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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

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dc.contributor.author Cavero, V
dc.contributor.author Toyama, M
dc.contributor.author Castro, H
dc.contributor.author Couto, M T
dc.contributor.author Brandt, L
dc.contributor.author Quayle, J
dc.contributor.author Menezes, P R
dc.contributor.author Mohr, D C
dc.contributor.author Araya, R
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Diez-Canseco Montero, Francisco
dc.date.accessioned 2022-09-09T18:52:23Z
dc.date.available 2022-09-09T18:52:23Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12155
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. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Discover Mental Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Digital mental health en_US
dc.subject Qualitative research en_US
dc.subject Depression en_US
dc.subject Health services en_US
dc.subject Latin America en_US
dc.subject Implementation science en_US
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 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s44192-022-00015-0
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.09
dc.relation.issn 2731-4383


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