Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2007
A randomised controlled trial to test the feasibility of a collaborative care model for the management of depression in older people.
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 32 papers, 6 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
32 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The effectiveness of enhanced evidence-based care for depressive disorders: a meta-analysis of randomized controlled trials.Translational psychiatry · 2021Pooled it
- Process evaluations of primary care interventions addressing chronic disease: a systematic review.BMJ open · 2019Pooled it
- Collaborative Care for Psychiatric Disorders in Older Adults: A Systematic Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Pooled it
- Shared care across the interface between primary and specialty care in management of long term conditions.The Cochrane database of systematic reviews · 2017Pooled it
- Consultation liaison in primary care for people with mental disorders.The Cochrane database of systematic reviews · 2015Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Collaborative care for mental health: a qualitative study of the experiences of patients and health professionals.BMC health services research · 2020Trial
- Trial
- Trial
- Trial
- Cost-effectiveness of cognitive behaviour therapy versus talking and usual care for depressed older people in primary care.BMC health services research · 2011Trial
- Primary care management of major depression in patients aged > or =55 years: outcome of a randomised clinical trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Trial
- 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 · 2007Trial
- Therapeutic patient education for severe mental disorders: A systematic review.Global mental health (Cambridge, England) · 2024Review
- Article
- Collaborative care for depression management in primary care: A randomized roll-out trial using a type 2 hybrid effectiveness-implementation design.Contemporary clinical trials communications · 2021Article
- Applying Collaborative Care Model on Intensive Caregiver Burden and Resilient Family Caregivers of Patients with Mental Disorders: A Randomized Controlled Trial.Iranian journal of psychiatry · 2020Article
- Types of Utilization and Types of Treatment Response in a Collaborative Care Approach for Depressive Disorders in Old Age in Primary Care.Frontiers in psychiatry · 2020Article
- A qualitative study on older primary care patients' perspectives on depression and its treatments - potential barriers to and opportunities for managing depression.BMC family practice · 2018Article
- Behavioural health consultants in integrated primary care teams: a model for future care.BMC family practice · 2016Article
Corrections and comments
- Commented on by
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDepression is the most common mental health disorder in people aged over 65 years. Late-life depression is associated with chronic illness and disability.
aimTo investigate the feasibility of a collaborative care model for depression in older people in a primary care setting. DESIGN OF STUDY: Randomised controlled trial with 16-weeks follow up.
settingA primary care trust in Manchester.
methodParticipants were 105 people aged 60 years or older who scored 5 or more on the Geriatric Depression Scale; 53 were randomly allocated to an intervention group and 52 to a usual care group. The intervention group received care managed by a community psychiatric nurse who delivered an intervention comprising a facilitated self-help programme with close liaison with primary care professionals and old-age psychiatry according to a defined protocol. The usual care group received usual GP care. A nested qualitative study explored the views of the health professionals and patients regarding the acceptability and effectiveness of the intervention.
resultsThe main outcome measure was recovery from depression. Patients in the intervention group were less likely to suffer from major depressive disorder at follow up compared with usual care (0.32, 95% confidence = interval = 0.11 to 0.93, P = 0.036). The qualitative component of the study demonstrated the acceptability of the intervention to patients.
conclusionA model of collaborative care for older people with depression, used in a primary care setting with a facilitated self-help intervention is more effective than usual GP care. This study demonstrates that the implementation of a collaborative care model is feasible in UK primary care and that the intervention is effective and acceptable to patients.
Indexed as
Identifiers
17504586PMC2047010What OpenQuestion holds
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.