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Primary care-based screening and management of depression amongst heavy drinking patients: Interim secondary outcomes of a three-country quasi-experimental study in Latin America

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dc.contributor.author O'Donnell, Amy
dc.contributor.author Schulte, Bernd
dc.contributor.author Manthey, Jakob
dc.contributor.author Schmidt, Christiane Sybille
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Bustamante Chavez, Ines Veronica
dc.contributor.author Natera, Guillermina
dc.contributor.author Aguilar, Natalia Bautista
dc.contributor.author Hernández, Graciela Yazmín Sánchez
dc.contributor.author Mejía-Trujillo, Juliana
dc.contributor.author Pérez-Gómez, Augusto
dc.contributor.author Gual, Antoni
dc.contributor.author de Vries, Hein
dc.contributor.author Solovei, Adriana
dc.contributor.author Kokole, Dasa
dc.contributor.author Kaner, Eileen
dc.contributor.author Kilian, Carolin
dc.contributor.author Rehm, Jurgen
dc.contributor.author Anderson, Peter
dc.contributor.author Jané-Llopis, Eva
dc.date.accessioned 2021-10-04T23:01:00Z
dc.date.available 2021-10-04T23:01:00Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9876
dc.description.abstract INTRODUCTION: Implementation of evidence-based care for heavy drinking and depression remains low in global health systems. We tested the impact of providing community support, training, and clinical packages of varied intensity on depression screening and management for heavy drinking patients in Latin American primary healthcare. MATERIALS AND METHODS: Quasi-experimental study involving 58 primary healthcare units in Colombia, Mexico and Peru randomized to receive: (1) usual care (control); (2) training using a brief clinical package; (3) community support plus training using a brief clinical package; (4) community support plus training using a standard clinical package. Outcomes were proportion of: (1) heavy drinking patients screened for depression; (2) screen-positive patients receiving appropriate support; (3) all consulting patients screened for depression, irrespective of drinking status. RESULTS: 550/615 identified heavy drinkers were screened for depression (89.4%). 147/230 patients screening positive for depression received appropriate support (64%). Amongst identified heavy drinkers, adjusting for country, sex, age and provider profession, provision of community support and training had no impact on depression activity rates. Intensity of clinical package also did not affect delivery rates, with comparable performance for brief and standard versions. However, amongst all consulting patients, training providers resulted in significantly higher rates of alcohol measurement and in turn higher depression screening rates; 2.7 times higher compared to those not trained. CONCLUSIONS: Training using a brief clinical package increased depression screening rates in Latin American primary healthcare. It is not possible to determine the effectiveness of community support on depression activity rates due to the impact of COVID-19 en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Adult en_US
dc.subject Comorbidity en_US
dc.subject Peru/epidemiology en_US
dc.subject Delivery of Health Care en_US
dc.subject Referral and Consultation en_US
dc.subject Mexico/epidemiology en_US
dc.subject Alcohol Drinking/adverse effects/prevention & control/psychology en_US
dc.subject Alcoholic Intoxication/psychology en_US
dc.subject Alcoholics/psychology en_US
dc.subject Alcoholism/diagnosis en_US
dc.subject Colombia/epidemiology en_US
dc.subject Depression/psychology/therapy en_US
dc.subject Depressive Disorder/psychology/therapy en_US
dc.subject Mass Screening/methods en_US
dc.subject Primary Health Care/methods/trends en_US
dc.subject Substance Abuse Detection/methods en_US
dc.title Primary care-based screening and management of depression amongst heavy drinking patients: Interim secondary outcomes of a three-country quasi-experimental study in Latin America en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0255594
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn 1932-6203


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