Evidence map›Paper›PMID 15550800›Full record

Trial reportMedical care2004

The effect of improving primary care depression management on employee absenteeism and productivity. A randomized trial.

Kathryn Rost, Jeffrey L Smith, Miriam Dickinson

Registry-linked trialAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Medical care, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06295250 (ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women), which is not on this map. Cited by 66 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT06295250 narecruitingnot on this mapstarted 2024, after this paper: background citation

ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2024 to 2026Enrolled600ConditionsDepression, Economic Vulnerability, Anxiety, Culture Specific SymptomsArmsManualized Group Based Psychotherapy, Poverty Alleviation
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Interventions to improve return to work in depressed people.The Cochrane database of systematic reviews · 2020
    Pooled it
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  7. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
  8. Pooled it
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  10. Trial
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  16. Stakeholder benefit from depression disease management: differences by rurality?The journal of behavioral health services & research · 2011
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  20. Observational

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kathryn RostDepartment of Family Medicine, University of Colorado Health Sciences Center, Aurora, Colorado, USA. Kathryn.Rost@uchsc.edu
Jeffrey L Smith
Miriam Dickinson

Funding

Influencing Employer Benefit Purchasing BehaviorR01MH076277 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI ROST, KATHRYN M · 2009 to 2013
$2.6M
QUALITY IMPROVEMENT FOR DEPRESSIONR01MH054444 · NIMH · UNIVERSITY OF COLORADO DENVER · PI ROST, KATHRYN M · 1998 to 2002
$784k
DEPRESSION TREATMENT QUALITY INDICATORS FOR EMPLOYER USEK02MH063651 · NIMH · UNIVERSITY OF COLORADO DENVER · PI ROST, KATHRYN M · 2001 to 2005
$662k
NIMH NIH HHS K02 MH063651NIMH NIH HHS MH54444NIMH NIH HHS MH63651NIMH NIH HHS R01 MH054444NIMH NIH HHS R01 MH076277
6 · The paper itself

Abstract

objectiveTo test whether an intervention to improve primary care depression management significantly improves productivity at work and absenteeism over 2 years. SETTING AND SUBJECTS: Twelve community primary care practices recruiting depressed primary care patients identified in a previsit screening. RESEARCH

designPractices were stratified by depression treatment patterns before randomization to enhanced or usual care. After delivering brief training, enhanced care clinicians provided improved depression management over 24 months. The research team evaluated productivity and absenteeism at baseline, 6, 12, 18, and 24 months in 326 patients who reported full-or part-time work at one or more completed waves.

resultsEmployed patients in the enhanced care condition reported 6.1% greater productivity and 22.8% less absenteeism over 2 years. Consistent with its impact on depression severity and emotional role functioning, intervention effects were more observable in consistently employed subjects where the intervention improved productivity by 8.2% over 2 years at an estimated annual value of US 1982 dollars per depressed full-time equivalent and reduced absenteeism by 28.4% or 12.3 days over 2 years at an estimated annual value of US 619 dollars per depressed full-time equivalent.

conclusionsThis trial, which is the first to our knowledge to demonstrate that improving the quality of care for any chronic disease has positive consequences for productivity and absenteeism, encourages formal cost-benefit research to assess the potential return-on-investment employers of stable workforces can realize from using their purchasing power to encourage better depression treatment for their employees.

Indexed as

AbsenteeismDisease ManagementEfficiencyAdultAntidepressive AgentsChronic DiseaseDepressive DisorderDiagnostic and Statistical Manual of Mental DisordersEmploymentFemaleHumansMaleMiddle AgedOccupational HealthPrimary Health CareQuality Assurance, Health CareAntidepressive Agents

Identifiers

PMID15550800
PMCPMC1350979

What OpenQuestion holds

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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.