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Table 2 The knowledge application program

From: Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol

Module Title, chronic care model components [CCM] *, Objective Content
1 The context [ CCM: HSO, CRP ]: To understand the principles that support the implementation of the knowledge application program, the bases of the knowledge application program, and the key policies and orientations that directed the structuring of mental health services in Quebec, Canada. 1. Common mental disorders in primary care
2. The Chronic Care Model[50, 51]
3. Quality of care for depressive and anxiety disorders
4. The organization of the health care system
2 The knowledge application program [ CCM: HSO, DSD, DS, CIS, SM, CRP ]: To enable participants to understand the scope of the knowledge application program and know the different stages of its deployment. 1. Project and objectives
2. Knowledge application program
3. Developing and implementing a local quality improvement plan
3 The implementation of changes in clinical practice [CCM: HSO, DSD, DS]: To provide participants with a systemic view of the implementation of changes in an organizational context. To understand the role played by the local working committee and identify key stakeholders. 1. The conceptual framework: the PARiHS model[56, 57]
2. Knowledge application in the Health and Social Services Centre context
3. The Knowledge-to-action cycle[65]
4 The stepped-care model [CCM: DSD, CIS]: Participants will be guided by the principles and concepts presented in order to review their services and care pathways; the role and responsibilities of the various care providers throughout the care pathway will also be reviewed. 1. Delivery system design
2. Stepped-care : description and examples
3. Lessons from the literature
5 Clinical decision support - Clinical practice guidelines [CCM: DS]: Participants will have a common understanding of clinical practice guidelines, as well as their benefits and limitations, and know how to refer to them in their clinical decision making. 1. Clinical decision support
2. Clinical practice guidelines
3. Benefits and limitations related to clinical practice guidelines
4. Where to find clinical practice guidelines
6 Working together: how to implement strategies for interprofessional collaboration [CCM: DSD, DS]: To enable settings to identify strategies to offer complementary services, ensure coordination of care, foster teamwork and define modalities that encourage mutual support between providers. 1. Interprofessional collaboration
2. A continuum of collaborative practices
3. What is collaborative care in mental health?
4. Simple changes for depression in primary care
5. Collaborative care models for anxiety and depressive disorders
6. Case management - a key element of collaborative care
7 Productive interactions between the patient and health care team [CCM: SM]: Identify the tools and strategies that best enable care providers to offer accurate information to patients about their health including motivational interviewing and shared decision-making. 1. The role of productive interactions in the Chronic Care Model
2. Patient education
3. Motivational interviewing
4. Shared decision-making: a key to productive interactions
5. Communication strategies: The communication cycle
8 Self-management support [CCM: SM]: To promote the various self-management tools and identify strategies which encourage the implementation of interventions aiming to support self-care among people with depression and/or anxiety disorders. 1. Self-management support: what and how?
2. The effectiveness of self-management strategies for the treatment of depression and anxiety disorders
3. The characteristics of a good self-manager
4. What helps patients succeed in the management of their care
5. The right form of self-management support for the right patient
6. Two self-management program examples:
• Self-management depression workshop
• Self-care depression guide
9 Low-intensity interventions and the various group interventions [CCM: DS, SM]: To provide examples of promising practices and help participants to identify low-intensity interventions that could be offered to people with depression and/or anxiety disorders. To differentiate the various forms of group interventions that can be offered to patients such as group therapy, psychoeducational groups, and self-help and support groups. 1.Low-intensity interventions
2. Examples of low-intensity interventions
The different group interventions
10 Clinical Information Systems [CCM: CIS]: To demonstrate the importance of clinical information systems in patient monitoring. 1. What is a clinical information system?
   2. The functions of a clinical information system
   3. The indicators to include in the clinical information system
   4. The patient follow-up worksheet
  1. *Abbreviations refer to the Chronic Care Model components implemented in the knowledge application program: HSO = Health System Organization; DSD = Delivery System Design; DS = Decision Support; CIS = Clinical Information Systems; SM = Self-Management Support; CRP = Community Resources and Policies.