Implementing evidence-based guidelines for managing depression in elderly patients: a Norwegian perspective.

Abstract:

:Depression in the elderly is common and exhibits a distinctive phenomenology, due to neurobiological, physiological, psychological and social changes related to ageing. Most elderly with depression are managed in primary health care. Although the number of scientific publications related to geriatric psychiatry has increased, there are still important gaps. Implementation of evidence-based guidelines for managing depression in primary care has had limited success, but has led to improvements compared to standard care. It is logical that the determinants (barriers and enablers) of implementing depression guidelines can be identified and can guide the selection of more effective implementation strategies that are tailored to address those determinants. We are testing that logic as part of a multinational implementation research project called 'Tailored Implementation for Chronic Diseases' (TICD). Our focus in Norway is on the management of depression in the elderly in primary care. We will identify the determinants of implementing evidence-based recommendations using various methods and comparing those methods. We will then use different methods to match the implementation interventions to the identified determinants and compare those methods. Finally, we will evaluate the resulting tailored implementation strategy in a randomized trial.

authors

Aakhus E,Flottorp SA,Oxman AD

doi

10.1017/S204579601200025X

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

237-40

issue

3

eissn

2045-7960

issn

2045-7979

pii

S204579601200025X

journal_volume

21

pub_type

杂志文章,评审
  • Predictors and moderators of burden of care and emotional distress in first-episode psychosis caregivers: results from the GET UP pragmatic cluster randomised controlled trial.

    abstract:AIMS:First-episode psychosis (FEP) is a major life event and can have an adverse impact on the diagnosed individual and their families. The importance of intervening early and providing optimal treatments is widely acknowledged. In comparison to patient groups, literature is scarce on identifying treatment predictors a...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1017/S2045796019000155

    authors: Onwumere J,Bonetto C,Lasalvia A,Miglietta E,Veronese A,Bellini F,Imbesi M,Bebbington P,Kuipers E,Ruggeri M,GET UP Group.

    更新日期:2019-04-10 00:00:00

  • What is a factorial trial?

    abstract::Randomized controlled trials (RCTs), typically, randomize participants to one of two intervention groups. It has been shown, however, that about 25% of RCTs published in the scientific literature randomize participants to three or more treatment groups. These studies are called 'multi-arm' trials: there may be, for in...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796013000231

    authors: Cipriani A,Barbui C

    更新日期:2013-09-01 00:00:00

  • Neuroscience, mental health and the immune system: overcoming the brain-mind-body trichotomy.

    abstract::Psychiatry is having a great time. Over the last few years, we have seen an exceptional explosion in neuroscience knowledge, and especially in our understanding of the molecular mechanisms through which environmental and genetic factors affect the brain and regulate behaviour, while at the same interacting with periph...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S204579601500089X

    authors: Pariante CM

    更新日期:2016-04-01 00:00:00

  • Do psychiatric units at general hospitals attract less stigmatizing attitudes compared with psychiatric hospitals?

    abstract::Aims. It is often assumed that psychiatric units at general hospitals attract less stigma than do specialized psychiatric hospitals, but so far this has not been examined empirically. Methods. We conducted a representative population survey in Germany (n = 2410) in order to compare attitudes towards psychiatric units ...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796012000510

    authors: Schomerus G,Matschinger H,Angermeyer MC

    更新日期:2013-06-01 00:00:00

  • A profile of Australian mental health carers, their caring role and service needs: results from the 2012 Survey of Disability, Ageing and Carers.

    abstract:AIMS:Planning mental health carer services requires information about the number of carers, their characteristics, service use and unmet support needs. Available Australian estimates vary widely due to different definitions of mental illness and the types of carers included. This study aimed to provide a detailed profi...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796018000446

    authors: Diminic S,Hielscher E,Harris MG,Lee YY,Kealton J,Whiteford HA

    更新日期:2019-12-01 00:00:00

  • A comparison of the cumulative incidence and early risk factors for psychotic disorder in young adults in the Northern Finland Birth Cohorts 1966 and 1986.

    abstract:AIMS:Few studies have compared time trends for the incidence of psychosis. To date, the results have been inconsistent, showing a decline, an increase or no significant change. As far as we know, no studies explored changes in prevalence of early risk factors. The aim of this study was to investigate differences in ear...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796016000123

    authors: Filatova S,Marttila R,Koivumaa-Honkanen H,Nordström T,Veijola J,Mäki P,Khandaker GM,Isohanni M,Jääskeläinen E,Moilanen K,Miettunen J

    更新日期:2017-06-01 00:00:00

  • Video modeling for the development of personal hygiene skills in youth with autism spectrum disorder.

    abstract::Autism spectrum disorder (ASD) is a neurodevelopmental disorder mainly characterised by deficits in social communication as well as by narrow patterns of behaviour and interests (American Psychiatric Association, 2013), often accompanied by language, intellectual and sensory impairments. The severity of these impairme...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796017000610

    authors: Piccin S,Crippa A,Nobile M,Hardan AY,Brambilla P

    更新日期:2018-04-01 00:00:00

  • Lifetime experience of multiple common mental disorders and 19-year mortality: results from a Canadian population-based cohort.

    abstract:AIMS:To examine the impact of multiple psychiatric disorders over the lifetime on risk of mortality in the general population. METHODS:Data came from a random community-based sample of 1397 adults in Atlantic Canada, recruited in 1992. Major depression, dysthymia, panic disorder, generalised anxiety disorder and alcoh...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796018000859

    authors: Kingsbury M,Sucha E,Horton NJ,Sampasa-Kanyinga H,Murphy JM,Gilman SE,Colman I

    更新日期:2019-02-04 00:00:00

  • Disparities in mental health care provision to immigrants with severe mental illness in Italy.

    abstract:AIM:To determine whether disparities exist in mental health care provision to immigrants and Italian citizens with severe mental illness in Bologna, Italy. METHODS:Records of prevalent cases on 31/12/2010 with severe mental illness and ≥1 contact with Community Mental Health Centers in 2011 were extracted from the men...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796014000250

    authors: Rucci P,Piazza A,Perrone E,Tarricone I,Maisto R,Donegani I,Spigonardo V,Berardi D,Fantini MP,Fioritti A

    更新日期:2015-08-01 00:00:00

  • Social support and delusional-like experiences: a nationwide population-based study.

    abstract:BACKGROUND:Population-based studies have identified that delusional-like experiences (DLEs) are common in the general population. While there is a large literature exploring the relationship between poor social support and risk of mental illness, there is a lack of empirical data examining the association of poor socia...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796011000862

    authors: Saha S,Scott J,Varghese D,McGrath J

    更新日期:2012-06-01 00:00:00

  • Area characteristics and admission rates of people with schizophrenia and affective disorders in a German rural catchment area.

    abstract:BACKGROUND:Studies in urban areas identified environmental risk factors for mental illness, but little research on this topic has been performed in rural areas. METHODS:Hospital admission rates were computed for 174 rural municipalities in the catchment area of the state psychiatric hospital in Günzburg in years 2006 ...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796012000157

    authors: Losert C,Schmauß M,Becker T,Kilian R

    更新日期:2012-12-01 00:00:00

  • Complementary and alternative medicine contacts by persons with mental disorders in 25 countries: results from the World Mental Health Surveys.

    abstract:AIMS:A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate t...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796017000774

    authors: de Jonge P,Wardenaar KJ,Hoenders HR,Evans-Lacko S,Kovess-Masfety V,Aguilar-Gaxiola S,Al-Hamzawi A,Alonso J,Andrade LH,Benjet C,Bromet EJ,Bruffaerts R,Bunting B,Caldas-de-Almeida JM,Dinolova RV,Florescu S,de Girolamo G,G

    更新日期:2018-12-01 00:00:00

  • Identifying the critical time points for mental health of asylum seekers and refugees in high-income countries.

    abstract:AIMS:High heterogeneity was found in the prevalence rates of mental disorders in adult asylum seekers and refugees in high-income countries. This may be related to different problems. Among them, there is a changing exposure to risk and protective factors for mental health at different phases of these people's life bef...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S204579601900057X

    authors: Giacco D

    更新日期:2019-10-02 00:00:00

  • Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review.

    abstract:AIMS:This systematic review compiled evidence on interventions to reduce mental health-related stigma among medical and nursing students in low- and middle-income countries (LMICs). Primary outcomes were stigmatising attitudes and discriminatory behaviours. METHODS:Data collection included two strategies. First, previ...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796019000167

    authors: Heim E,Henderson C,Kohrt BA,Koschorke M,Milenova M,Thornicroft G

    更新日期:2019-04-01 00:00:00

  • European comparisons between mental health services.

    abstract::When developing accessible, affordable and effective mental health systems, exchange of data between countries is an important moving force towards better mental health care. Unfortunately, health information systems in most countries are weak in the field of mental health, and comparability of data is low. Special in...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 社论

    doi:10.1017/s2045796011000060

    authors: Wahlbeck K

    更新日期:2011-03-01 00:00:00

  • Person-centred mental health care: the challenge of implementation.

    abstract::Within mental health care, 'person-centredness' has been generally interpreted to convey a holistic approach with an attitude of respect for the individual and his/her unique experience and needs. Although it has been possible to demonstrate that professionals can acquire such skills through training, the impact on cl...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 社论

    doi:10.1017/S2045796012000078

    authors: Gask L,Coventry P

    更新日期:2012-06-01 00:00:00

  • Alzheimer's disease medication and outcomes of hospitalisation among patients with dementia.

    abstract:AIMS:The use of Alzheimer disease medication for the treatment of dementia symptoms has shown significant benefits with regards to functional and cognitive outcomes as well as nursing home placement (NHP) and mortality. Hospitalisations in these patient groups are characterised by extended length of stays (LOS), freque...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796019000702

    authors: Möllers T,Perna L,Stocker H,Ihle P,Schubert I,Schöttker B,Frölich L,Bauer J,Brenner H

    更新日期:2019-11-14 00:00:00

  • The nature and correlates of paid and unpaid work among service users of London Community Mental Health Teams.

    abstract::Aims. Little is known about how the rates and characteristics of mental health service users in unpaid work, training and study compare with those in paid employment. Methods. From staff report and patient records, 1353 mental health service users of seven Community Mental Health Teams in two London boroughs were cate...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796012000534

    authors: Lloyd-Evans B,Marwaha S,Burns T,Secker J,Latimer E,Blizard R,Killaspy H,Totman J,Tanskanen S,Johnson S

    更新日期:2013-06-01 00:00:00

  • Cancer incidence in young and middle-aged people with schizophrenia: nationwide cohort study in Taiwan, 2000-2010.

    abstract:AIMS:For nearly a century, the incidence of cancer in people with schizophrenia was lower than in the general population. In the recent decade, the relationship between cancer and schizophrenia has become obscured. Thus, we investigated the cancer risk among young and middle-aged patients with schizophrenia. METHODS:R...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796016000883

    authors: Chen LY,Hung YN,Chen YY,Yang SY,Pan CH,Chen CC,Kuo CJ

    更新日期:2018-04-01 00:00:00

  • Exploring the predictors of early readmission to psychiatric hospital.

    abstract:BACKGROUND:Aims of this study are to explore the associations of readmission to psychiatric hospital over time, to develop a statistical model for early readmission to psychiatric hospital and to assess the feasibility of predicting early readmission. METHOD:The sample comprised 7891 general psychiatric discharges in ...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796015000128

    authors: Tulloch AD,David AS,Thornicroft G

    更新日期:2016-04-01 00:00:00

  • Poor implementation of the EU clinical trial regulation is a major threat for pragmatic trials in European countries.

    abstract::The principle of pragmatism in clinical trials has been broadly recognised as a way to close the gap between research and practice. In this contribution, we argue that the conduct of pragmatic clinical trials in Europe may be hampered by poor implementation of current European Union's Clinical Trial Regulation No. 536...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796020000396

    authors: Ostuzzi G,Gastaldon C,Petrini C,Godman B,Barbui C

    更新日期:2020-05-06 00:00:00

  • Making mental health an integral part of sustainable development: the contribution of a social determinants framework.

    abstract::There have been repeated calls to include mental health in the sustainable development goals (SDGs), arguing that progress in development will not be made without improvements in mental health. Although these calls are starting to gain political traction, currently only a tiny fraction of international development wor...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796015000049

    authors: De Silva MJ

    更新日期:2015-04-01 00:00:00

  • Comparative clinical trials in psychotherapy: Have large effects been replicated?

    abstract:AIMS:The purpose of this review is to examine the replication attempts of psychotherapy clinical trials for depression and anxiety. We focus specifically on replications of trials that exhibit large differences between psychotherapies. The replicability of these trials is especially important for meta-analysis, where t...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章,meta分析,评审

    doi:10.1017/S2045796020000402

    authors: Frost ND,Baskin TW,Wampold BE

    更新日期:2020-05-15 00:00:00

  • Linking abuse and recovery through advocacy: an observational study.

    abstract::Aims. High numbers of psychiatric service users experience domestic violence, yet limited interventions exist for these victims. We piloted a domestic violence intervention for community mental health services to explore the feasibility of a future cluster randomized controlled trial. Methods. Quasi-experimental contr...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796013000206

    authors: Trevillion K,Byford S,Cary M,Rose D,Oram S,Feder G,Agnew-Davies R,Howard LM

    更新日期:2014-03-01 00:00:00

  • Trends in the prevalence and disability-adjusted life years of eating disorders from 1990 to 2017: results from the Global Burden of Disease Study 2017.

    abstract:AIM:Eating disorders have increasingly become a public health concern globally. This study aimed to reveal the burden of eating disorders at the global, regional and national levels using the Global Burden of Disease (GBD) Study 2017 data. METHODS:We extracted the age-standardised rates (ASRs) of prevalence and disabi...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796020001055

    authors: Wu J,Liu J,Li S,Ma H,Wang Y

    更新日期:2020-12-07 00:00:00

  • Diffusion imaging studies of white matter integrity in bipolar disorder.

    abstract::Diffusion tensor imaging (DTI) is a neuroimaging technique with a potential to elucidate white matter integrity. Recently, it has been used in the field of psychiatry to further understand the pathophysiology of major diseases, including bipolar disorder (BD). This review sought to focus on existing DTI findings on wh...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/s2045796011000229

    authors: Bellani M,Brambilla P

    更新日期:2011-06-01 00:00:00

  • Prevalence of suicidal behaviour and associated factors in a large sample of Chinese adolescents.

    abstract:AIMS:Suicidal behaviour is prevalent among adolescents and is a significant predictor of future suicide attempts (SAs) and suicide death. Data on the prevalence and epidemiological characteristics of suicidal behaviour in Chinese adolescents are limited. This study was aimed to examine the prevalence, characteristics a...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796017000488

    authors: Liu XC,Chen H,Liu ZZ,Wang JY,Jia CX

    更新日期:2019-06-01 00:00:00

  • Effects of maltreatment and parental schizophrenia spectrum disorders on early childhood social-emotional functioning: a population record linkage study.

    abstract:AIMS:Childhood maltreatment and a family history of a schizophrenia spectrum disorder (SSD) are each associated with social-emotional dysfunction in childhood. Both are also strong risk factors for adult SSDs, and social-emotional dysfunction in childhood may be an antecedent of these disorders. We used data from a lar...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S204579601600055X

    authors: Matheson SL,Kariuki M,Green MJ,Dean K,Harris F,Tzoumakis S,Tarren-Sweeney M,Brinkman S,Chilvers M,Sprague T,Carr VJ,Laurens KR

    更新日期:2017-12-01 00:00:00

  • Applying neuroimaging to detect neuroanatomical dysconnectivity in psychosis.

    abstract::This editorial discusses the application of a novel brain imaging analysis technique in the assessment of neuroanatomical dysconnectivity in psychotic illnesses. There has long been a clinical interest in psychosis as a disconnection syndrome. In recent years graph theory metrics have been applied to functional and st...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796015000074

    authors: O'Donoghue S,Cannon DM,Perlini C,Brambilla P,McDonald C

    更新日期:2015-08-01 00:00:00

  • Discontinuing benzodiazepines: best practices.

    abstract::In July 2015, the Canadian Agency for Drugs and Technologies in Health (CADTH) released a Rapid Response report summary, with a critical appraisal, on discontinuation strategies for patients with long-term benzodiazepines (BDZ) use. The CADTH document is a review of the literature. It includes studies whose interventi...

    journal_title:Epidemiology and psychiatric sciences

    pub_type: 杂志文章

    doi:10.1017/S2045796016000032

    authors: Guaiana G,Barbui C

    更新日期:2016-06-01 00:00:00