Abstract
The aim of the study was to identify the most important research priorities as well as future strategies for promoting and implementing evidence-based care of depressed elderly persons. An interdisciplinary workshop was organized using a focus group format and the transcript of the discussion was interpreted by means of the qualitative content analysis. The most important research priorities for improving the care of depressed elderly persons, implementation levels, theoretical approaches as well as possible outcomes were analysed on individual consumer, healthcare system, and policy level. A wide range of theories and methods are necessary to identify and explain implementation processes and results. Qualitative and quantitative methodologies in combination with knowledge synthesis were discussed. In addition, the need to summarize the literature in terms of specific issues was emphasized. In conclusion, the implementation strategies for improving the care of depressed elderly persons should be addressed on three levels: individual consumer, healthcare system and policy. Although some aspects of the implementation model may need to be enhanced, the fact that it includes conditions on individual level, i.e. self-management support, is of importance. The expansion and maintenance of evidence-based care generate potential for change in mental healthcare, thus improving outcomes for individual elderly patients. Areas that require further research are organization, cost and leadership. The use of mixed methods could strengthen future studies. Implementation researchers need a broad repertoire in order to plan and perform evidence-based research. To improve practice, implementation strategies should be developed in clinical and community guidelines.
Highlights
This paper presents experts’ perceptions of interdisciplinary research priorities and future evidence-based implementation strategies in the care of depressed elderly persons
The workshop and focus group interview was facilitated by the primary investigator (ES) in a four-year intervention outlined in the three-part Norwegian Research Council project; “Chronic Disease Management-Implementation and coordination of healthcare systems for depressed elderly persons”
The implementation strategies for improving the care of depressed elderly persons should be addressed on three levels; individual consumer, healthcare system and policy
Summary
This paper presents experts’ perceptions of interdisciplinary research priorities and future evidence-based implementation strategies in the care of depressed elderly persons. Depression is a leading chronic illness worldwide and the third most common reason for primary care consultations [1]. Mental illness, especially depression, anxiety, and alcohol-related problems, has increased among the elderly [1]-[3]. An important question is how research can contribute to improved practice by means of an implementation approach. Implementation research involves evidence-based strategies to promote and optimize the quality and effectiveness of health services. Proctor et al [4]) defined implementation as the effects of deliberate and purposive actions to introduce new forms of treatment, practices and services
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