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Implementation and Evaluation of Primary Care Behavioral Health in Sweden
Sponsor: Linnaeus University
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
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.
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