Trial reportBMJ (Clinical research ed.)2004
Re-engineering systems for the treatment of depression in primary care: cluster randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01583400 (Development and Evaluation of Enhanced Digital Health Coaching Program for Depressive Symptoms to Support Collaborative Depression Treatment in Primary Care), which is not on this map. Cited by 100 papers, 9 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.
Development and Evaluation of Enhanced Digital Health Coaching Program for Depressive Symptoms to Support Collaborative Depression Treatment in Primary Care: The RESPECT-D-E (Enhanced) Trial
Who cites it
100 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Pooled it
- Consultation liaison in primary care for people with mental disorders.The Cochrane database of systematic reviews · 2015Pooled it
- Collaborative chronic care models for mental health conditions: cumulative meta-analysis and metaregression to guide future research and implementation.Medical care · 2013Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effects.The Psychiatric clinics of North America · 2011Pooled it
- On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.The Cochrane database of systematic reviews · 2009Pooled it
- Screening and case-finding instruments for depression: a meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008Pooled it
- Depression in adults: psychological treatments and care pathways.BMJ clinical evidence · 2007Pooled it
- A systematic review of complex system interventions designed to increase recovery from depression in primary care.BMC health services research · 2006Pooled it
- Comparative Effectiveness of a Technology-Facilitated Depression Care Management Model in Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes of a Large Clinical Trial.Journal of medical Internet research · 2018Trial
- Intervention impact on depression product appraisal and purchasing behavior by employers: a randomized trial.BMC health services research · 2014Trial
- The effect of telephone-facilitated depression care on older, medically ill patients.The journal of behavioral health services & research · 2014Trial
- Longitudinal relationships between fatigue and depression in cancer patients with depression and/or pain.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2013Trial
- Community-partnered evaluation of depression services for clients of community-based agencies in under-resourced communities in Los Angeles.Journal of general internal medicine · 2013Trial
- Long term effect of depression care management on mortality in older adults: follow-up of cluster randomized clinical trial in primary care.BMJ (Clinical research ed.) · 2013Trial
- Uptake of Web-based clinical resources from the MacArthur Initiative on Depression and Primary Care.Community mental health journal · 2013Trial
- RESPECT-PTSD: re-engineering systems for the primary care treatment of PTSD, a randomized controlled trial.Journal of general internal medicine · 2013Trial
- Efficacy of a systematic depression management program in high utilizers of primary care: a randomized trial.BMC health services research · 2012Trial
- Trial
- Improving care after myocardial infarction using a 2-year internet-delivered intervention: the Department of Veterans Affairs myocardial infarction-plus cluster-randomized trial.Archives of internal medicine · 2011Trial
40 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo test the effectiveness of an evidence based model for management of depression in primary care with support from quality improvement resources.
designCluster randomised controlled trial.
settingFive healthcare organisations in the United States and 60 affiliated practices. PATIENTS: 405 patients, aged > or = 18 years, starting or changing treatment for depression.
interventionCare provided by clinicians, with staff providing telephone support under supervision from a psychiatrist.
main outcome measuresSeverity of depression at three and six months (Hopkins symptom checklist-20): response to treatment (> or = 50% decrease in scores) and remission (score of < 0.5).
resultsAt six months, 60% (106 of 177) of patients in intervention practices had responded to treatment compared with 47% (68 of 146) of patients in usual care practices (P = 0.02). At six months, 37% of intervention patients showed remission compared with 27% for usual care patients (P = 0.014). 90% of intervention patients rated their depression care as good or excellent at six months compared with 75% of usual care patients (P = 0.0003).
conclusionResources such as quality improvement programmes can be used effectively in primary care to implement evidence based management of depression and improve outcomes for patients with depression.
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Registered trials
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.