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Table 6 Practice nurse interview

From: Process evaluation of a stepped-care program to prevent depression in primary care: patients’ and practice nurses’ experiences

Topic

Question

General

How did you experience executing Step-Dep?

What is your opinion on the Step-Dep program?

What were the main facilitators?

What were the main barriers?

Reach

Were the selected patients appropriate for this prevention program? Why? Why not?

How did you view their mental state/depressive symptoms? Did patients recognize themselves in the depressed profile? What are causes for depressive symptoms? How do you view the relationship with the chronic disease? What coping strategies do patients have with a chronic disease?

Were the patients in need for care for depression? Other need for care? Why? Why not?

Efficacy

Did the program match their need for care?

Was Step-Dep effective in your opinion on preventing depression/improving depressive symptoms for these patients? Why? Why not? How?

What is your view on the program elements: consultations, self-help, problem solving treatment, referral to general practitioner?

If the depressive symptoms improved in your patients; what was the reason for this improvement? Did the program play a part?

Implementation

Why did you decide to participate in Step-Dep?

How do you view your competences to execute the program?

Was it necessary to deviate from the protocol? Why? Why not?

How was using the PHQ-9 for you? And as a screening/monitoring/decision tool?

How much time would you need for the consultations/self-help/problem solving treatment?

Maintenance

Is this program (or elements) useful in daily practice for this group? Why? Why not?

Would you use this program (or elements) in the future? Why? Why not?

What would be necessary to implement this in your practice?

How would you ideally see depression prevention?

What is your opinion on offering a program like that at the time of diagnosis of the chronic disease?