Understanding the Barriers to Guideline Use for Depression & Anxiety in Patients with Parkinson's Disease and Dementia.

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atmire.migration.oldid4577
dc.contributor.advisorHolroyd-Leduc, Jayna M.
dc.contributor.advisorHanson, Heather
dc.contributor.authorGoodarzi, Zahra
dc.contributor.committeememberJette, Nathalie
dc.contributor.committeememberPatten, Scott
dc.contributor.committeememberPringsheim, Tamara
dc.date.accessioned2016-07-14T17:06:31Z
dc.date.available2016-07-14T17:06:31Z
dc.date.issued2016
dc.date.submitted2016en
dc.description.abstractBackground: Depression or anxiety are under-diagnosed and under-treated in those with dementia or Parkinson’s disease (PD). Objectives: The objectives of this thesis were to first understand what high quality guideline recommendations exist for depression or anxiety in dementia or PD. Secondly to explore the barriers and facilitators to implementing these guidelines. Methods: A systematic review of guidelines was completed, following the PRISMA statement and using the AGREE II tool to assess quality. In focus groups with stakeholders, we assessed the barriers and facilitators to guideline use and implementation. Results: Guideline quality scores were lowest for stakeholder involvement, applicability, and editorial independence. Major barriers to use included a lack of evidence, lack of applicability to the practice population, impractical or out of date recommendations. Conclusions: There are guideline recommendations for depression or anxiety in dementia and PD. However, practitioners have difficulty with implementation due to a lack of evidence and applicability.en_US
dc.identifier.citationGoodarzi, Z. (2016). Understanding the Barriers to Guideline Use for Depression & Anxiety in Patients with Parkinson's Disease and Dementia. (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/28564en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/28564
dc.identifier.urihttp://hdl.handle.net/11023/3134
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectMedicine and Surgery
dc.subjectMental Health
dc.subject.classificationParkinson's Diseaseen_US
dc.subject.classificationDementiaen_US
dc.subject.classificationDepressionen_US
dc.subject.classificationanxietyen_US
dc.subject.classificationClinical Practice Guidelinesen_US
dc.titleUnderstanding the Barriers to Guideline Use for Depression & Anxiety in Patients with Parkinson's Disease and Dementia.
dc.typemaster thesis
thesis.degree.disciplineCommunity Health Sciences
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
ucalgary.item.requestcopytrue
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