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Development and implementation of collaborative care for depression in HIV clinics.

机译：在艾滋病诊所中开发和实施针对抑郁症的合作医疗。

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We sought to develop and implement collaborative depression care in human immunodeficiency virus (HIV) clinics in a project called HIV Translating Initiatives for Depression into Effective Solutions (HITIDES). Here we describe: (i) the formative evaluation (FE) conducted prior to implementation; (ii) the process used to adapt the primary care collaborative care model for depression to specialty HIV clinics; and (iii) the intervention itself. The overall design of HITIDES was a multi-site randomized trial in United States Department of Veterans Affairs (VA) HIV clinics comparing the depression collaborative care intervention to usual depression care. Qualitative methods were used for the FEs and informed the evidence-based quality improvement (EBQI) methods that were used for adapting and implementing the intervention. Baseline assessments were completed by 249 depressed HIV participants. Summaries of respective key informant interviews with eight HIV patients who were receiving depression treatment and 25 HIV or mental health (MH) providers were presented to each site. EBQI methods were used to tailor the HITIDES intervention to each site while maintaining true to the evidence base for depression collaborative care. EBQI methods provided a useful framework for intervention adaptation and implementation. The HITIDES study provides the opportunity to evaluate collaborative depression care in a specialty physical health clinic setting with a population that has a high prevalence of depression and MH comorbidity.
机译：我们试图在一个称为“将抑郁症转化为有效解决方案的艾滋病转化倡议”的项目中，在人类免疫缺陷病毒（HIV）诊所中开发和实施协作性抑郁症护理。在这里，我们描述：（i）在实施之前进行的形成性评估（FE）; （ii）使抑郁症的初级保健合作医疗模式适应专门的艾滋病诊所的过程; （iii）干预本身。 HITIDES的总体设计是美国退伍军人事务部（VA）HIV诊所的一项多站点随机试验，将抑郁症协作治疗与常规抑郁症治疗进行了比较。 FE使用定性方法，并告知了适应和实施干预措施的循证质量改进（EBQI）方法。 249名沮丧的艾滋病毒感染者完成了基线评估。每个地点都对八名接受抑郁症治疗的艾滋病毒患者和25名艾滋病毒或精神卫生（MH）提供者进行了分别的关键知情人访谈摘要。 EBQI方法用于针对每个部位量身定制HITIDES干预措施，同时保持对抑郁症协作治疗的依据。 EBQI方法为干预适应和实施提供了有用的框架。 HITIDES研究为在抑郁症和MH合并症高发人群中的专业物理健康诊所环境中评估协作性抑郁症护理提供了机会。

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