Revue: | Revista de saude publica |
Base de datos: | |
Número de sistema: | 000535660 |
ISSN: | 0034-8910 |
Autores: | Mattos, Maria Isabel Perez1 Mosqueiro, Bruno Paz1 Stuart, Scott2 Salum, Giovanni1 Duzzo, Rosana de Lima3 Souza, Laura Wolf de1 Chini, Ariane1 Fleck, Marcelo Pio de Almeida1 |
Instituciones: | 1Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul. Brasil 2University of Southern California, Psychiatry Department, Los Angeles, California. Estados Unidos 3Prefeitura Municipal de Porto Alegre, Unidade de Atenção Primária à Saúde, Porto Alegre, Rio Grande do Sul. Brasil |
Año: | 2022 |
Volumen: | 56 |
País: | Brasil |
Idioma: | Inglés |
Resumen en inglés | OBJECTIVE To show the implementation process of IPT-G in primary care, including facilitating and obstructing factors, implementation strategies, and training and supervision of primary care professionals. METHODS Quantitative (cross-sectional and longitudinal) analysis of pre and post-knowledge tests; qualitative analyses of the training courses; patient recruitment; conduction of IPT-G sessions; supervision of IPT-G therapists; application of a semi-structured questionnaire to assess, investigate, and develop strategies against the identified barriers. RESULTS About 120 clinicians answered the pre-test; 84 completed the post-test. Pre- and post-test scores of IPT-G knowledge were significantly different. Twenty initially trained clinicians completed additional supervision in IPT-G. Qualitative analysis identified twelve barriers and six facilitators to IPT-G implementation in individual, organizational, and systemic contexts. CONCLUSIONS Implementation of IPT-G in primary care is a complex process with several steps. In the first step, health professionals were successfully trained in IPT-G. However, subsequent steps were more complex. Therefore, careful planning of IPT-G implementation is essential to maximize the success of this innovation. |
Keyword: | Health Personnel, Psychology, Primary Health Care, Group Interpersonal Psychotherapy, Communication Barriers, Health Plan Implementation |
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