Trial reportJournal of general internal medicine2001
Does physician education on depression management improve treatment in primary care?
Trial report in Journal of general internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- Interventions to improve the detection of depression in primary healthcare: systematic review.Systematic reviews · 2023Pooled it
- Elusive search for effective provider interventions: a systematic review of provider interventions to increase adherence to evidence-based treatment for depression.Implementation science : IS · 2018Pooled it
- Trial
- Which educational interventions have been implemented to support clinical competencies among primary healthcare professionals? A scoping review.BMC primary care · 2026Article
- Eight-Year Progression of Clinical Practice Implementation Following Guideline Training in the EGUIDE Project.Neuropsychopharmacology reports · 2026Observational
- Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program.Administration and policy in mental health · 2023Article
- The Mini-International Neuropsychiatric Interview is useful and well accepted as part of the clinical assessment for depression and anxiety in primary care: a mixed-methods study.BMC family practice · 2018Article
- Is there a gap between recommended and 'real world' practice in the management of depression in young people? A medical file audit of practice.BMC health services research · 2012Article
- Knowledge translation in mental health: a scoping review.Healthcare policy = Politiques de sante · 2011Article
- Effects of training program on recognition and management of depression and suicide risk evaluation for Slovenian primary-care physicians: follow-up study.Croatian medical journal · 2010Article
- Theory in practice: helping providers address depression in diabetes care.The Journal of continuing education in the health professions · 2010Article
- Contents of general practitioner-patient consultations in the treatment of depression.Journal of general internal medicine · 2008Article
- Interventions designed to improve the quality and efficiency of medication use in managed care: a critical review of the literature - 2001-2007.BMC health services research · 2008Article
- Training Latin American primary care physicians in the WPA module on depression: results of a multicenter trial.Psychological medicine · 2005Article
- International psychiatry - an agenda for the way forward.International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists · 2004Article
- Improving the detection and management of depression in primary care.Quality & safety in health care · 2003Review
- Evaluating the Impact of an Educational Program on Practice Patterns of Canadian Family Physicians Interested in Depression Treatment.Primary care companion to the Journal of clinical psychiatry · 2002Article
- Retooling multiple levels to improve primary care depression treatment.Journal of general internal medicine · 2001Article
- Let's not talk about it: suicide inquiry in primary care.Annals of family medicineArticle
- The recognition of depression: the primary care clinician's perspective.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of physician training on management of depression.
designPrimary care physicians were randomly assigned to a depression management intervention that included an educational program. A before-and-after design evaluated physician practices for patients not enrolled in the intervention trial.
settingOne hundred nine primary care physicians in 2 health maintenance organizations located in the Midwest and Northwest regions of the United States. PATIENTS/
participantsComputerized pharmacy and visit data from a group of 124,893 patients who received visits or prescriptions from intervention and usual care physicians.
interventionsPrimary care physicians received education on diagnosis and optimal management of depression over a 3-month training period. Methods of education included small group interactive discussions, expert demonstrations, role-play, and academic detailing of pharmacotherapy, criteria for urgent psychiatric referrals, and case reviews with psychiatric consultants. MEASUREMENTS AND MAIN
resultsPharmacy and visit data provided indicators of physician management of depression: rate of newly diagnosed depression, new prescription of antidepressant medication, and duration of pharmacotherapy. One year after the training period, intervention and usual care physicians did not differ significantly in the rate of new depression diagnosis (P =.95) or new prescription of antidepressant medicines (P =.10). Meanwhile, patients of intervention physicians did not differ from patients of usual care physicians in adequacy of pharmacotherapy (P =.53) as measured by 12 weeks of continuous antidepressant treatment.
conclusionsAfter education on optimal management of depression, intervention physicians did not differ from their usual care colleagues in depression diagnosis or pharmacotherapy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.