ArticleJournal of general internal medicine2026
Primary Care Physicians' Experiences with Integrated Mental Health Specialist Video Consultations-A Normalization Process Theory-Based Mixed-Methods Evaluation.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04316572 (ImPROving Cross-sectoral Collaboration Between Primary and Psychosocial Care), which is not on this map. Not yet cited in PubMed.
What it found
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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.
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.
ImPROving Cross-sectoral Collaboration Between Primary and Psychosocial Care: A Randomised Controlled Superiority Trial to Compare the Effectiveness of a Mental Health Specialist VIDEo Consultations Model Versus Treatment as Usual in Patients With Depression or Anxiety Disorders in Primary Care
Who cites it
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Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundStructural barriers limit timely access to specialised mental health services. Technology-based integrated care models, such as mental health specialist video consultations, connect primary care physicians, patients, and mental health specialists regardless of geographic constraints. Primary care physicians are pivotal for delivering mental health care and critical for understanding facilitators and barriers to implementing mental health specialist video consultations.
objectivesThis study aimed to (1) prospectively investigate the implementation of mental health specialist video consultations in primary care and (2) derive actionable recommendations for scalable implementation by exploring primary care physicians' experiences through Normalization Process Theory.
designMixed-methods evaluation (qualitative-primary embedded design) using semi-structured interviews, complemented by quantitative NoMAD (Normalisation MeAsure Development) questionnaire data.
participantsEighteen rural primary care physicians in Germany. APPROACH: Thematic analysis guided by Normalization Process Theory (Coherence, Cognitive Participation, Collective Action, Reflexive Monitoring). NoMAD data were analysed using descriptive statistics. KEY
resultsNarratives and high NoMAD scores indicated clear understanding of mental health specialist video consultations as delivering low-threshold, immediate support regardless of regional barriers (Coherence), and confidence in the suitability of on-site delivery within primary care, particularly for patient safety (Cognitive Participation). However, participants emphasised the need for adequate resources-space, staff, and streamlined workflows-to minimise burden on practice routines (Collective Action). Physicians highlighted the benefits of mental health specialist video consultations, including reduced workload, improved patient outcomes, and overall relief for the health system (Reflexive Monitoring).
conclusionsMental health specialist video consultations are a promising practical tool for integrating mental health services into primary care, with primary care physicians central to its success. However, addressing structural barriers at the practice and system levels is crucial for embedding mental health specialist video consultations into routine workflows.
trial registrationClinicalTrials.gov (NCT04316572). Prospectively registered on 20 March 2020.
Indexed as
Identifiers
41680544What Socratic holds
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.