wow-inequalities/02-data/intermediate/wos_sample/5de97ae85e6b0fc1cfcf1005ca776c59-wright-jerome-and-m/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Co-morbidity of depression with other non-communicable
diseases (NCDs) worsens clinical outcomes for both conditions. Low- and
middle-income countries need to strengthen mechanisms for detection and
management of co-morbid depression within NCDs. The Behavioural
Activation for Comorbid Depression in Non-communicable Disease (BEACON)
study explored the acceptability and feasibility of integrating a brief
depression intervention (behavioural activation, BA) into NCD services
in healthcare facilities in Bangladesh and Pakistan. Methods
Face-to-face qualitative interviews were conducted with 43 patients and
18 health workers attending or working in NCD centres in four healthcare
facilities in Bangladesh and Pakistan, and with three policy makers in
each country. The interviews addressed four research questions (1) how
NCD care is delivered, (2) how NCD patients experience distress, (3) how
depression care is integrated within NCD provision, and (4) the
challenges and opportunities for integrating a brief depression
intervention into usual NCD care. The data were analysed using framework
analysis, organised by capability, opportunity and motivation factors,
cross-synthesised across countries and participant groups. Results
Patients and health workers described NCD centres as crowded and time
pressured, with waiting times as long as five hours, and consultation
times as short as five minutes; resulting in some patient frustration.
They did not perceive direct links between their distress and their NCD
conditions, instead describing worries about family and finance
including affordability of NCD services. Health worker and policy maker
accounts suggested these NCD centres lacked preparedness for treating
depression in the absence of specific guidelines, standard screening
tools, recording systems or training. Barriers and drivers to
integrating a brief depression intervention reflected capability,
opportunity and motivation factors for all participant groups. While
generally valuing the purpose, significant challenges included the busy
hospital environment, skill deficits and different conceptions of
depression. Conclusions Given current resource constraints and
priorities, integrating a brief psychological intervention at these NCD
centres appears premature. An opportune first step calls for responding
to patients'' expressed concerns on service gaps in provisioning steady
and affordable NCD care. Acknowledging differences of conceptions of
depression and strengthening psychologically informed NCD care will in
turn be required before the introduction of a specific psychological
intervention such as BA.'
affiliation: 'Wright, J (Corresponding Author), Univ York, Dept Hlth Sci, York YO10
5DD, N Yorkshire, England.
Wright, Jerome; Mazumdar, Papiya; Jennings, Hannah, Univ York, Dept Hlth Sci, York
YO10 5DD, N Yorkshire, England.
Barua, Deepa; Lina, Silwa; Huque, Rumana, Ark Fdn, House 6,Rd 109,Gulshan 2, Dhaka,
Bangladesh.
Bibi, Humaira; Kanwal, Ateeqa; Mujeeb, Faiza; Naz, Qirat; Safi, Rahim; Ul Haq, Baha;
Rana, Rusham Zahra; Nizami, Asad, Rawalpindi Med Univ, Inst Psychiat, Rawalpindi
46000, Pakistan.
Nahar, Papreen, Univ Sussex, Brighton \& Sussex Med Sch, Med Res Bldg, Brighton
BN1 9PX, E Sussex, England.
Sikander, Siham, Hlth Serv Acad, PM Hlth Complex, Chak Shahzad 44000, Pakistan.
Jackson, Cath, Valid Res Ltd, Suite 19,Sandown House,Sandbeck Way, Wetherby LS22
7DN, England.'
article-number: '63'
author: 'Wright, Jerome and Mazumdar, Papiya and Barua, Deepa and Lina, Silwa and
Bibi, Humaira and Kanwal, Ateeqa and Mujeeb, Faiza and Naz, Qirat and Safi, Rahim
and Ul Haq, Baha and Rana, Rusham Zahra and Nahar, Papreen and Jennings, Hannah
and Sikander, Siham and Huque, Rumana and Nizami, Asad and Jackson, Cath and Grp,
NIHR Global Hlth Res and IMPACT, '
author-email: jerome.wright@york.ac.uk
author_list:
- family: Wright
given: Jerome
- family: Mazumdar
given: Papiya
- family: Barua
given: Deepa
- family: Lina
given: Silwa
- family: Bibi
given: Humaira
- family: Kanwal
given: Ateeqa
- family: Mujeeb
given: Faiza
- family: Naz
given: Qirat
- family: Safi
given: Rahim
- family: Ul Haq
given: Baha
- family: Rana
given: Rusham Zahra
- family: Nahar
given: Papreen
- family: Jennings
given: Hannah
- family: Sikander
given: Siham
- family: Huque
given: Rumana
- family: Nizami
given: Asad
- family: Jackson
given: Cath
- family: Grp
given: NIHR Global Hlth Res
- family: IMPACT
given: ''
da: '2023-09-28'
doi: 10.1186/s13033-020-00399-y
files: []
issn: 1752-4458
journal: INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
keywords: 'Non-communicable disease; Depression; Behavioural activation; South
Asia; NCD facilities; Mental health policy; Mental-physical
co-morbidity; Depression care integration'
keywords-plus: 'NONCOMMUNICABLE DISEASES; HEALTH; PROGRAM; INCOME; DISORDERS; COUNTRIES;
INDIA'
language: English
month: AUG 11
number: '1'
number-of-cited-references: '47'
orcid-numbers: 'Jennings, Hannah Maria/0000-0002-8580-0327
Nahar, Papreen/0000-0002-5817-8093
Haq, Baha Ul/0000-0002-9665-3609
Barua, Deepa/0000-0002-0122-9048
Wright, Jerome/0000-0001-9740-0534
Aslam, Faiza/0000-0002-7847-7250'
papis_id: f21a10fc2022eb5fba7e65c78c242eda
ref: Wright2020integratingdepressio
researcherid-numbers: 'Rana, Rusham/AAD-5432-2021
'
times-cited: '4'
title: 'Integrating depression care within NCD provision in Bangladesh and Pakistan:
a qualitative study'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000562256300001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '14'
web-of-science-categories: Psychiatry
year: '2020'