Literature DB >> 19647973

Training GP's to use a minimal intervention for stress-related mental disorders with sick leave (MISS): Effects on performance: Results of the MISS project; a cluster-randomised controlled trial [ISRCTN43779641].

Ingrid M Bakker1, Harm W J van Marwijk, Berend Terluin, Johannes R Anema, Willem van Mechelen, Wim A B Stalman.   

Abstract

OBJECTIVE: To study the effects of a brief patient-stress management training on the performance of general practitioners (GPs).
METHODS: After training in the Minimal Intervention for Stress-related mental disorders with Sick leave (MISS), the performance of 24 GPs was compared with the usual care provided by 22 GPs. Outcome measures in this intervention were: assignment of a diagnosis, taking an activating approach and monitoring the symptoms.
RESULTS: Twenty-three GPs completed the training. Outcomes showed that the training added to a psychosocial diagnosis. Other skills (using a questionnaire to make a diagnosis, handing out information leaflets and monitoring the symptoms) were to some extent improved by the training.
CONCLUSION: The result indicates limited adherence of GPs to the MISS. Only a few components of the training were actually applied after the training, and there is still ample room for improvement. PRACTICE IMPLICATIONS: More than the current 11h of training are probably needed to change the behaviour of GPs in general. Within educational programmes more attention should be given to the implementation of new behaviour, particularly when it concerns the treatment of patients with stress-related problems. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

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Mesh:

Year:  2009        PMID: 19647973     DOI: 10.1016/j.pec.2009.07.006

Source DB:  PubMed          Journal:  Patient Educ Couns        ISSN: 0738-3991


  10 in total

Review 1.  Counselling for mental health and psychosocial problems in primary care.

Authors:  Peter Bower; Sarah Knowles; Peter A Coventry; Nancy Rowland
Journal:  Cochrane Database Syst Rev       Date:  2011-09-07

Review 2.  Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.

Authors:  Louise Forsetlund; Mary Ann O'Brien; Lisa Forsén; Liv Merete Reinar; Mbah P Okwen; Tanya Horsley; Christopher J Rose
Journal:  Cochrane Database Syst Rev       Date:  2021-09-15

3.  Is the Beck Anxiety Inventory a good tool to assess the severity of anxiety? A primary care study in the Netherlands Study of Depression and Anxiety (NESDA).

Authors:  Anna D T Muntingh; Christina M van der Feltz-Cornelis; Harm W J van Marwijk; Philip Spinhoven; Brenda W J H Penninx; Anton J L M van Balkom
Journal:  BMC Fam Pract       Date:  2011-07-04       Impact factor: 2.497

Review 4.  Improving Patient Outcomes: Effectively Training Healthcare Staff in Psychological Practice Skills: A Mixed Systematic Literature Review.

Authors:  Katherine Garzonis; Eryn Mann; Aleksandra Wyrzykowska; Pavlo Kanellakis
Journal:  Eur J Psychol       Date:  2015-08-20

5.  Building system capacity for the integration of mental health at the level of primary care in Tunisia: a study protocol in global mental health.

Authors:  Jessica Spagnolo; François Champagne; Nicole Leduc; Myra Piat; Wahid Melki; Fatma Charfi; Marc Laporta
Journal:  BMC Health Serv Res       Date:  2017-01-17       Impact factor: 2.655

6.  Effectiveness of an Intervention to Enhance Occupational Physicians' Guideline Adherence on Sickness Absence Duration in Workers with Common Mental Disorders: A Cluster-Randomized Controlled Trial.

Authors:  Karlijn M van Beurden; Evelien P M Brouwers; Margot C W Joosen; Michiel R de Boer; Jaap van Weeghel; Berend Terluin; Jac J L van der Klink
Journal:  J Occup Rehabil       Date:  2017-12

7.  Does early identification of work-related stress, combined with feedback at GP-consultation, prevent sick leave in the following 12 months? a randomized controlled trial in primary health care.

Authors:  K Holmgren; G Hensing; U Bültmann; E Hadzibajramovic; M E H Larsson
Journal:  BMC Public Health       Date:  2019-08-14       Impact factor: 3.295

8.  Does a brief work-stress intervention prevent sick-leave during the following 24 months? A randomized controlled trial in Swedish primary care.

Authors:  Jenny Hultqvist; Pernilla Bjerkeli; Gunnel Hensing; Kristina Holmgren
Journal:  Work       Date:  2021

9.  Interventions regarding physicians' sickness certification practice - a systematic literature review with meta-analyses.

Authors:  Söderman M; Wennman-Larsen A; Hoving J L; Alexanderson K; Friberg E
Journal:  Scand J Prim Health Care       Date:  2022-03-07       Impact factor: 3.147

Review 10.  Psychosocial Risk Factors, Interventions, and Comorbidity in Patients with Non-Specific Low Back Pain in Primary Care: Need for Comprehensive and Patient-Centered Care.

Authors:  Aline Ramond-Roquin; Céline Bouton; Cyril Bègue; Audrey Petit; Yves Roquelaure; Jean-François Huez
Journal:  Front Med (Lausanne)       Date:  2015-10-08
  10 in total

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