dc.date.accessioned | 2022-09-09T18:52:23Z | |
dc.date.available | 2022-09-09T18:52:23Z | |
dc.date.created | 2022-09-09T18:52:23Z | |
dc.date.issued | 2022 | |
dc.identifier | https://hdl.handle.net/20.500.12866/12155 | |
dc.identifier | https://doi.org/10.1007/s44192-022-00015-0 | |
dc.description.abstract | Two randomized controlled trials (RCTs) in Brazil and Peru demonstrated the effectiveness of CONEMO, a digital intervention supported by trained nurses or nurse assistants (NAs), to reduce depressive symptoms in people with diabetes and/or hypertension. This paper extends the RCTs findings by reflecting on the conditions needed for its wider implementation in routine care services. A qualitative study using semi-structured interviews and content analysis was conducted with nurses/NAs, clinicians, healthcare administrators, and policymakers. Informants reported that CONEMO would be feasible to implement in their health services, but some conditions could be improved before its scale-up: reducing workloads of healthcare workers; raising mental health awareness among clinicians and administrators; being able to inform, deliver and accompany the intervention; assuring appropriate training and supervision of nurses/NAs; and supporting the use of technology in public health services and by patients, especially older ones. We discuss some suggestions on how to overcome these challenges. | |
dc.language | eng | |
dc.publisher | Springer | |
dc.relation | Discover Mental Health | |
dc.relation | 2731-4383 | |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.subject | Digital mental health | |
dc.subject | Qualitative research | |
dc.subject | Depression | |
dc.subject | Health services | |
dc.subject | Latin America | |
dc.subject | Implementation science | |
dc.title | Implementation and scalability of a digital intervention to reduce depressive symptoms in people with diabetes, hypertension or both in Brazil and Peru: a qualitative study of health system's stakeholders' perspectives | |
dc.type | info:eu-repo/semantics/article | |