi-structured questionnaire to assess, investigate, and develop strategies against the identified barriers.
About 120 clinicians answered the pre-test; 84 completed the post-test. Pre- and post-test scores of IPT-G knowledge were significantly different. Twenty initially trained clinicians completed additional supervision in IPT-G. Qualitative analysis identified twelve barriers and six facilitators to IPT-G implementation in individual, organizational, and systemic contexts.
Implementation of IPT-G in primary care is a complex process with several steps. In the first step, health professionals were successfully trained in IPT-G. However, subsequent steps were more complex. Therefore, careful planning of IPT-G implementation is essential to maximize the success of this innovation.
展示初级保健中 IPT-G 的实施过程，包括促进和阻碍因素、实施策略以及对初级保健专业人员的培训和监督。
对知识测试前后进行定量（横断面和纵向）分析；培训课程的定性分析；患者招募；IPT-G 会议的进行；IPT-G 治疗师的监督；应用半结构化问卷评估、调查和制定针对已确定障碍的策略。
约有 120 名临床医生回答了预测试；84 人完成了后测。IPT-G 知识的预测试和后测试得分有显著差异。最初接受培训的 20 名临床医生完成了 IPT-G 的额外监督。定性分析确定了个体、组织和系统环境中实施 IPT-G 的 12 个障碍和 6 个促进因素。
IPT-G 在初级保健中的实施是一个复杂的过程，需要经过多个步骤。在第一步中，成功地对卫生专业人员进行了 IPT-G 培训。然而，后续步骤更加复杂。因此，仔细规划 IPT-G 的实施对于最大限度地提高这一创新的成功至关重要。
