Trial reportHealth services research2008
The effects of quality improvement for depression in primary care at nine years: results from a randomized, controlled group-level trial.
Trial report in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02986126 (Resilience Against Depression Disparities), which is not on this map. Cited by 26 papers, 1 of them a synthesis 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.
Resilience Against Depression Disparities (Also Known as Resilience Education to Reduce Depression Disparities)
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Elusive search for effective provider interventions: a systematic review of provider interventions to increase adherence to evidence-based treatment for depression.Implementation science : IS · 2018Pooled it
- Multi-Sector Assessment and Client-Perception of Social Need at Long-Term Follow-Up of a Group-Randomized Trial of Community-Engaged Collaborative Care for Adults with Depression.International journal of environmental research and public health · 2022Trial
- Re-Engagement into Care: The Role of Social Support on Service Use for Recurrent Episodes of Mental Health Distress Among Primary Care Patients.The journal of behavioral health services & research · 2018Trial
- 12-Month Cost Outcomes of Community Engagement Versus Technical Assistance for Depression Quality Improvement: A Partnered, Cluster Randomized, Comparative-Effectiveness Trial.Ethnicity & disease · 2018Trial
- Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study.American journal of public health · 2016Trial
- 12-month outcomes of community engagement versus technical assistance to implement depression collaborative care: a partnered, cluster, randomized, comparative effectiveness trial.Annals of internal medicine · 2014Trial
- Characteristics of community mental health clinics associated with treatment engagement.Psychiatric services (Washington, D.C.) · 2014Trial
- Trial
- An implementation evaluation of the community engagement and planning intervention in the CPIC Depression Care Improvement Trial.Community mental health journal · 2014Trial
- Long term effect of depression care management on mortality in older adults: follow-up of cluster randomized clinical trial in primary care.BMJ (Clinical research ed.) · 2013Trial
- Budget impact and sustainability of medical care management for persons with serious mental illnesses.The American journal of psychiatry · 2011Trial
- The Impact of Community Engagement on Health, Social, and Utilization Outcomes in Depressed, Impoverished Populations: Secondary Findings from a Randomized Trial.Journal of the American Board of Family Medicine : JABFMTrial
- Assessing evidence of measurement invariance of the Mental Health Inventory (MHI-5) by gender in a German adult sample.BMC psychiatry · 2025Article
- A theory-informed, rapid cycle approach to identifying and adapting strategies to promote sustainability: optimizing depression treatment in primary care clinics seeking to sustain collaborative care (The Transform DepCare Study).Implementation science communications · 2023Article
- Life Events, Barriers to Care, and Outcomes Among Minority Women Experiencing Depression: A Longitudinal, Mixed-Method Examination.The Journal of nervous and mental disease · 2022Article
- Article
- Surviving Depression: Clinical Qualitative Analysis of Long-Term Survival for Ethnically Diverse, Depressed Patients.The Journal of nervous and mental disease · 2017Article
- Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use.Journal of general internal medicine · 2015Article
- Improving care for depression and suicide risk in adolescents: innovative strategies for bringing treatments to community settings.Annual review of clinical psychology · 2014Review
- Measuring disparities across the distribution of mental health care expenditures.The journal of mental health policy and economics · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo examine 9-year outcomes of implementation of short-term quality improvement (QI) programs for depression in primary care. DATA SOURCES: Depressed primary care patients from six U.S. health care organizations. STUDY
designGroup-level, randomized controlled trial. DATA COLLECTION: Patients were randomly assigned to short-term QI programs supporting education and resources for medication management (QI-Meds) or access to evidence-based psychotherapy (QI-Therapy); and usual care (UC). Of 1,088 eligible patients, 805 (74 percent) completed 9-year follow-up; results were extrapolated to 1,269 initially enrolled and living. Outcomes were psychological well-being (Mental Health Inventory, five-item version [MHI5]), unmet need, services use, and intermediate outcomes. PRINCIPAL
findingsAt 9 years, there were no overall intervention status effects on MHI5 or unmet need (largest F (2,41)=2.34, p=.11), but relative to UC, QI-Meds worsened MHI5, reduced effectiveness of coping and among whites lowered tangible social support (smallest t(42)=2.02, p=.05). The interventions reduced outpatient visits and increased perceived barriers to care among whites, but reduced attitudinal barriers due to racial discrimination and other factors among minorities (smallest F (2,41)=3.89, p=.03).
conclusionsMain intervention effects were over but the results suggest some unintended negative consequences at 9 years particularly for the medication-resource intervention and shifts to greater perceived barriers among whites yet reduced attitudinal barriers among minorities.
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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.