Evidence map›Paper›PMID 24807320›Full record

Trial reportObstetrics and gynecology2014

Improving care for depression in obstetrics and gynecology: a randomized controlled trial.

Jennifer L Melville, Susan D Reed, Joan Russo, Carmen A Croicu, Evette Ludman, Anna LaRocco-Cockburn, Wayne Katon

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01096316 (Reducing Disparities and Improving Care for Depression in OB-GYN Clinics), which is not on this map. Cited by 47 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 6 pooled it
12.2field-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.

NCT01096316 nacompletednot on this map

Reducing Disparities and Improving Care for Depression in OB-GYN Clinics: Depression Attention for Women Now (The DAWN Study)

TypeinterventionalSponsorUniversity of WashingtonRan2009 to 2015Enrolled205ConditionsDepressive DisorderArmsDepression Care Management
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 6 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Jennifer L MelvilleDepartments of Obstetrics and Gynecology, Psychiatry, and Psychiatry and Behavioral Sciences at Harborview Medical Center and University of Washington Medical Center, University of Washington School of Medicine; and Group Health Research Institute, Seattle, Washington.
Susan D Reed
Joan Russo
Carmen A Croicu
Evette Ludman
Anna LaRocco-Cockburn
Wayne Katon
Harborview Medical Center · USUniversity of Washington Medical Center · US

Funding

Reducing Disparities and Improving Care for Depression in OB-GYN ClinicsR01MH085668 · NIMH · UNIVERSITY OF WASHINGTON · PI UNUTZER, JURGEN · 2009 to 2013
$2.3M
NIMH NIH HHS R01 MH085668NIMH NIH HHS R01-MH085668
6 · The paper itself

Abstract

objectiveTo evaluate an evidence-based collaborative depression care intervention adapted to obstetrics and gynecology clinics compared with usual care.

methodsA two-site, randomized controlled trial included screen-positive women (Patient Health Questionnaire-9 score of at least 10) who met criteria for major depression, dysthymia, or both (Mini-International Neuropsychiatric Interview). Women were randomized to 12 months of collaborative depression management or usual care; 6-month, 12-month, and 18-month outcomes were compared. The primary outcomes were change from baseline to 12 months in depression symptoms and functional status. Secondary outcomes included at least 50% decrease and remission in depressive symptoms, global improvement, treatment satisfaction, and quality of care.

resultsParticipants were, on average, 39 years old, 44% were nonwhite, and 56% had posttraumatic stress disorder. Intervention (n=102) compared with usual care (n=103) patients had greater improvement in depressive symptoms at 12 months (P<.001) and 18 months (P=.004). The intervention group compared with usual care group had improved functioning over the course of 18 months (P<.05), were more likely to have at least 50% decrease in depressive symptoms at 12 months (relative risk [RR] 1.74, 95% confidence interval [CI] 1.11-2.73), greater likelihood of at least four specialty mental health visits (6-month RR 2.70, 95% CI 1.73-4.20; 12-month RR 2.53, 95% CI 1.63-3.94), adequate dose of antidepressant (6-month RR 1.64, 95% CI 1.03-2.60; 12-month RR 1.71, 95% CI 1.08-2.73), and greater satisfaction with care (6-month RR 1.70, 95% CI 1.19-2.44; 12-month RR 2.26, 95% CI 1.52-3.36).

conclusionCollaborative depression care adapted to women's health settings improved depressive and functional outcomes and quality of depression care. CLINICAL

trial registrationClinicalTrials.gov, www.clinicaltrials.gov, NCT01096316. LEVEL OF EVIDENCE: I.

Indexed as

AdultContinuity of Patient CareDepressive DisorderDysthymic DisorderFemaleGynecologyHumansIntention to Treat AnalysisMaleMiddle AgedObstetricsOutpatient Clinics, HospitalPatient Care TeamPatient SatisfactionQuality of Health CareTreatment Outcome

Identifiers

PMID24807320
PMCPMC4052378
OpenAlexW2121927037

What OpenQuestion holds

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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.