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Knappe, Susanne; Einsle, Franziska; Rummel-Kluge, Christine; Heinz, Ines; Wieder, Gesine; Venz, John; Schouler-Ocak, Meryam; Wittchen, Hans-Ulrich; Lieb, Roselind; Hoyer, Jürgen; Schmitt, Jochen; Bergmann, Antje; Beesdo-Baum, Katja (2018): Niederschwellige leitlinienorientierte supportive Materialien (NILS) in der primärärztlichen Versorgung: Effekte auf die Orientierung an der S3/NV-Leitlinie Unipolare Depression. In: Zeitschrift für Psychosomatische Medizin und Psychotherapie, Vol. 64, No. 3: pp. 298-311
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Abstract

Objectives: Does the provision of supportive tools improve guideline-oriented recognition and treatment of patients with depression in primary care? Methods: In a nested intervention study, as part of a larger epidemiological study program in German primary care, 46 randomly drawn practices received tools to facilitate identification and treatment decisions. Pre-post effects were compared to 42 matched control practices without intervention. Results: The proportion of correctly identified depression cases was similar in the intervention (47.2 %) and the control group (42.3 %, p = 0.537). Compared to controls, practitioners in the intervention group rated their competence in case identification and treatment at post-intervention more positively (p = 0.016). No effects were observed regarding the usage of the tools, practitioners' attitudes towards national depression guidelines, and depression treatment procedures. Discussion: Since provision of guideline-oriented tools did not improve recognition and quality of treatment, delineation of alternative strategies for enhanced guideline adherence in primary care for depression is warranted.