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ACTIVE NOT RECRUITING
NCT05335382
NA

Implementation and Evaluation of Primary Care Behavioral Health in Sweden

Sponsor: Linnaeus University

View on ClinicalTrials.gov

Summary

In this multicenter study, the investigators want to compare treatment outcomes for patients with mental and behavioral health problems in traditional primary care (Care As Usual, CAU) and primary care centres that work according to the Primary Care Behavioral Health (PCBH) model. In addition to this, the investigators want to study organisation-level outcomes, such as access to care, perceived teamwork and work environment. To achieve this, primary care centres that have expressed interest in implementing PCBH will be cluster randomised between implementing directly or waiting for implementation.

Official title: Implementation and Evaluation of Primary Care Behavioral Health in Sweden - A Cluster Randomized Design for Superiority and Non-superiority Comparisons of Effects on Patient Reach, Availability, Costs, Sick-leave, Model Fidelity, and Patients' Everyday Function, Symptoms, and Experiences

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

666

Start Date

2022-01-01

Completion Date

2026-06-30

Last Updated

2025-04-13

Healthy Volunteers

No

Interventions

BEHAVIORAL

Brief Interventions (BI)

'Brief Interventions' (BI) is a multitude of interventions used in patient visits within PCBH. BI start immediately at the initial consultation, which ends with a personally tailored and evidence-informed plan adjusted to the patient's context. The interventions within BI often have their foundation in CBT, ACT or Motivational Interviewing (MI), however interventions from other schools of therapy can also be used. The common theme is that they are principle-based rather than manual-based and focus on behavioural change in relation to a problem, rather than focusing on a specific diagnosis. Follow-up appointments are scheduled flexibly depending on the patient's perceived need. A BI treatment usually consists of 1-4 appointments with several weeks apart and has an open ending, where the patient easily can schedule a new appointment. Clinicians delivering brief interventions will have had 3 days of training as well as regular supervision.

BEHAVIORAL

Care As Usual (CAU)

Care As Usual includes the PCC's current routine care for patients with mental and behavioral problems. This can include a multitude of procedures and treatment, such as pharmacological treatment, supportive care, cognitive behavioural therapy (CBT) and psychodynamic therapy of varying lengths. Interviews with patients as well as medical journals will be used to categorise what type of care each individual patient has received.

Locations (17)

Närhälsan Hjällbo Vårdcentral

Angered, Sweden

Närhälsan Bollebygd Vårdcentral

Bollebygd, Sweden

Närhälsan Dalsjöfors Vårdcentral

Dalsjöfors, Sweden

Närhälsan Mösseberg Vårdcentral

Falköping, Sweden

Närhälsan Oden Vårdcentral

Falköping, Sweden

Närhälsan Eriksberg Vårdcentral

Gothenburg, Sweden

Närhälsan Gibraltargatan Vårdcentral

Gothenburg, Sweden

Närhälsan Majorna Vårdcentral

Gothenburg, Sweden

Närhälsan Sannegården Vårdcentral

Gothenburg, Sweden

Närhälsan Gråbo Vårdcentral

Gråbo, Sweden

Närhälsan Tjörn Vårdcentral

Kållekärr, Sweden

Närhälsan Solgärde Vårdcentral

Kungälv, Sweden

Närhälsan Ågårdsskogen Vårdcentral

Lidköping, Sweden

Närhälsan Mellerud Vårdcentral

Mellerud, Sweden

Närhälsan Munkedal Vårdcentral

Munkedal, Sweden

Närhälsan Stenungsund Vårdcentral

Stenungsund, Sweden

Närhälsan Källstorp Vårdcentral

Trollhättan, Sweden