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Primary care-based screening and management of depression amongst heavy drinking patients: Interim secondary outcomes of a three-country quasi-experimental study in Latin America

dc.creatorDonnell, Amy O’es_ES
dc.creatorSchulte, Berndes_ES
dc.creatorManthey, Jakobes_ES
dc.creatorSybille Schmidt, Christianees_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorBustamante Chavez, Ineses_ES
dc.creatorNatera, Guillerminaes_ES
dc.creatorBautista Aguilar, Nataliaes_ES
dc.creatorSánchez Hernández, Graciela Yazmínes_ES
dc.creatorMejía-Trujillo, Julianaes_ES
dc.creatorPérez-Gómez, Augustoes_ES
dc.creatorGual, Antonies_ES
dc.creatorVries, Hein dees_ES
dc.creatorSolovei, Adrianaes_ES
dc.creatorKokole, Dasaes_ES
dc.creatorKaner, Eileenes_ES
dc.creatorKilian, Carolies_ES
dc.creatorRehm, Jurgenes_ES
dc.creatorAnderson, Peteres_ES
dc.creatorJané-Llopis, Evaes_ES
dc.date2021
dc.date.accessioned2024-01-18T19:13:10Z
dc.date.available2024-01-18T19:13:10Z
dc.date.issued2021
dc.identifierJC10DIEP21es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7876
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0255594
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8341512/
dc.descriptionIntroduction Implementation of evidence-based care for heavy drinking and depression remains low in global health systems. We tested the impact of providing community support, training, and clinical packages of varied intensity on depression screening and management for heavy drinking patients in Latin American primary healthcare. Materials and methods Quasi-experimental study involving 58 primary healthcare units in Colombia, Mexico and Peru randomized to receive: (1) usual care (control); (2) training using a brief clinical package; (3) community support plus training using a brief clinical package; (4) community support plus training using a standard clinical package. Outcomes were proportion of: (1) heavy drinking patients screened for depression; (2) screen-positive patients receiving appropriate support; (3) all consulting patients screened for depression, irrespective of drinking status. Results 550/615 identified heavy drinkers were screened for depression (89.4%). 147/230 patients screening positive for depression received appropriate support (64%). Amongst identified heavy drinkers, adjusting for country, sex, age and provider profession, provision of community support and training had no impact on depression activity rates. Intensity of clinical package also did not affect delivery rates, with comparable performance for brief and standard versions. However, amongst all consulting patients, training providers resulted in significantly higher rates of alcohol measurement and in turn higher depression screening rates; 2.7 times higher compared to those not trained. Conclusions Training using a brief clinical package increased depression screening rates in Latin American primary healthcare. It is not possible to determine the effectiveness of community support on depression activity rates due to the impact of COVID-19.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation16(8): e0255594
dc.rightsAcceso Cerradoes_ES
dc.titlePrimary care-based screening and management of depression amongst heavy drinking patients: Interim secondary outcomes of a three-country quasi-experimental study in Latin Americaes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationPopulation Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, United Kingdom
dc.contributor.emailamy.odonnell@newcastle.ac.uk
dc.relation.jnabreviadoPLOS ONE
dc.relation.journalPloS One
dc.identifier.placeEstados Unidos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1932-6203
dc.identifier.doi10.1371/journal.pone.0255594


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