An implementation demonstration of Engage, a behavioral intervention for depression, in a geriatric mental health care setting.
Objectives: Engage is an empirically-supported brief behavioral intervention for later-life depression yet to translate from randomized controlled trials to implementation. This study evaluated a real-world implementation demonstration of Engage across a geriatric mental health care setting. Method:...
| Publicado en: | Aging & Mental Health Vol. 29; no. 12; pp. 2351 - 2367 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Taylor & Francis Ltd
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189754128&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189754128 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 13607863 57E jtl: Aging & Mental Health issn: 13607863 maglogo: N pubinfo: dt: Dec2025 vid: 29 iid: 12 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 189754128 10.1080/13607863.2025.2531117 ppf: 2351 ppct: 16 formats: tig: atl: An implementation demonstration of Engage, a behavioral intervention for depression, in a geriatric mental health care setting. aug: au: Schurr, Matthew S. Post, Emily Baxter, Julia Gojmerac, Christina Renn, Brenna N. affil: Department of Psychology, University of Nevada, Las Vegas, NV, USA Department of Psychiatry, McLean Hospital, Belmont, MA, USA Clinical Neuropsychology Service, St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada su: Canada Interdisciplinary education Mental health services Human services programs Qualitative research Focus groups Interprofessional relations Diffusion of innovations Patients Self-efficacy Interviewing Medical care Professions Emotional trauma Psychological stress Patient-professional relations Needs assessment Mental depression Behavior therapy Access to information Research funding Geriatric psychiatry Questionnaires Descriptive statistics Symptom burden Work experience (Employment) Classification Attitudes of medical personnel Research Research methodology Geriatric Depression Scale sug: subj: Interdisciplinary education Mental health services Human services programs Qualitative research Focus groups Interprofessional relations Diffusion of innovations Patients Self-efficacy Interviewing Medical care Professions Emotional trauma Psychological stress Patient-professional relations Needs assessment Mental depression Behavior therapy Access to information Canada Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Professional Organizations Research funding Geriatric psychiatry Questionnaires Descriptive statistics Symptom burden Work experience (Employment) Classification Attitudes of medical personnel Research Research methodology Geriatric Depression Scale keyword: Geriatric mental health implementation science older adults psychotherapy qualitative research Geriatric mental health implementation science older adults psychotherapy qualitative research ab: Objectives: Engage is an empirically-supported brief behavioral intervention for later-life depression yet to translate from randomized controlled trials to implementation. This study evaluated a real-world implementation demonstration of Engage across a geriatric mental health care setting. Method: The exploration, preparation, implementation, sustainment framework guided this demonstration. Interprofessional case managers received training and ongoing consultation in Engage and applied it with older adults with depression over four months. Upon completion of the implementation trial, providers participated in a 1-h focus group to provide feedback about training, treatment perceptions, and facilitators and barriers to implementation. Focus group transcripts were double-coded using thematic analysis to extract themes informed by the Consolidated Framework for Implementation Research (CFIR). Results: Thirteen themes emerged from focus groups (N = 21 provider participant respondents) related to CFIR constructs of innovation adaptability, innovation design, critical incidents, compatibility, access to knowledge and information, need, and capability. Findings suggest that Engage is feasible and fits the needs of providers, patients, and the healthcare system. Implementation barriers included depressive symptom burden, patient complexity, and therapist concerns related to self-efficacy and previous experiences. Conclusion: Provider feedback can inform and strengthen implementation of evidence-based psychotherapies such as Engage. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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