title: [Promoting Self-Management in Primary Care - the Association of Motivation for Change, Self-Efficacy and Psychological Distress Prior to the Onset of Intervention].
abstract: Anxiety, depressive and somatoform disorders are highly prevalent in primary care. Managing these disorders is time-consuming and requires strong commitment on behalf of the general practitioners (GPs). Furthermore, the resources for the management of these patients are limited by the increasing workload in primary care practices, especially in the German health care system. In order to address the SMADS-study within psychenet - the Hamburg Network for Mental Health (NCT01726387) implements and evaluates a complex, low-threshold, nurse-led intervention using a goal-oriented set of case management and counseling techniques to promote self-management in these patients. This paper investigates the association of the patients' motivation for change and their perceived self-efficacy, the primary outcome - to get to know whether the intervention will target the appropriate population.
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Thomas
authors.initials: T
authors.lastname: Zimmermann
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Egina
authors.initials: E
authors.lastname: Puschmann
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Sarah
authors.initials: S
authors.lastname: Porzelt
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Martin
authors.initials: M
authors.lastname: Ebersbach
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Annette
authors.initials: A
authors.lastname: Ernst
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Patricia
authors.initials: P
authors.lastname: Thomsen
authors.affiliation: Institut für Allgemeinmedizin, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Martin
authors.initials: M
authors.lastname: Scherer
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D003469:Culture; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005858:Germany; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D059017:Primary Care Nursing; D011568:Psychiatric Nursing; D012648:Self Care; D020377:Self Efficacy; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D013315:Stress, Psychological / Q000150:complications*; D011795:Surveys and Questionnaires; D055815:Young Adult