The UPBEAT depression and coronary heart disease programme: using the UK medical research council framework to design a nurse-led complex intervention for use in primary careReport as inadecuate




The UPBEAT depression and coronary heart disease programme: using the UK medical research council framework to design a nurse-led complex intervention for use in primary care - Download this document for free, or read online. Document in PDF available to download.

BMC Family Practice

, 13:119

Knowledge, attitudes, behaviors, education, and communication

Abstract

BackgroundDepression is common in coronary heart disease CHD and increases the incidence of coronary symptoms and death in CHD patients. Interventions feasible for use in primary care are needed to improve both mood and cardiac outcomes. The UPBEAT-UK programme of research has been funded by the NHS National Institute for Health Research NIHR to explore the relationship between CHD and depression and to develop a new intervention for use in primary care.

MethodsUsing the Medical Research Council MRC guidelines for developing and evaluating complex interventions, we conducted a systematic review and qualitative research to develop a primary care-based nurse-led intervention to improve mood and cardiac outcomes in patients with CHD and depression. Iterative literature review was used to synthesise our empirical work and to identify evidence and theory to inform the intervention.

ResultsWe developed a primary care-based nurse-led personalised care intervention which utilises elements of case management to promote self management. Following biopsychosocial assessment, a personalised care plan is devised. Nurses trained in behaviour change techniques facilitate patients to address the problems important to them. Identification and utilisation of existing resources is promoted. Nurse time is conserved through telephone follow up.

ConclusionsApplication of the MRC framework for complex interventions has allowed us to develop an evidence based intervention informed by patient and clinician preferences and established theory. The feasibility and acceptability of this intervention is now being tested further in an exploratory trial.

KeywordsComplex intervention Personalised care Coronary heart disease Depression Primary care Electronic supplementary materialThe online version of this article doi:10.1186-1471-2296-13-119 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Author: Elizabeth A Barley - Mark Haddad - Rosemary Simmonds - Zoe Fortune - Paul Walters - Joanna Murray - Diana Rose - André T

Source: https://link.springer.com/



DOWNLOAD PDF




Related documents