Revista de Saúde Pública (Apr 2022)

Implementation of Group Interpersonal Psychotherapy in primary care

  • Maria Isabel Perez Mattos,
  • Bruno Paz Mosqueiro,
  • Scott Stuart,
  • Giovanni Salum,
  • Rosana de Lima Duzzo,
  • Laura Wolf de Souza,
  • Ariane Chini,
  • Marcelo Pio de Almeida Fleck

DOI
https://doi.org/10.11606/s1518-8787.2022056003731
Journal volume & issue
Vol. 56

Abstract

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ABSTRACT 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.

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