Evidence map›Paper›PMID 39164634›Full record

ArticleBMC primary care2024

Implementing primary care behavioral health in Swedish primary care - study protocol for a pragmatic stepped wedge cluster trial.

Hanna Israelsson Larsen, Kristin Thomas, Lise Bergman Nordgren, Erica Skagius Ruiz, Kocher Koshnaw, Per Nilsen

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05633940 (The Effects of Primary Care Behavioral Health in Primary Care in Sweden), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05633940 narecruitingnot on this map

The Effects of Primary Care Behavioral Health in Primary Care in Sweden

TypeinterventionalSponsorRegion ÖstergötlandRan2021 to 2026Enrolled500ConditionsPrimary Health Care, Mental Disorder, Behavioral SymptomsArmsImplementation of the service delivery model primary care behavioral health
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hanna Israelsson LarsenDepartment of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, Linköping, Sweden. hanna.israelsson.larsen@regionostergotland.se.
Kristin ThomasDepartment of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden.
Lise Bergman NordgrenDepartment of Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Erica Skagius RuizDepartment of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, Linköping, Sweden.
Kocher KoshnawPrimary Health Care Centre in Lambohov and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Per NilsenDepartment of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health problems represent a large and growing public health concern. Primary care handles most of the patients with mental health problems, but there are many barriers to detection and treatment in this setting, causing under-recognition and under-treatment of patients. The service delivery model Primary Care Behavioral Health (PCBH) shows promise to manage mental health problems in primary care, but more research is needed regarding its effects on multiple levels.

methodsThis project investigates the effectiveness and implementation of a large-scale implementation of PCBH in Region Östergötland, Sweden. The aim is to generate new knowledge concerning the impact of a real-world implementation and use of PCBH in routine primary care. A Pragmatic Stepped-Wedge Cluster Trial will be used: 24 PCBH primary care centres in one region will be compared with 48 standard care centres in three other regions. The model will be implemented sequentially at the PCBH centres according to a staggered timetable. Results will be investigated at patient, staff and organization levels and various forms of data will be collected: (1) local and national registry data; (2) questionnaire data; (3) interview data; and (4) document data. DISCUSSION: This project investigates the effectiveness and implementation of PCBH in routine primary care. The project could result in improved mental health care for the included patients and contribute to the general good for a wider population who have mental health problems. The project's study design will make it possible to assess many important effects of the PCBH service delivery model at different levels, providing evidence of the effectiveness (or not) of the PCBH model under routine conditions in primary care. The project has the potential to generate clinically meaningful results that can provide a basis for decisions concerning further implementation and use of the model and thus for future development of mental health care provision in primary care.

trial registrationNCT05633940, date of registration: 2021-04-21.

Indexed as

BehaviorHealth Plan ImplementationMental DisordersPragmatic Clinical Trials as TopicPrimary Health CareHumansMental Health ServicesSwedenImplementationMental healthPragmatic clinical trialPrimary CarePrimary care behavioral health

Identifiers

PMID39164634
PMCPMC11334537

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.