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Integrerad Beteendehälsa i primärvården - studie av processfaktorer och behandlingsutfall.: En enkelblind randomiserad klinisk prövning av Brief Interventions och vägledd självhjälp.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
2019 (Swedish)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesisAlternative title
Primary Care Behavioral Health in a Swedish Primary Care Setting - Treatment Outcome, Time Scale an Access to Psychological Treatment : A Singel-blinded Randomized Clinical Trial of Brief Interventions and Guided Self Help (English)
Abstract [sv]

Primärvårdens uppdrag innefattar behandling av psykisk ohälsa och för närvarande överstiger behandlingsbehovet vårdnivåns resurser. Integrerad beteendehälsa (IBH) är en organisationsmodell för primärvård som tidseffektivt tillgängliggör psykologisk behandling. Föreliggande pilotstudie ägde rum under perioden januari till april 2019 på vårdcentralen Centrum, som arbetade enligt modellen för IBH. Syftet för studien var att utvärdera effekterna av behandling med Brief Interventions (BI) respektive vägledd självhjälp avseende patienternas vardagliga funktionsnivå, livskvalitet och symtom. Mätningar genomfördes innan behandling påbörjades, efter fyra veckor samt efter åtta veckor. Vidare undersöktes processfaktorer, så som hur stor andel av patienterna som skulle kunna tillgodogöra sig behandling med självhjälp, samt huruvida införande av en sådan behandling skulle kunna vara motiverad i primärvårdsmiljö utifrån tidseffektivitetsperspektiv. Totalt randomiserades 41 patienter mellan behandling med BI respektive en utökad bedömning följt av behandling med vägledd självhjälp. De patienter som vid den utökade bedömningen inte befanns lämpliga för vägledd självhjälp fick behandling med BI. Sammantaget fullföljde 29 patienter behandling inom ramen för studien. Resultaten visade att både BI och självhjälp förbättrade patienternas vardagliga funktionsnivå, livskvalitet och symtomnivå, samt att det fanns få skillnader i behandlingsutfall mellan grupperna. Tidsåtgången för personalen var större för behandling med självhjälp jämfört med BI. Vidare forskning behövs för att utvärdera psykologisk behandling anpassad till primärvården.

Abstract [en]

A commitment of primary care is mental health treatment. At present the need for treatment exceeds accessible resources. Primary Care Behavioral Health (PCBH) is a model of organization of primary care with the aim to make access to mental treatment from a time-efficiency perspective. The present study was conducted between January and April 2019 at Vårdcentralen Centrum, a primary care unit organized in accordance with PCBH. The aim of the present study was to evaluate the effects of treatment with Brief Interventions (BI) and guided self-help regarding daily functioning, quality of life and aggregate level of symptoms. Self-assessments were filled out by the patients before treatment, at FU4 and at FU8. Furthermore, proportion of patients suitable for self-help treatment was examined, and whether introduction of such a treatment might be justified in the context of primary care on basis of time effectiveness approach. In overall, 41 patients were randomized to two conditions: BI treatment and, respectively, extended assessment with subsequent self-help treatment. Participants, not found suitable for self-help at the extended assessment, got treatment with BI. Within the study, 29 patients went through treatment. The results showed that groups treated with BI and self-help had improved significantly between before treatment and FU8 regarding daily functioning, quality of life and level of symptoms. There were in general little differences in improvement between the two groups. Furthermore, timescale for the group that got extended assessment and subsequent self-help treatment, was significantly larger than timescale for the group that got BI treatment. For future research, evaluation of short-term forms of mental treatment in primary care ought to be relevant.

Place, publisher, year, edition, pages
2019. , p. 58
Keywords [en]
Primary care, Primary Care Behavioral Health, Guided self-help, Brief Interventions, Timescale
Keywords [sv]
Primärvård, Integrerad beteendehälsa, Vägledd självhjälp, Brief Interventions, Tidsåtgång
National Category
Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-84867OAI: oai:DiVA.org:lnu-84867DiVA, id: diva2:1322236
External cooperation
Vårdcentralen centrum, Växjö, Region Kronoberg
Educational program
Psychologist Programme, 300 credits
Presentation
Linneuniversitetet, P G Vejdes väg, Växjö (Swedish)
Supervisors
Examiners
Available from: 2019-06-10 Created: 2019-06-10 Last updated: 2019-06-10Bibliographically approved

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Integrerad Beteendehälsa i primärvården - studie av processfaktorer och behandlingsutfall(1183 kB)36 downloads
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CiteExportLink to record
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Citation style
  • apa
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  • Other locale
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Output format
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