Collaborative care model for depression in rural Nepal: a mixed-methods implementation research study.

ABSTRACT:

Introduction

Despite carrying a disproportionately high burden of depression, patients in low-income countries lack access to effective care. The collaborative care model (CoCM) has robust evidence for clinical effectiveness in improving mental health outcomes. However, evidence from real-world implementation of CoCM is necessary to inform its expansion in low-resource settings.

Methods

We conducted a 2-year mixed-methods study to assess the implementation and clinical impact of CoCM using the WHO Mental Health Gap Action Programme protocols in a primary care clinic in rural Nepal. We used the Capability Opportunity Motivation-Behaviour (COM-B) implementation research framework to adapt and study the intervention. To assess implementation factors, we qualitatively studied th

SUBMITTER: Rimal P 

PROVIDER: S-EPMC8370561 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature