Implementation of group interpersonal psychotherapy in primary care

• Autor(a) principal: Mattos, Maria Isabel Perez
• Data de Publicação: 2022
• Outros Autores: Mosqueiro, Bruno Paz, Stuart, Scott, Salum Junior, Giovanni Abrahão, Duzzo, Rosana de Lima, Souza, Laura Wolf de, Chini, Ariane, Fleck, Marcelo Pio de Almeida
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/267258
• topic: Pessoal de saúde; Psicoterapia de grupo; Atenção primária à saúde; Health personnel; Psychology; Primary health care; Group interpersonal psychotherapy; Communication barriers; Health plan implementation

OBJECTIVE To show the implementation process of IPT-G in primary care, including facilitating and obstructing factors, implementation strategies, and training and supervision of primary care professionals. METHODS Quantitative (cross-sectional and longitudinal) analysis of pre and post-knowledge tests; qualitative analyses of the training courses; patient recruitment; conduction of IPT-G sessions; supervision of IPT-G therapists; application of a semi-structured questionnaire to assess, investigate, and develop strategies against the identified barriers. RESULTS About 120 clinicians answered the pre-test; 84 completed the post-test. Pre- and post-test scores of IPT-G knowledge were significantly different. Twenty initially trained clinicians completed additional supervision in IPT-G. Qualitative analysis identified twelve barriers and six facilitators to IPT-G implementation in individual, organizational, and systemic contexts. CONCLUSIONS Implementation of IPT-G in primary care is a complex process with several steps. In the first step, health professionals were successfully trained in IPT-G. However, subsequent steps were more complex. Therefore, careful planning of IPT-G implementation is essential to maximize the success of this innovation.