Evidence map›Paper›PMID 25727115›Full record

ArticlePsychiatric services (Washington, D.C.)2015

Reduction of patient-reported antidepressant side effects, by type of collaborative care.

Teresa J Hudson, John C Fortney, Jeffrey M Pyne, Liya Lu, Dinesh Mittal

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Telepsychiatry Today.Current psychiatry reports · 2015
    Review
  7. 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

5 authors.

Teresa J HudsonThe authors are with the Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock (e-mail: teresa.hudson@va.gov ). Except for Ms. Lu, the authors are also with Health Services Research and Development, Central Arkansas Veterans Healthcare System, North Little Rock. A similar draft of this article was based on a slightly different analytic model and was presented in a poster titled "Improving Health Through Research and Training" at the Translational Science meeting, Washington, D.C., April 18-20, 2012.
John C Fortney
Jeffrey M Pyne
Liya Lu
Dinesh Mittal

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029884 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$11.4M
Telemedicine-Based Collaborative Care to Reduce Rural Health DisparitiesR01MH076908 · NIMH · UNIV OF ARKANSAS FOR MED SCIS · PI FORTNEY, JOHN C. · 2006 to 2010
$2.9M
NCRR NIH HHS 1UL1RR029884NCRR NIH HHS UL1 RR029884NIMH NIH HHS MH076908-04S1NIMH NIH HHS R01 MH076908
6 · The paper itself

Abstract

objectiveAntidepressants are effective for treating depression, and collaborative care increases initiation of and adherence to antidepressants. Side effects of antidepressants are common and can adversely affect quality of life. Care managers address antidepressant side effects directly, but the impact of collaborative care on adverse effects is unknown. This secondary data analysis tested the hypothesis that patient-reported antidepressant side effects were lower for depressed patients receiving high-intensity, telemedicine-based collaborative care (TBCC) than for patients receiving low-intensity, practice-based collaborative care (PBCC).

methodsThis analysis used data from 190 patients enrolled in a pragmatic, multisite, comparative-effectiveness trial from 2007 to 2009 and followed for 18 months. Most patients were female (83%) and Caucasian (80%). The mean age was 50. Patients randomly assigned to PBCC received 12 months of evidence-based care from an on-site primary care provider and nurse care manager. Patients in TBCC received evidence-based care from an on-site primary care provider supported by a nurse care manager available off site by telephone, as well as by a telepharmacist, telepsychologist, and telepsychiatrist. Telephone interviews completed at baseline, six, 12, and 18 months included assessments of sociodemographic characteristics, beliefs about antidepressant treatment, depression severity, psychiatric comorbidity, medications, adherence, and side effects.

resultsWith controls for baseline case mix and time-variant medication characteristics, the TBCC group reported significantly fewer side effects at six and 12 months (p=.008 and .002, respectively). The number of antidepressants prescribed increased risk of side effects (p=.02).

conclusionsPatients in the TBCC group reported fewer antidepressant-related side effects, which may have contributed to improved quality of life.

Indexed as

Cooperative BehaviorAntidepressive AgentsDepressive DisorderFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Care TeamPatient SatisfactionPrimary Health CareTelemedicineAntidepressive Agents

Identifiers

PMID25727115
PMCPMC4482336

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.