Matthew Menear1, Michèle Dugas2, Emmanuelle Careau3, Maud-Christine Chouinard4, Maman Joyce Dogba5, Marie-Pierre Gagnon6, Michel Gervais7, Michel Gilbert8, Janie Houle9, Nick Kates10, Sarah Knowles11, Neasa Martin12, Donald E Nease13, Hervé Tchala Vignon Zomahoun14, France Légaré5. 1. Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Canada; Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Quebec, Canada. Electronic address: matthew.menear.1@ulaval.ca. 2. Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Quebec, Canada. 3. Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Quebec, Canada; Department of Rehabilitation, Laval University, Quebec, Canada. 4. Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Canada. 5. Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Canada; Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Quebec, Canada. 6. Faculty of Nursing, Laval University, Quebec, Canada. 7. Centre intégré universitaire en santé et en services sociaux de la Capitale-Nationale, Quebec, Canada. 8. National Centre for Excellence in Mental Health, Quebec, Canada. 9. Department of Psychology, Université du Québec à Montréal, Montreal, Canada. 10. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada. 11. NIHR Collaboration for Leadership in Applied Health Research an Care (CLAHRC) Greater Manchester, University of Manchester, Manchester, UK. 12. Neasa Martin and Associates. 13. Department of Family Medicine, University of Colorado Denver, Denver, US. 14. Quebec SPOR SUPPORT Unit, Quebec, Canada.
Abstract
BACKGROUND: Patients and families are often referred to as important partners in collaborative mental health care (CMHC). However, how to meaningfully engage them as partners remains unclear. We aimed to identify strategies for engaging patients and families in CMHC programs for depression and anxiety disorders. METHODS: We updated a Cochrane review of CMHC programs for depression and anxiety disorders. Searches were conducted in Cochrane CCDAN and CINAHL, complemented by additional database searches, trial registry searches, and cluster searches for 'sibling' articles. Coding and data extraction of engagement strategies was an iterative process guided by a conceptual framework. We used narrative synthesis and descriptive statistics to report on findings. FINDINGS: We found 148 unique CMCH programs, described in 578 articles. Most programs (96%) featured at least one strategy for engaging patients or families. Programs adopted 15 different strategies overall, with a median of two strategies per program (range 0-9 strategies). The most common strategies were patient education (87% of programs) and self-management supports (47% of programs). Personalized care planning, shared decision making, and family or peer supports were identified in fewer than one third of programs. LIMITATIONS: Our search strategy was designed to capture programs evaluated in clinical trials and so other innovative programs not studied in trials were likely missed. CONCLUSION: Most CMHC programs for depression and anxiety disorders adopted a limited number of strategies to engage patients and families in their care. However, this review identifies numerous strategies that can be used to strengthen the patient- and family-centeredness of collaborative care.
BACKGROUND:Patients and families are often referred to as important partners in collaborative mental health care (CMHC). However, how to meaningfully engage them as partners remains unclear. We aimed to identify strategies for engaging patients and families in CMHC programs for depression and anxiety disorders. METHODS: We updated a Cochrane review of CMHC programs for depression and anxiety disorders. Searches were conducted in Cochrane CCDAN and CINAHL, complemented by additional database searches, trial registry searches, and cluster searches for 'sibling' articles. Coding and data extraction of engagement strategies was an iterative process guided by a conceptual framework. We used narrative synthesis and descriptive statistics to report on findings. FINDINGS: We found 148 unique CMCH programs, described in 578 articles. Most programs (96%) featured at least one strategy for engaging patients or families. Programs adopted 15 different strategies overall, with a median of two strategies per program (range 0-9 strategies). The most common strategies were patient education (87% of programs) and self-management supports (47% of programs). Personalized care planning, shared decision making, and family or peer supports were identified in fewer than one third of programs. LIMITATIONS: Our search strategy was designed to capture programs evaluated in clinical trials and so other innovative programs not studied in trials were likely missed. CONCLUSION: Most CMHC programs for depression and anxiety disorders adopted a limited number of strategies to engage patients and families in their care. However, this review identifies numerous strategies that can be used to strengthen the patient- and family-centeredness of collaborative care.
Authors: Magdalena Rzewuska; Ana Carolina Guidorizzi Zanetti; Zoë C Skea; Leonardo Moscovici; Camila Almeida de Oliveira; João Mazzoncini de Azevedo-Marques Journal: PLoS One Date: 2021-05-13 Impact factor: 3.240
Authors: Laura Martinengo; Anne-Claire Stona; Lorainne Tudor Car; Jimmy Lee; Konstadina Griva; Josip Car Journal: J Med Internet Res Date: 2022-03-09 Impact factor: 7.076