Implementation of Group Interpersonal Psychotherapy in primary care
DOI:
https://doi.org/10.11606/s1518-8787.2022056003731Keywords:
Health Personnel, Psychology, Primary Health Care, Group Interpersonal Psychotherapy, Communication Barriers, Health Plan ImplementationAbstract
OBJECTIVE To show the implementation process of IPT-G in primary care, including facilitating and obstructing factors, implementation strategies, and training and supervision of primary care professionals. METHODS Quantitative (cross-sectional and longitudinal) analysis of pre and post-knowledge tests; qualitative analyses of the training courses; patient recruitment; conduction of IPT-G sessions; supervision of IPT-G therapists; application of a semi-structured questionnaire to assess, investigate, and develop strategies against the identified barriers. RESULTS About 120 clinicians answered the pre-test; 84 completed the post-test. Pre- and post-test scores of IPT-G knowledge were significantly different. Twenty initially trained clinicians completed additional supervision in IPT-G. Qualitative analysis identified twelve barriers and six facilitators to IPT-G implementation in individual, organizational, and systemic contexts. CONCLUSIONS Implementation of IPT-G in primary care is a complex process with several steps. In the first step, health professionals were successfully trained in IPT-G. However, subsequent steps were more complex. Therefore, careful planning of IPT-G implementation is essential to maximize the success of this innovation.
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Copyright (c) 2022 Maria Isabel Perez Mattos, Bruno Paz Mosqueiro, Scott Stuart, Giovanni Salum, Rosana de Lima Duzzo, Laura Wolf de Souza, Ariane Chini, Marcelo Pio de Almeida Fleck
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Grant numbers Finance Code 001
