Evidence map›Paper›PMID 23442030›Full record

ArticleAIDS patient care and STDs2013

Providers' attitudes towards treating depression and self-reported depression treatment practices in HIV outpatient care.

Kiana D Bess, Julie Adams, Melissa H Watt, Julie K O'Donnell, Bradley N Gaynes, Nathan M Thielman, Amy Heine, Anne Zinski, James L Raper, Brian W Pence

Registry-linked trialAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01372605 (SLAM DUNC), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

NCT01372605 nacompletednot on this map

SLAM DUNC: Strategies to Link Antidepressant and Antiretroviral Management at Duke University, University of Alabama at Birmingham, Northern Outreach Clinic (Henderson, NC), and University of North Carolina

TypeinterventionalSponsorDuke UniversityRan2010 to 2014Enrolled304ConditionsDepression, HIVArmsMeasurement-Based Care collaborative depression management, Enhanced Usual Care
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Detrimental Effects of Psychotropic Medications Differ by Sex in Aging People With HIV.Journal of acquired immune deficiency syndromes (1999) · 2019
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. 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

10 authors.

Kiana D BessCenter for Health Policy and Inequalities Research, Duke University Medical Center, Durham, North Carolina 27705, USA.
Julie Adams
Melissa H Watt
Julie K O'Donnell
Bradley N Gaynes
Nathan M Thielman
Amy Heine
Anne Zinski
James L Raper
Brian W Pence

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
HIV/AIDS Clinical Trials UnitU01AI069484 · NIAID · DUKE UNIVERSITY · PI BARTLETT, JOHN A · 2007 to 2011
$14.6M
IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Improving HAART Adherence in Depressed HIV Clinic Patients: A Real-World RCTR01MH086362 · NIMH · DUKE UNIVERSITY · PI PENCE, BRIAN W · 2009 to 2013
$3.5M
NIAID NIH HHS P30 AI050410NIAID NIH HHS P30-AI064518NIAID NIH HHS U01 AI069484NIMH NIH HHS R01 MH086362NIMH NIH HHS R01MH086362NIMH NIH HHS R25 MH080916NIMH NIH HHS R25 MH080916-01A2
6 · The paper itself

Abstract

Depression is highly prevalent among HIV-infected patients, yet little is known about the quality of HIV providers' depression treatment practices. We assessed depression treatment practices of 72 HIV providers at three academic medical centers in 2010-2011 with semi-structured interviews. Responses were compared to national depression treatment guidelines. Most providers were confident that their role included treating depression. Providers were more confident prescribing a first antidepressant than switching treatments. Only 31% reported routinely assessing all patients for depression, 13% reported following up with patients within 2 weeks of starting an antidepressant, and 36% reported systematically assessing treatment response and tolerability in adjusting treatment. Over half of providers reported not being comfortable using the full FDA-approved dosing range for antidepressants. Systematic screening for depression and best-practices depression management were uncommon. Opportunities to increase HIV clinicians' comfort and confidence in treating depression, including receiving treatment support from clinic staff, are discussed.

Indexed as

Attitude of Health PersonnelAcademic Medical CentersAdultAmbulatory CareAmbulatory Care FacilitiesAntidepressive AgentsDepressionDisease ManagementEvidence-Based MedicineFemaleGuideline AdherenceHIV InfectionsHumansInterviews as TopicMaleMiddle AgedAntidepressive Agents

Identifiers

PMID23442030
PMCPMC3595951

What OpenQuestion holds

Textmetadata
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.