Predictors and outcomes in primary depression care (POKAL) – a research training group develops an innovative approach to collaborative care

BMC Primary Care

Research

P Schönweger¹  C Jung-Sievers¹  M Böhm²  L Hattenkofer³  P Falkai³  J Eder³  A Schmitt⁴  Ph Sterner⁵  M Bühner⁵  K Biersack⁶  P Henningsen⁶  A Drescher⁷  T Dreischulte⁷  J Raub⁷  V Brisnik⁷  C Brand⁷  J Vukas⁷  P Younesi⁷  J Gensichen⁷  K Lukaschek⁷  L Kaupe⁷  H Schillok⁷  C Haas⁷  V von Schrottenberg⁸  G Pitschel-Walz⁸  K Linde⁸  C Teusen⁸  F Gökce⁸  A Schneider⁸  H Krcmar⁹  B Prommegger⁹  Ph Reindl-Spanner⁹ 

[1] Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry and Epidemiology, Pettenkofer School of Public Health, LMU Munich, Munich, Germany;Department of Informatics, University of Applied Sciences Landshut, Landshut, Germany;Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany;Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany;Laboratory of Neurosciences (LIM-27), Institute of Psychiatry, University of São Paulo (USP), São Paulo, Brazil;Department of Psychology, Psychological Methods and Assessment, Ludwig Maximilian University of Munich, Munich, Germany;Department of Psychosomatic Medicine and Psychotherapy, Klinikum Rechts Der Isar, Technical University of Munich, Munich, Germany;Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany;Institute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany;School of Computation, Information and Technology, Technical University of Munich, Garching, Munich, Germany;

关键词: Primary care;    Depression;    Multimorbidity;    Research training group;    Chronic care model (CCM);   

DOI  :  10.1186/s12875-022-01913-6

 received in 2022-05-03, accepted in 2022-11-15,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe interdisciplinary research training group (POKAL) aims to improve care for patients with depression and multimorbidity in primary care.POKAL includes nine projects within the framework of the Chronic Care Model (CCM). In addition, POKAL will train young (mental) health professionals in research competences within primary care settings. POKAL will address specific challenges in diagnosis (reliability of diagnosis, ignoring suicidal risks), in treatment (insufficient patient involvement, highly fragmented care and inappropriate long-time anti-depressive medication) and in implementation of innovations (insufficient guideline adherence, use of irrelevant patient outcomes, ignoring relevant context factors) in primary depression care.MethodsIn 2021 POKAL started with a first group of 16 trainees in general practice (GPs), pharmacy, psychology, public health, informatics, etc. The program is scheduled for at least 6 years, so a second group of trainees starting in 2024 will also have three years of research-time. Experienced principal investigators (PIs) supervise all trainees in their specific projects. All projects refer to the CCM and focus on the diagnostic, therapeutic, and implementation challenges.ResultsThe first cohort of the POKAL research training group will develop and test new depression-specific diagnostics (hermeneutical strategies, predicting models, screening for suicidal ideation), treatment (primary-care based psycho-education, modulating factors in depression monitoring, strategies of de-prescribing) and implementation in primary care (guideline implementation, use of patient-assessed data, identification of relevant context factors). Based on those results the second cohort of trainees and their PIs will run two major trials to proof innovations in primary care-based a) diagnostics and b) treatment for depression.ConclusionThe research and training programme POKAL aims to provide appropriate approaches for depression diagnosis and treatment in primary care.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 1