Littlewood, E; Ali, S; Badenhorst, J; Bailey, D; Bambra, C; Chew-Graham, C; Coleman, E; ... Ekers, D; + view all Littlewood, E; Ali, S; Badenhorst, J; Bailey, D; Bambra, C; Chew-Graham, C; Coleman, E; Crosland, S; Gascoyne, S; Gilbody, S; Hewitt, C; Jones, C; Keding, A; Kitchen, C; McMillan, D; Pearson, C; Rhodes, S; Sloan, C; Todd, A; Watson, M; Whittlesea, C; Ekers, D; - view fewer (2019) Community Pharmacies Mood Intervention Study (CHEMIST): feasibility and external pilot randomised controlled trial protocol. Pilot Feasibility Stud , 5 (1) , Article 71. 10.1186/s40814-019-0457-y.

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Abstract

OBJECTIVES: (a) Refine a bespoke enhanced support intervention (ESI) (including self-help materials, intervention manual and training) for implementation by community pharmacy (CP) staff to people with sub-threshold depression and long-term conditions (LTCs) based upon evidence-supported interventions in primary care. (b) Develop and refine study procedures (recruitment strategies and set up, screening, participant recruitment, assessment, suitability of outcome measures and data collection procedures) for testing in the pilot study phase. DESIGN: A case series/qualitative study. SETTING: UK community pharmacy. POPULATION: Adults with long-term health conditions who screen-positive for depression but who do not reach the threshold for DSM IV Moderate Depressive disorder. INTERVENTION: Enhanced support intervention (ESI) delivered by an appropriately trained community pharmacy team member involving four to six sessions over four months. ESI is a modified form of an intervention within the collaborative care framework for sub-threshold depression validated in previous studies in UK primary care which appears suitable for implementation in community settings. SAMPLE SIZE: 20–30 participants. OUTCOMES: Study implementation (recruitment and attrition rates), quality of data collection at baseline and 4 months and ESI adherence (number of contacts, DNA and drop out) as per objectives 1a/b. QUALITATIVE EVALUATION: Semi-structured interviews with up to 10 participants and ESI facilitators and focus group(s) (range of pharmacy staff n = 8–10) will be conducted to explore the acceptability of the intervention and feasibility of the study, training and study procedures.

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