Trial reportGeneral hospital psychiatry
Design of the Coordinated Anxiety Learning and Management (CALM) study: innovations in collaborative care for anxiety disorders.
Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00347269 (Coordinated Anxiety Learning and Management), which is not on this map. Cited by 56 papers, 4 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.
Coordinated Anxiety Learning and Management (CALM): Improving Primary Care Anxiety Outcomes
Who cites it
56 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Psychosocial interventions for anxiety disorders in adults: evidence mapping and guideline appraisal.Frontiers in psychiatry · 2025Pooled it
- Clinical effects of cognitive behavioral therapy in heart failure patients: a meta-analysis of randomized controlled trials.BMC complementary medicine and therapies · 2023Pooled it
- Collaborative care for anxiety disorders in primary care: a systematic review and meta-analysis.BMC family practice · 2016Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Assessing fidelity of cognitive behavioral therapy in rural VA clinics: design of a randomized implementation effectiveness (hybrid type III) trial.Implementation science : IS · 2016Trial
- Predictors of anxiety recurrence in the Coordinated Anxiety Learning and Management (CALM) trial.Journal of psychiatric research · 2015Trial
- Prognostic subgroups for remission and response in the Coordinated Anxiety Learning and Management (CALM) trial.The Journal of clinical psychiatry · 2015Trial
- The role of gender in moderating treatment outcome in collaborative care for anxiety.Psychiatric services (Washington, D.C.) · 2015Trial
- Design of the Violence and Stress Assessment (ViStA) study: a randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers.Contemporary clinical trials · 2014Trial
- Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care.Journal of consulting and clinical psychology · 2014Trial
- Perceived social support mediates anxiety and depressive symptom changes following primary care intervention.Depression and anxiety · 2014Trial
- Trajectories of change in anxiety severity and impairment during and after treatment with evidence-based treatment for multiple anxiety disorders in primary care.Depression and anxiety · 2013Trial
- Effects of medical comorbidity on anxiety treatment outcomes in primary care.Psychosomatic medicine · 2013Trial
- Who gets the most out of cognitive behavioral therapy for anxiety disorders? The role of treatment dose and patient engagement.Journal of consulting and clinical psychology · 2013Trial
- Age differences in treatment response to a collaborative care intervention for anxiety disorders.The British journal of psychiatry : the journal of mental science · 2013Trial
- CBT competence in novice therapists improves anxiety outcomes.Depression and anxiety · 2013Trial
- Does a quality improvement intervention for anxiety result in differential outcomes for lower-income patients?The American journal of psychiatry · 2013Trial
- Effects of co-occurring depression on treatment for anxiety disorders: analysis of outcomes from a large primary care effectiveness trial.The Journal of clinical psychiatry · 2012Trial
- Incremental benefits and cost of coordinated anxiety learning and management for anxiety treatment in primary care.Psychological medicine · 2012Trial
- Quality of and patient satisfaction with primary health care for anxiety disorders.The Journal of clinical psychiatry · 2011Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundDespite a marked increase in the number of persons seeking help for anxiety disorders, the care provided may not be evidence based, especially when delivered by nonspecialists. Since anxiety disorders are most often treated in primary care, quality improvement interventions, such as the Coordinated Anxiety Learning and Management (CALM) intervention, are needed in primary care. RESEARCH
designThis study is a randomized controlled trial of a collaborative care effectiveness intervention for anxiety disorders. SUBJECTS: Approximately 1040 adult primary care patients with at least one of four anxiety disorders (generalized anxiety disorder, panic disorder, posttraumatic stress disorder or social anxiety disorder) will be recruited from four national sites.
interventionAnxiety clinical specialists (ACSs) deliver education and behavioral activation to intervention patients and monitor their symptoms. Intervention patients choose cognitive-behavioral therapy, antianxiety medications or both in "stepped-care" treatment, which varies according to clinical needs. Control patients receive usual care from their primary care clinician. The innovations of CALM include the following: flexibility to treat any one of the four anxiety disorders, co-occurring depression, alcohol abuse or both; use of on-site clinicians to conduct initial assessments; and computer-assisted psychotherapy delivery. EVALUATION: Anxiety symptoms, functioning, satisfaction with care and health care utilization are assessed at 6-month intervals for 18 months.
conclusionCALM was designed for clinical effectiveness and easy dissemination in a variety of primary care settings.
Indexed as
Identifiers
What 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.