Evidence map›Paper›PMID 17359606›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2007

Cluster randomised controlled trial of the effectiveness of primary care mental health workers.

Helen Lester, Nick Freemantle, Sue Wilson, Helen Sorohan, Elizabeth England, Carl Griffin, Aparna Shankar

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Counselling for mental health and psychosocial problems in primary care.The Cochrane database of systematic reviews · 2011
    Pooled it
  3. Pooled it
  4. Trial
  5. Graduate mental health worker case management of depression in UK primary care: a pilot study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Trial
  6. Management of mental health problems by general practitioners in Quebec.Canadian family physician Medecin de famille canadien · 2012
    Article
  7. Article
  8. Article
  9. How usual is usual care in pragmatic intervention studies in primary care? An overview of recent trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  10. Improving access to psychological therapies: implications for mental health care in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
  11. Healthcare assistants in general practice: practical and conceptual issues of skill-mix change.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008
    Article
  12. We need a chronic disease management model for depression in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
  13. The role of the primary care mental health worker.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
  14. Review
  15. Implementing the role of the primary care mental health worker: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Helen LesterDepartment of Primary Care and General Practice, University of Birmingham, Birmingham, UK. H.E.Lester@bham.ac.uk
Nick Freemantle
Sue Wilson
Helen Sorohan
Elizabeth England
Carl Griffin
Aparna Shankar

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health issues are a core part of the work of primary care and are the second most common reason for consultations. There is some evidence that the quality of primary care mental health provision is variable.

aimTo evaluate the effectiveness of primary care mental health workers with regards to satisfaction with care, mental health symptoms, use of the voluntary sector, and cost effectiveness of care. DESIGN OF STUDY: Cluster randomised controlled trial.

settingPractices in the Heart of Birmingham Primary Care Trust, Birmingham, England.

methodNineteen practices and 368 patients (18 to 65 years of age) with a diagnosis of a new or ongoing common mental health problem were recruited. Sixteen practices and 284 patients completed the trial.

resultsPatients in intervention practices had a higher mean level of general satisfaction than those in control practices (difference between group scores of 8.3, 95% confidence interval = 1.3 to 15.3, P = 0.023). The two groups did not differ in mental health symptom scores or use of the voluntary sector.

conclusionFor patients with common mental health problems, primary care mental health workers may be effective at increasing satisfaction with an episode of care.

Indexed as

Patient SatisfactionAdolescentAdultAgedCluster AnalysisCommunity Mental Health ServicesCost-Benefit AnalysisFemaleHumansMaleMental DisordersMiddle AgedQuality of Health CareTreatment Outcome

Identifiers

PMID17359606
PMCPMC2042545

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.