Evidence map›Paper›PMID 25365745›Full record

ArticleThe American journal of managed care2014

Effective Implementation of collaborative care for depression: what is needed?

Robin R Whitebird, Leif I Solberg, Nancy A Jaeckels, Pamela B Pietruszewski, Senka Hadzic, Jürgen Unützer, Kris A Ohnsorg, Rebecca C Rossom, Arne Beck, Kenneth E Joslyn and 1 more

Abstract read
In one paragraph

Article in The American journal of managed care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

11 authors.

Robin R WhitebirdHealth-Partners Institute for Education and Research, 8170 33rd Ave So, Mail Stop 23301A, Minneapolis, MN 55425. E-mail: robin.r.whitebird@healthpartners.com.
Leif I Solberg
Nancy A Jaeckels
Pamela B Pietruszewski
Senka Hadzic
Jürgen Unützer
Kris A Ohnsorg
Rebecca C Rossom
Arne Beck
Kenneth E Joslyn
Lisa V Rubenstein

Funding

Evaluation of a Natural Experiment to Improve Statewide Depression Care in MNR01MH080692 · NIMH · HEALTHPARTNERS INSTITUTE · PI SOLBERG, LEIF I · 2007 to 2011
$3.2M
NIMH NIH HHS 5R01MH080692NIMH NIH HHS R01 MH080692
6 · The paper itself

Abstract

objectivesTo identify the care model factors that were key for successful implementation of collaborative depression care in a statewide Minnesota primary care initiative. STUDY

designWe used a mixed-methods design incorporating both qualitative data from clinic site visits and quantitative measures of patient activation and 6-month remission rates.

methodsCare model factors identified from the site visits were tested for association with rates of activation into the program and remission rates.

resultsNine factors were identified as important for successful implementation of collaborative care by the consultants who had trained and interviewed participating clinic teams, and rated according to a Likert Scale. Factors correlated with higher patient activation rates were: strong leadership support (0.63), well-defined and -implemented care manager roles (0.62), a strong primary care physician champion (0.60), and an on-site and accessible care manager (0.59). However, remission rates at 6 months were correlated with: an engaged psychiatrist (0.62), not seeing operating costs as a barrier to participation (0.56), and face-to-face communication (warm handoffs) between the care manager and primary care physician for new patients (0.54).

conclusionsCare model factors most important for successful program implementation differ for patient activation into the program versus remission at 6 months. Knowing which implementation factors are most important for successful activation will be useful for those interested in adopting this evidence-based approach to improving primary care for patients with depression.

Indexed as

DepressionHumansPatient ParticipationPrimary Health CareProgram DevelopmentQualitative ResearchRemission InductionTreatment Outcome

Identifiers

PMID25365745
PMCPMC4270471

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.