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How should we implement collaborative care for older people with depression? A qualitative study using normalisation process theory within the CASPER plus trial

Overview of attention for article published in BMC Primary Care, July 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (74th percentile)
  • High Attention Score compared to outputs of the same age and source (82nd percentile)

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13 X users

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Title
How should we implement collaborative care for older people with depression? A qualitative study using normalisation process theory within the CASPER plus trial
Published in
BMC Primary Care, July 2018
DOI 10.1186/s12875-018-0813-7
Pubmed ID
Authors

Anna Kathryn Taylor, Simon Gilbody, Katharine Bosanquet, Karen Overend, Della Bailey, Deborah Foster, Helen Lewis, Carolyn Anne Chew-Graham

Abstract

Depression in older people may have a prevalence as high as 20%, and is associated with physical co-morbidities, loss, and loneliness. It is associated with poorer health outcomes and reduced quality of life, and is under-diagnosed and under-treated. Older people may find it difficult to speak to their GPs about low mood, and GPs may avoid identifying depression due to limited consultation time and referral options for older patients. A qualitative study nested within a randomised controlled trial for older people with moderate to severe depression: the CASPER plus Trial (Care for Screen Positive Elders). We interviewed patient participants, GPs, and case managers (CM) to explore patients' and professionals' views on collaborative care developed for older people, and how this model could be implemented at scale. Transcripts were analysed thematically using normalization process theory. Thirty-three interviews were conducted. Across the three data-sets, four main themes were identified based on the main principles of the Normalization Process Theory: understanding of collaborative care, interaction between patients and professionals, liaison between GPs and case managers, and the potential for implementation. A telephone-delivered intervention, incorporating behavioural activation, is acceptable to older people with depression, and is deliverable by case managers. The collaborative care framework makes sense to case managers and has the potential to optimize patient outcomes, but implementation requires integration in day to day general practice. Increasing GPs' understanding of collaborative care might improve liaison and collaboration with case managers, and facilitate the intervention through better support of patients. The CASPER plus model, delivering therapy to older adults with depression by telephone, offers the potential for implementation in a resource-poor health service.

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X Demographics

The data shown below were collected from the profiles of 13 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 118 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 118 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 13%
Student > Ph. D. Student 11 9%
Student > Bachelor 11 9%
Researcher 10 8%
Student > Doctoral Student 4 3%
Other 18 15%
Unknown 49 42%
Readers by discipline Count As %
Nursing and Health Professions 19 16%
Psychology 17 14%
Medicine and Dentistry 15 13%
Social Sciences 7 6%
Arts and Humanities 2 2%
Other 9 8%
Unknown 49 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 July 2018.
All research outputs
#4,796,228
of 25,385,509 outputs
Outputs from BMC Primary Care
#671
of 2,359 outputs
Outputs of similar age
#85,537
of 340,475 outputs
Outputs of similar age from BMC Primary Care
#12
of 68 outputs
Altmetric has tracked 25,385,509 research outputs across all sources so far. Compared to these this one has done well and is in the 81st percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 340,475 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
We're also able to compare this research output to 68 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 82% of its contemporaries.