Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, Linköping, Sweden.
Primary Health Care Centre in Cityhälsan Centrum and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
BMC Prim Care. 2024 Aug 20;25(1):310. doi: 10.1186/s12875-024-02515-0.
Mental health problems represent a large and growing public health concern. Primary care handles most of the patients with mental health problems, but there are many barriers to detection and treatment in this setting, causing under-recognition and under-treatment of patients. The service delivery model Primary Care Behavioral Health (PCBH) shows promise to manage mental health problems in primary care, but more research is needed regarding its effects on multiple levels.
This project investigates the effectiveness and implementation of a large-scale implementation of PCBH in Region Östergötland, Sweden. The aim is to generate new knowledge concerning the impact of a real-world implementation and use of PCBH in routine primary care. A Pragmatic Stepped-Wedge Cluster Trial will be used: 24 PCBH primary care centres in one region will be compared with 48 standard care centres in three other regions. The model will be implemented sequentially at the PCBH centres according to a staggered timetable. Results will be investigated at patient, staff and organization levels and various forms of data will be collected: (1) local and national registry data; (2) questionnaire data; (3) interview data; and (4) document data.
This project investigates the effectiveness and implementation of PCBH in routine primary care. The project could result in improved mental health care for the included patients and contribute to the general good for a wider population who have mental health problems. The project's study design will make it possible to assess many important effects of the PCBH service delivery model at different levels, providing evidence of the effectiveness (or not) of the PCBH model under routine conditions in primary care. The project has the potential to generate clinically meaningful results that can provide a basis for decisions concerning further implementation and use of the model and thus for future development of mental health care provision in primary care.
NCT05633940, date of registration: 2021-04-21.
心理健康问题是一个日益严重的公共卫生问题。初级保健机构处理了大多数患有心理健康问题的患者，但在这种环境下，存在许多发现和治疗的障碍，导致患者的识别和治疗不足。初级保健中的行为健康服务（PCBH）模式有望在初级保健中管理心理健康问题，但仍需要更多关于其在多个层面上效果的研究。
本项目研究了在瑞典东约特兰地区大规模实施 PCBH 的效果和实施情况。目的是生成关于在常规初级保健中实施和使用 PCBH 的真实世界的影响的新知识。将使用实用的阶梯式楔形集群试验：一个地区的 24 个 PCBH 初级保健中心将与其他三个地区的 48 个标准护理中心进行比较。该模型将根据交错时间表在 PCBH 中心依次实施。结果将在患者、员工和组织层面进行调查，并收集各种形式的数据：（1）本地和国家登记数据；（2）问卷调查数据；（3）访谈数据；（4）文件数据。
本项目研究了 PCBH 在常规初级保健中的效果和实施情况。该项目可以改善纳入患者的心理健康护理，并为更广泛的有心理健康问题的人群带来普遍的好处。该项目的研究设计将有可能评估在不同层面上 PCBH 服务交付模式的许多重要效果，为在初级保健常规条件下 PCBH 模型的有效性（或无效性）提供证据。该项目有可能产生具有临床意义的结果，可以为进一步实施和使用该模型以及未来初级保健中精神卫生服务提供的发展做出决策提供依据。
NCT05633940，注册日期：2021 年 4 月 21 日。
