Evidence map›Paper›PMID 19252046›Full record

Trial reportPsychiatric services (Washington, D.C.)2009

Patients' depression treatment preferences and initiation, adherence, and outcome: a randomized primary care study.

Patrick J Raue, Herbert C Schulberg, Moonseong Heo, Sibel Klimstra, Martha L Bruce

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05477420 (A Survey Study and Effect of Web-based Decision Aids on Preferences Shift), which is not on this map. Cited by 103 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 9 pooled it
16.6field-weighted citation impact, top 1% of its field
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.

NCT05477420 nacompletednot on this mapstarted 2022, after this paper: background citation

A Survey Study and Effect of Web-based Decision Aids on Preferences Shift

TypeinterventionalSponsorChinese University of Hong KongRan2022 to 2024Enrolled148ConditionsDepression, PsychotherapiesArmsDecision Aid
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 9 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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  8. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
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  12. Effectiveness of Shared Decision-Making for Elderly Depressed Minority Primary Care Patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Patrick J RaueDepartment of Psychiatry, Weill Cornell Medical College, Cornell University, White Plains, NY 10605, USA. praue@med.cornell.edu
Herbert C Schulberg
Moonseong Heo
Sibel Klimstra
Martha L Bruce
Cornell University · US

Funding

Patient Preference in Primary Care Depression TreatmentK23MH069784 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI RAUE, PATRICK J · 2004 to 2008
$736k
NIMH NIH HHS K23 MH069784NIMH NIH HHS K23-MH069784
6 · The paper itself

Abstract

objectiveThe authors examined the association of treatment preferences with treatment initiation, adherence, and clinical outcome among nonsenior adult and senior primary care patients with depression.

methodsSixty primary care participants meeting DSM-IV criteria for major depression were randomly assigned to receive treatment congruent or incongruent with their primary stated preference. Participants received either 20 weeks of escitalopram, with monitoring by a care manager, or 12 weekly sessions of interpersonal psychotherapy followed by two monthly booster sessions. Adherence to treatment and depression severity were reassessed at weeks 4, 8, 12, and 24.

resultsParticipants expressed stronger preferences for psychotherapy than for antidepressant medication. Preference strength was a more sensitive measure of outcome than was congruence versus incongruence of preference with the assigned treatment. Across age groups, preference strength was significantly associated with treatment initiation and 12-week adherence rate but not with depression severity or remission.

conclusionsA continuous measure of preference strength may be a more useful measure in clinical practice than preferences per se. Future research should focus on whether and how greater facilitation of the treatment decision-making process between patient and clinician influences clinical outcome.

Indexed as

AdultAgedAged, 80 and overAge FactorsAntidepressive AgentsFemaleFollow-Up StudiesHumansMajor Depressive DisorderMaleMiddle AgedPatient Acceptance of Health CarePatient CompliancePatient SatisfactionPrimary Health CarePsychotherapyAntidepressive Agents

Identifiers

PMID19252046
PMCPMC2710876
OpenAlexW2010314406

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.