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Table 3 Prioritised determinants to six recommendations presented to the focus groups

From: Tailoring interventions to implement recommendations for the treatment of elderly patients with depression: a qualitative study

Recommendation Determinant [14]
Social contact Finding volunteers
Lack of awareness of local community/services
Social withdrawal in elderly patients with depression
Lack of connection between the patient and volunteers
Requires organising the service
Collaborative care plan 1. Actionable plans with shared ownership increases the plan’s feasibility
2. Lack of coordination within municipalities, especially between GPs and other municipal services
3. Implementation of the plan
Depression case manager 1. A description for how the doctor should proceed
2. Good relationship between patient and depression case manager
3. If the person is completely alone in the task
Counselling 1. GP’s time constraint
2. Health professionals believe self-help program is not beneficiary for this population
3. There is a shortage of this type of service
4. Lack of expertise for counselling among GPs and other health professionals
Antidepressants in mild depression 1. GPs time constraint
2. Patient information that drugs do not help in mild depression
3. Difficult to reverse a trend where the doctor has been told that they prescribe antidepressants too seldom
4. Lack of other types of services makes it difficult to adhere
5. GP wants to “do something”, drugs are simple actions
Severe, recurrent and chronic depression, dysthymia 1. GPs do not have this expertise (psychotherapy)
2. Elderly are not prioritised for this type of service
3. Lack of health professionals who can provide this type of service