Predictors and outcomes in primary depression care (POKAL) – a research training group develops an innovative approach to collaborative care

作者：Jochen Gensichen, Karoline Lukaschek, C Jung-Sievers, Peter Falkai, Andrea Schmitt, Peter Henningsen, Tobias Dreischulte, Gabriele Pitschel‐Walz, Helmuth Krcmar, Markus Böhm, Barbara Prommegger, Klaus Linde, A Drescher, P Schönweger, Carolin Haas, Caroline Brand, Puya Younesi, Jochen Vukas, Vita Brišnik, H. Schillok, Jonas Raub, Lukas Kaupe, Katharina Biersack, Feyza Gökce, Julia Eder, Lisa Hattenkofer, Ph Reindl-Spanner, Victoria von Schrottenberg, Clara Teusen, Ph Sterner, M. Bühner, Antonius Schneider, for the POKAL group, Hannah Schillock, Regina Wehrstedt von Nessen-Lapp, Kirsten Lochbühler · 发表于：BMC Family Practice · 年份：2022 · DOI：10.1186/s12875-022-01913-6 · 被引用次数：27 · 研究领域：Mental Health Treatment and Access、Primary Care and Health Outcomes、Chronic Disease Management Strategies

BACKGROUND: The interdisciplinary research training group (POKAL) aims to improve care for patients with depression and multimorbidity in primary care. POKAL includes nine projects within the framework of the Chronic Care Model (CCM). In addition, POKAL will train young (mental) health professionals in research competences within primary care settings. POKAL will address specific challenges in diagnosis (reliability of diagnosis, ignoring suicidal risks), in treatment (insufficient patient involvement, highly fragmented care and inappropriate long-time anti-depressive medication) and in implementation of innovations (insufficient guideline adherence, use of irrelevant patient outcomes, ignoring relevant context factors) in primary depression care. METHODS: In 2021 POKAL started with a first group of 16 trainees in general practice (GPs), pharmacy, psychology, public health, informatics, etc. The program is scheduled for at least 6 years, so a second group of trainees starting in 2024 will also have three years of research-time. Experienced principal investigators (PIs) supervise all trainees in their specific projects. All projects refer to the CCM and focus on the diagnostic, therapeutic, and implementation challenges. RESULTS: The first cohort of the POKAL research training group will develop and test new depression-specific diagnostics (hermeneutical strategies, predicting models, screening for suicidal ideation), treatment (primary-care based psycho-education, modulating ...