Trial reportJournal of general internal medicine2006
Impacts of evidence-based quality improvement on depression in primary care: a randomized experiment.
Trial report in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00119028 (Expanding and Testing VA Collaborative Care Models for Depression), which is not on this map. Cited by 41 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.
Expanding and Testing VA Collaborative Care Models for Depression
Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review.Implementation science : IS · 2020Pooled it
- Measuring organizational and individual factors thought to influence the success of quality improvement in primary care: a systematic review of instruments.Implementation science : IS · 2012Pooled it
- Impact of Evidence-Based Quality Improvement on Tailoring VA's Patient-Centered Medical Home Model to Women Veterans' Needs.Journal of general internal medicine · 2024Trial
- Cluster randomized trial of a multilevel evidence-based quality improvement approach to tailoring VA Patient Aligned Care Teams to the needs of women Veterans.Implementation science : IS · 2016Trial
- Monitoring and managing metabolic effects of antipsychotics: a cluster randomized trial of an intervention combining evidence-based quality improvement and external facilitation.Implementation science : IS · 2013Trial
- Comparative effectiveness of standard versus patient-centered collaborative care interventions for depression among African Americans in primary care settings: the BRIDGE Study.Health services research · 2013Trial
- Implementing collaborative care for depression treatment in primary care: a cluster randomized evaluation of a quality improvement practice redesign.Implementation science : IS · 2011Trial
- Wishing upon a STAR*D: the promise of ideal depression care by primary care providers.Psychiatric services (Washington, D.C.) · 2009Trial
- Targeting primary care referrals to smoking cessation clinics does not improve quit rates: implementing evidence-based interventions into practice.Health services research · 2008Trial
- Patient Perspectives on Adapting Collaborative Care for Opioid Use Disorder With Depression and/or Post-traumatic Stress Disorder.Progress in community health partnerships : research, education, and action · 2024Article
- Evidence-Based Quality Improvement: a Scoping Review of the Literature.Journal of general internal medicine · 2022Article
- Preparing for the spread of patient-reported outcome (PRO) data collection from primary care to community pharmacy: a mixed-methods study.Implementation science communications · 2022Article
- Combining Improvement and Implementation Sciences and Practices for the Post COVID-19 Era.Journal of general internal medicine · 2021Review
- A more practical guide to incorporating health equity domains in implementation determinant frameworks.Implementation science communications · 2021Article
- Posttraumatic stress disorder collaborative care: A quality improvement study in veterans affairs primary care.Families, systems & health : the journal of collaborative family healthcare · 2021Observational
- An evaluation of the spread and scale of PatientToc™ from primary care to community pharmacy practice for the collection of patient-reported outcomes: A study protocol.Research in social & administrative pharmacy : RSAP · 2021Article
- Increasing Access to Medications for Opioid Use Disorder and Complementary and Integrative Health Services in Primary Care.Journal of general internal medicine · 2020Article
- Tailored to Fit: How an Implementation Framework Can Support Pragmatic Pain Care Trial Adaptation for Diverse Veterans Affairs Clinical Settings.Medical care · 2020Article
- Long-term impact of evidence-based quality improvement for facilitating medical home implementation on primary care health professional morale.BMC family practice · 2018Article
- Integrated Care for Depression in Older Primary Care Patients.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextPrevious studies testing continuous quality improvement (CQI) for depression showed no effects. Methods for practices to self-improve depression care performance are needed. We assessed the impacts of evidence-based quality improvement (EBQI), a modification of CQI, as carried out by 2 different health care systems, and collected qualitative data on the design and implementation process.
objectiveEvaluate impacts of EBQI on practice-wide depression care and outcomes.
designPractice-level randomized experiment comparing EBQI with usual care.
settingSix Kaiser Permanente of Northern California and 3 Veterans Administration primary care practices randomly assigned to EBQI teams (6 practices) or usual care (3 practices). Practices included 245 primary care clinicians and 250,000 patients.
interventionResearchers assisted system senior leaders to identify priorities for EBQI teams; initiated the manual-based EBQI process; and provided references and tools. EVALUATION
participantsFive hundred and sixty-seven representative patients with major depression.
main outcome measuresAppropriate treatment, depression, functional status, and satisfaction.
resultsDepressed patients in EBQI practices showed a trend toward more appropriate treatment compared with those in usual care (46.0% vs 39.9% at 6 months, P = .07), but no significant improvement in 12-month depression symptom outcomes (27.0% vs 36.1% poor depression outcome, P = .18). Social functioning improved significantly (mean score 65.0 vs 56.8 at 12 months, P = .02); physical functioning did not.
conclusionEvidence-based quality improvement had perceptible, but modest, effects on practice performance for patients with depression. The modest improvements, along with qualitative data, identify potential future directions for improving CQI research and practice.
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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.