Implementation of Group Interpersonal Psychotherapy in primary care

• Published in: Revista de saúde pública Vol. 56; p. 23
• Main Authors: Mattos, Maria Isabel Perez, Mosqueiro, Bruno Paz, Stuart, Scott, Salum, Giovanni, Duzzo, Rosana de Lima, Souza, Laura Wolf de, Chini, Ariane, Fleck, Marcelo Pio de Almeida
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Faculdade de Saúde Pública da Universidade de São Paulo 01.01.2022; Universidade de São Paulo
• Subjects: Brazil; Communication Barriers; Cross-Sectional Studies; Group Interpersonal Psychotherapy; Health Personnel; Health Plan Implementation; Health Policy & Services; Humans; Interpersonal Psychotherapy; Original; Primary Health Care; Psychology; Surveys and Questionnaires; Brazil; Primary Health Care; Health Plan Implementation; Communication Barriers; Health Personnel; Psychology; Group Interpersonal Psychotherapy
• ISSN: 0034-8910; 1518-8787; 1518-8787
• DOI: 10.11606/s1518-8787.2022056003731

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. 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. 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. 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.