Sub-threshold depression in people with long-term conditions - is the community pharmacy a setting to offer a psychosocial intervention? A qualitative study.
PHE ePoster Library. Chew-Graham C. Sep 10, 2018; 221153; 212
Prof. Carolyn Chew-Graham
Prof. Carolyn Chew-Graham
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Abstract
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Abstract Introduction: About 30% of the UK population have long-term health conditions (LTCs). People with LTCs are 2-3 times more likely to experience depressive symptoms, which worsen health outcomes and increase healthcare costs. The CHEMIST study aims to explore whether community pharmacies represent suitable public health settings in which to offer psychological support to people with LTCs and co-morbid sub-threshold depression. Methods:As part of a feasibility study, we recruited 24 people with LTCs and sub-threshold depression via community pharmacies and GP practices. Seventeen healthy living practitioners, across eight community pharmacies, were trained to deliver an Enhanced Support Intervention (ESI), including Behavioural Activation within a Collaborative Care framework, over 4-6 sessions. We invited intervention participants and ESI facilitators to participate in one-to-one interviews to explore their experiences of the study, and of the training. A focus group of pharmacy staff was conducted to explore the wider impact of the study on the routine work of the community pharmacies. Results: Pharmacy staff and participants viewed community pharmacies as places where mental health could be discussed in a non-stigmatising manner. The intervention made sense to both ESI facilitators and patient participants. The manual was well received by the ESI facilitators, and the patient self-help workbook was acceptable to participants. Pharmacy staff reported that flexibility was required to enable ESI delivery to fit into their daily practice. Conclusion:Community pharmacies were viewed as appropriate settings in which to deliver psychological support to people with LTCs at risk of depression. External funding details National Institute for Health Research, PHR, 14/186/11
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