Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Randomised controlled trial of tailored interventions to improve the management of anxiety and depressive disorders in primary care | Sinnema et al. Implementation Science 2011 6 75 http content 6 1 75 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Randomised controlled trial of tailored interventions to improve the management of anxiety and depressive disorders in primary care 1 1 1 1 4 Henny Sinnema Gerdien Franx Danielle Volker Cristina Majo Berend Terluin Michel Wensing and Anton van Balkom2 5 Abstract Background Anxiety and depressive disorders are highly prevalent disorders and are mostly treated in primary care. The management of these disorders by general practitioners is not always consistent with prevailing guidelines because of a variety of factors. Designing implementation strategies tailored to prospectively identified barriers could lead to more guideline-recommended care. Although tailoring of implementation strategies is promoted in practice little is known about the effect on improving the quality of care for the early recognition diagnosis and stepped care treatment allocation in patients with anxiety or depressive disorders in general practice. This study examines whether the tailored strategy supplemented with training and feedback is more effective than providing training and feedback alone. Methods In this cluster randomised controlled trial a total of 22 general practices will be assigned to one of two conditions 1 training feedback and tailored interventions and 2 training and feedback. The primary outcome measure is the proportion of patients who have been recognised to have anxiety and or depressive disorder. The secondary outcome measures in patients are severity of anxiety and depressive symptoms level of functioning expectation towards and experience with care quality of life and economic costs. Measures are taken after the start of the intervention at baseline and at three- and six-month follow-ups. Secondary outcome measures in general practitioners are adherence to guideline-recommended care in care that .
