Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Steinman, Lesley ; Cristofalo, Margaret ; Snowden, Mark
Steinman, Lesley ; Cristofalo, Margaret ; Snowden, Mark Less -
Description:
Introduction

Although researchers develop evidence-based programs for public health practice, rates of adoption and implementation are often low. This qualitative study aimed to better understand implementation of the Program to Encourage Active, Rewarding Lives for Seniors (PEARLS), a depression care management program at a Seattle-King County area agency on aging.

Methods

We used stratified, purposive sampling in 2008 to identify 38 PEARLS clients and agency staff for participation. In 9 focus groups and 1 one-on-one interview, we asked participants to identify benefits and negative consequences of PEARLS, facilitators of and barriers to program implementation, and strategies for overcoming the barriers. Two independent researchers used thematic analysis to categorize data into key themes and subthemes.

Results

PEARLS benefits clients by decreasing depression symptoms and addressing other concerns, such as health problems. For staff, PEARLS provides "another set of eyes" and is a comprehensive program to help them meet clients' mental health needs. Barriers included issues with implementation process (eg, lack of communication) and the perception that eligibility criteria were more rigid than those of other agency programs. Recommended solutions included changing eligibility criteria, providing additional staff training, increasing communication, and clarifying referral procedures, roles, and responsibilities.

Conclusion

Barriers to PEARLS delivery discourage referrals to what is generally viewed as a beneficial program. Implementing participants' strategies for overcoming these barriers can enhance delivery of PEARLS to a greater number of older adults and help them improve their depression symptoms.


Subjects:
[+]
Case Management Community Health Services Depression Evidence-Based Medicine Health Services Accessibility Humans Interviews As Topic Original Research Program Evaluation Public Health Administration
Source:
Prev Chronic Dis. 2012; 9.
Pubmed ID:
22537909
Pubmed Central ID:
PMC3406738
Document Type:
Journal Article
Funding:
R18/ DP001150/DP/NCCDPHP CDC HHS/United States
Place as Subject:
Washington
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:7b96f22b51bec19b2cbc0510766546cc04ccf1c41313880eae92626a160fd8de
Download URL:
https://stacks.cdc.gov/view/cdc/19825/cdc_19825_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E91.nxml	txt

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