Evidence map›Paper›PMID 20220604›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2010

Improving antidepressant adherence and depression outcomes in primary care: the treatment initiation and participation (TIP) program.

Jo Anne Sirey, Martha L Bruce, Helen C Kales

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Interventions for enhancing medication adherence.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Pooled it
  4. Predicting Medication Nonadherence in Older Adults With Difficult-to-Treat Depression in the IRL-GRey Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Trial
  5. Trial
  6. Untangling therapeutic ingredients of a personalized intervention for patients with depression and severe COPD.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2014
    Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. The role of depression pharmacogenetic decision support tools in shared decision making.Journal of neural transmission (Vienna, Austria : 1996) · 2019
    Review
  14. Article
  15. Barriers to Mental Health Treatment in Rural Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

3 authors.

Jo Anne SireyDepartment of Psychiatry, Weill Cornell Medical College of Cornell University, NY 10605, USA. jsirey@med.cornell.edu
Martha L Bruce
Helen C Kales

Funding

1/2-Personalized Antidepressant Adherence Strategies for Depressed EldersR01MH087562 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI SIREY, JO ANNE · 2010 to 2014
$1.5M
Improving Antidepressant Adherence in Older AdultsK23MH066381 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI SIREY, JO ANNE · 2002 to 2006
$833k
NIMH NIH HHS K23 MH066381NIMH NIH HHS R01 MH087562PHS HHS K23 66381
6 · The paper itself

Abstract

objectiveTo test the impact of a novel psychosocial intervention to improve antidepressant adherence and depression outcomes among older adults prescribed pharmacotherapy by their primary care physician (PCP).

designA randomized controlled pilot study was conducted to examine the usefulness of the Treatment Initiation and Participation (TIP) program as an intervention to improve antidepressant adherence and depression outcomes.

settingThe study was conducted at two primary care clinics in New York city: one clinic served geriatric adults and the second clinic served a diverse group of mixed aged adults.

participantsThe sample consisted of adults aged 60 years and older with major depression who were recommended antidepressant therapy by their PCPs.

interventionAll participants were prescribed antidepressant therapy and randomly assigned to either the intervention (TIP) or the treatment as usual (TAU) group. The TIP intervention identifies and targets psychological barriers to depression care, especially stigma, as well as fears and misconceptions of depression and its treatment. TIP participants are encouraged to develop a treatment goal and create an adherence strategy. MEASUREMENT: Study participants were assessed at entry, 6, 12, and 24 weeks later. Adherence was measured based on self-report with chart verification. Depression severity was measured using the Hamilton Depression Rating Scale.

resultsParticipants in TIP were significantly more adherent to their antidepressant pharmacotherapy at all assessment time points and had a significantly greater decrease in depressive symptoms than older adults who received TAU.

conclusionThe results provide support for the usefulness of TIP as a brief intervention to improve adherence to depression medication treatment provided in primary care settings.

Indexed as

AgedAged, 80 and overAntidepressive AgentsCombined Modality TherapyFemaleHumansMajor Depressive DisorderMaleMedication AdherenceMiddle AgedPilot ProjectsPrimary Health CarePsychotherapy, BriefAntidepressive Agents

Identifiers

PMID20220604
PMCPMC3039212

What OpenQuestion holds

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Registered trials

None linked

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.