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Table 5 Final multi-level multi-component DepCare implementation strategy for sustaining CC

From: A theory-informed, rapid cycle approach to identifying and adapting strategies to promote sustainability: optimizing depression treatment in primary care clinics seeking to sustain collaborative care (The Transform DepCare Study)

 

Experimental arm

Enhanced usual care arm

Clinic

(1)Support and education around valid depression and anxiety screening

(2) Local technical assistance for collaborative care program

(1) Support and education around valid depression and anxiety screening

(2) Local technical assistance for collaborative care program

Provider

(3) One-time presentation or video with education and motivational messaging around collaborative care, functionality of the DepCare patient tool, and optimal management of depression and comorbid anxiety

(4) 2–4 quality improvement/implementation team meeting per year on optimizing mental health treatment in primary care and DepCare strategy (i.e., multi-level, multi-component intervention) implementation

(5) Automatically generated decisional support on individual patient treatment preferences (i.e., for every patient who receives the DepCare patient tool)

(3) Usual care (social workers are notified of suicidal patients)

Patient

(6) Patient tool comprised of enhanced depression and anxiety screening (includes option for voice-over questions, point-and-click responses), and for those who screen positive for depressive symptoms (with or without comorbid anxiety), diagnosis recognition support, psychoeducation, videos promoting patient engagement in treatment, and personalized medication selection support

(4) Usual care (patients are intermittently screened for depression/anxiety based on clinic resources or provider indications)