Trial reportAnnals of family medicine2015
A stepped-wedge evaluation of an initiative to spread the collaborative care model for depression in primary care.
Trial report in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- The effectiveness of enhanced evidence-based care for depressive disorders: a meta-analysis of randomized controlled trials.Translational psychiatry · 2021Pooled it
- Effective strategies for scaling up evidence-based practices in primary care: a systematic review.Implementation science : IS · 2017Pooled it
- Shared care across the interface between primary and specialty care in management of long term conditions.The Cochrane database of systematic reviews · 2017Pooled it
- A Collaborative-Care Telephone-Based Intervention for Depression, Anxiety, and at-Risk Drinking in Primary Care: The PARTNERs Randomized Clinical Trial.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Trial
- Randomized Controlled Trial of a Collaborative Care Intervention for Mood Disorders by a National Commercial Health Plan.Psychiatric services (Washington, D.C.) · 2019Trial
- Evaluating the effectiveness and implementation of evidence-based treatment: A multisite hybrid design.The American psychologistTrial
- A technology-enabled service for perinatal collaborative care models: A randomized clinical trial.Pregnancy (Hoboken, N.J.) · 2026Article
- First implementation of a collaborative care model for common mental disorders in primary care in France: fidelity of care manager intervention matters.BMC health services research · 2026Article
- Evaluating the Real-World Implementation and Effectiveness of a Collaborative Care Model for Adults with Depression and Anxiety at an Urban, Academic Hospital.Journal of evaluation in clinical practice · 2025Article
- Caring Text Messages for Suicide Prevention in Urban American Indian Youth: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Fidelity matters: implementing ADS Plus, an evidence-based program, in multiple adult day service sites.Innovation in aging · 2025Article
- Virtual Collaborative Care Versus Specialty Psychiatry Treatment for Depression or Anxiety.The Journal of clinical psychiatry · 2024Observational
- Evaluating Implementation and Outcomes of the Achieving Depression and Anxiety Patient-Centered Treatment Collaborative Care Program in a Large, Integrated Health Care System: A Mixed Methods Observational Study Protocol.The Permanente journal · 2022Article
- Association of Integrated Mental Health Services with Physical Health Quality Among VA Primary Care Patients.Journal of general internal medicine · 2022Article
- Implementation and Qualitative Evaluation of a Primary Care Redesign Model with Expanded Scope of Work for Medical Assistants.Journal of general internal medicine · 2022Article
- Increased Depression Screening and Treatment Recommendations After Implementation of a Perinatal Collaborative Care Program.Psychiatric services (Washington, D.C.) · 2021Article
- Collaborative care for depression management in primary care: A randomized roll-out trial using a type 2 hybrid effectiveness-implementation design.Contemporary clinical trials communications · 2021Article
- The Impact of Systematic Depression Screening in Primary Care on Depression Identification and Treatment in a Large Health Care System: A Cohort Study.Journal of general internal medicine · 2020Article
- Integrating Mental Health and Addiction Treatment Into General Medical Care: The Role of Policy.Psychiatric services (Washington, D.C.) · 2020Article
- A Roadmap for Institutionalizing Collaborative Care for Depression in a Large Integrated Healthcare System.Journal of general internal medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeScale-up and spread of evidence-based practices is one of the most important challenges facing health care. We tested whether a statewide initiative, Depression Improvement Across Minnesota-Offering a New Direction (DIAMOND), to implement the collaborative care model for depression in 75 primary care clinics resulted in patient outcome improvements corresponding to those reported in randomized controlled trials.
methodsHealth plans provided a new monthly payment to participating clinics after a 6-month intensive training program with ongoing data submission, networking, and consultation. Implementation was staggered, with 5 sequences of 10 to 40 clinics every 6 months. Payers provided weekly contact information for members from participating clinics who were filling antidepressant prescriptions, and we conducted baseline and 6-month surveys of 1,578 patients about their care and outcomes.
resultsThere were 466 patients in DIAMOND clinics who received usual care before implementation (UCB), 559 who received usual care in DIAMOND clinics after implementation (UCA), 245 who received DIAMOND care after implementation (DCA), and 308 who received usual care in comparison clinics (UC). Patients who received DIAMOND care after implementation reported more collaborative care depression services than the 3 comparison groups (10.9 vs 6.4-6.7, on a scale of 0 of 14, where higher numbers indicate more services; P <.001) and more satisfaction with their care (4.0 vs 3.4 on a scale 1 to 5, in which higher scores indicate higher satisfaction; P ≤.001). Depression remission rates, however, were not significantly different among the 4 groups (36.4% DCA vs 35.8% UCB, 35.0% UCA, 33.9% UC; P = .94).
conclusionsDespite the incentive of a supporting payment change and intensive training and support for clinics volunteering to participate, no difference in depression outcomes was documented. Specific unmeasured actions present in trials but not present in these clinics may be critical for successful outcome improvement.
Indexed as
Identifiers
What OpenQuestion holds
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.