In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 3 ( 2021-3-11), p. e0248339-
Abstract:
An integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential. Methods The trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Results At baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance. Conclusions RE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0248339
DOI:
10.1371/journal.pone.0248339.g001
DOI:
10.1371/journal.pone.0248339.t001
DOI:
10.1371/journal.pone.0248339.t002
DOI:
10.1371/journal.pone.0248339.t003
DOI:
10.1371/journal.pone.0248339.t004
DOI:
10.1371/journal.pone.0248339.t005
DOI:
10.1371/journal.pone.0248339.s001
DOI:
10.1371/journal.pone.0248339.s002
DOI:
10.1371/journal.pone.0248339.s003
DOI:
10.1371/journal.pone.0248339.s004
DOI:
10.1371/journal.pone.0248339.s005
DOI:
10.1371/journal.pone.0248339.s006
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2267670-3
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