Improving depression management with support from close others: A thematic analysis of individuals with depression and their partners in care

Author:

Javier Sarah J12ORCID,Risbud Rashmi1,Rossi Fernanda S12,Slightam Cindie13,Aikens James4,Guetterman Tim4,Piette John D56,Trivedi Ranak17

Affiliation:

1. Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA

2. Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, CA, USA

3. Department of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA

4. Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, USA

5. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA

6. Center for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System, Ann Arbor, MI, USA

7. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA

Abstract

Objectives With support from others, individuals with depression can build skills and implement lifestyle changes that help them manage their illness. The objective of the current study was to understand how the CarePartners for Depression Program, a randomized clinical trial aimed at enhancing the role of caregivers in the management of depression, improved communication and shared understandings of depression among individuals with depression and their close others. Methods We conducted in-depth, semi-structured interviews with individuals with depression and their caregivers who participated in the CarePartners program. Interviews were qualitatively coded using a thematic analytic framework. Results We conducted individual interviews with 39 participants in the CarePartners program, including 18 individuals with depression, 14 out-of-home care partners, and 7 informal caregivers. Three central themes were derived from analyses: (a) The quality of interpersonal relationships influenced the management of depression; (2) having clearly defined roles for CarePartners improved communication between CarePartners and individuals with depression; and (3) shared understanding of depression improved management of depression. Discussion Our findings established the conditions under which the management of depression was influenced in a dyadic intervention. Dyadic interventions may make it easier for individuals to support patients with depression by fostering communication and collaboration.

Funder

National Institute of Mental Health

Office of Behavioral and Social Sciences Research

Health Services Research and Development

Publisher

SAGE Publications

Subject

Health Policy,General Medicine

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