ArticleAnnals of family medicine
Care management for depression in primary care practice: findings from the RESPECT-Depression trial.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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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
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Enablers and barriers to implementing collaborative care for anxiety and depression: a systematic qualitative review.Implementation science : IS · 2016Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Promotoras as mental health practitioners in primary care: a multi-method study of an intervention to address contextual sources of depression.Journal of community health · 2011Trial
- Wishing upon a STAR*D: the promise of ideal depression care by primary care providers.Psychiatric services (Washington, D.C.) · 2009Trial
- Depression treatment in patients with general medical conditions: results from the CO-MED trial.Annals of family medicineTrial
- Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.Community mental health journal · 2025Review
- Behavioral health treatment delivery by social workers in accountable care organizations.Social work in health care · 2024Article
- Acceptance of smart sensing, its determinants, and the efficacy of an acceptance-facilitating intervention in people with diabetes: results from a randomized controlled trial.Frontiers in digital health · 2024Article
- The Association Between Depressive Symptoms and Accumulation of Stress Among Black Men in the Health and Retirement Study.Innovation in aging · 2020Article
- Care managers can be useful for patients with depression but their role must be clear: a qualitative study of GPs' experiences.Scandinavian journal of primary health care · 2019Article
- Financing for Collaborative Care - A Narrative Review.Current treatment options in psychiatry · 2018Article
- "Down in the Sewers": Perceptions of Depression and Depression Care Among African American Men.American journal of men's health · 2018Article
- Understanding collaborative care implementation in the Department of Veterans Affairs: core functions and implementation challenges.BMC health services research · 2017Article
- Automated Remote Monitoring of Depression: Acceptance Among Low-Income Patients in Diabetes Disease Management.JMIR mental health · 2016Article
- Article
- Antidepressant Medication Management Among Older Patients Receiving Home Health Care.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015Article
- Disparities in assessment, treatment, and recommendations for specialty mental health care: patient reports of medical provider behavior.Health services research · 2015Article
- Multimorbidity in a Mexican Community: Secondary Analysis of Chronic Illness and Depression Outcomes.International journal of nursing (New York, N.Y.) · 2015Article
- An Evidence Roadmap for Implementation of Integrated Behavioral Health under the Affordable Care Act.AIMS public health · 2015Review
- Predictors of primary care management of depression in the Veterans Affairs healthcare system.Journal of general internal medicine · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis qualitative study examined the barriers to adopting depression care management among 42 primary care clinicians in 30 practices.
methodsThe RESPECT-Depression trial worked collaboratively with 5 large health care organizations (and 60 primary care practices) to implement and disseminate an evidence-based intervention. This study used semistructured interviews with 42 primary care clinicians from 30 practice sites, 18 care managers, and 7 mental health professionals to explore experience and perceptions with depression care management for patients. Subject selection in 4 waves of interviews was driven by themes emerging from ongoing data analysis.
resultsPrimary care clinicians reported broad appreciation of the benefits of depression care management for their patients. Lack of reimbursement and the competing demands of primary care were often cited as barriers. These clinicians at many levels of initial enthusiasm for care management increased their enthusiasm after experiencing care management through the project. Psychiatric oversight of the care manager with suggestions for the clinicians was widely seen as important and appropriate by clinicians, care managers, and psychiatrists. Clinicians and care managers emphasized the importance of establishing effective communication among themselves, as well as maintaining a consistent and continuous relationship with the patients. The clinicians were selective in which patients they referred for care management, and there was wide variation in opinion about which patients were optimal candidates. Care managers were able to operate both from within a practice and more centrally when specific attention was given to negotiating communication strategies with a clinician.
conclusionsCare management for depression is an attractive option for most primary care clinicians. Lack of reimbursement remains the single greatest obstacle to more widespread adoption.
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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.