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DISSEMINATING THE RESULTS OF A DEPRESSION MANAGEMENT STUDY IN AN URBAN ALASKA NATIVE HEALTH CARE SYSTEM

机译:展示城市阿拉斯加天然保健系统的抑郁管理研究结果

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摘要

Increased attention to diagnostic accuracy in depression screening and management within primary care has demonstrated inadequate care when patients prematurely discontinue recommended treatments such as medication and counseling. Decision-support tools can enhance the medical decision-making process. In 2010, the Southcentral Foundation (SCF) Research Department developed a stakeholder-driven decision support tool to aid in depression management. This paper describes feedback from attendees at SCF’s 2016 Alaska Native Health Research Forum (Forum) regarding a dissemination product highlighting the aforementioned study. Forum attendees participated in a small group discussion and responded to a brief survey using the audience response system. Thematic analysis was conducted on data from the small group discussion. Overall, Forum attendees responded favorably to the dissemination product. Most agreed the presentation was clear, the amount of information presented was appropriate, and that results were presented in an interesting way. Small group discussion participants provided constructive feedback about why depression-related research results should be shared; how they believed results should be best shared; who results should be shared with; when and where results should be shared; and what level of research results should be shared. The stigma associated with depression treatment may be assuaged if results are shared in a way that normalizes support for depression treatment. Community member involvement in disseminating results has potential to make information more acceptable and meaningful.
机译:当患者过早停止推荐的治疗方法(如药物治疗和咨询)时,越来越多地关注初级保健中抑郁症筛查和管理的诊断准确性,这表明护理不足。决策支持工具可以增强医疗决策过程。在2010年,Southcentral Foundation(SCF)研究部开发了一个由利益相关者驱动的决策支持工具,以帮助抑郁症管理。本文介绍了SCF在2016年阿拉斯加自然健康研究论坛(Forum)上与会人员的反馈意见,该反馈涉及强调上述研究的传播产品。论坛参加者参加了小组讨论,并使用受众响应系统对简短调查进行了响应。对小组讨论的数据进行了主题分析。总体而言,论坛与会者对传播产品的评价良好。多数人认为演示文稿清晰明了,所提供的信息量适当,并且以有趣的方式演示了结果。小组讨论的参与者就为什么应该共享与抑郁症相关的研究结果提供了建设性的反馈;他们认为应该如何最好地分享结果;应该与谁分享结果;应在何时何地共享结果;以及应该分享什么水平的研究结果。如果以规范化对抑郁治疗的支持的方式共享结果,可以减轻与抑郁治疗相关的污名。社区成员参与传播结果有可能使信息更易于接受和有意义。

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