Evidence map›Paper›PMID 29704183›Full record

Trial reportJournal of general internal medicine2018

Collaborative Care for Depression and Posttraumatic Stress Disorder: Evaluation of Collaborative Care Fidelity on Symptom Trajectories and Outcomes.

Bradley E Belsher, Daniel P Evatt, Xian Liu, Michael C Freed, Charles C Engel, Erin H Beech, Lisa H Jaycox

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01492348 (Stepped Enhancement of PTSD Services Using Primary Care), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT01492348 nacompletednot on this map

Stepped Enhancement of PTSD Services Using Primary Care (STEPS UP): A Randomized Effectiveness Trial

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2012 to 2016Enrolled666ConditionsPosttraumatic Stress Disorder (PTSD), DepressionArmsSTEPS UP, OUC
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Bradley E BelsherPsychological Health Center of Excellence, Defense Health Agency, Silver Spring, MD, USA. bradley.e.belsher.civ@mail.mil.
Daniel P EvattPsychological Health Center of Excellence, Defense Health Agency, Silver Spring, MD, USA.
Xian LiuPsychological Health Center of Excellence, Defense Health Agency, Silver Spring, MD, USA.
Michael C FreedUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Charles C EngelUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Erin H BeechPsychological Health Center of Excellence, Defense Health Agency, Silver Spring, MD, USA.
Lisa H JaycoxRAND Corporation, Arlington, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the growing consensus that collaborative care is effective, limited research has focused on the importance of collaborative care fidelity as it relates to mental health clinical outcomes.

objectiveTo assess the relationship of collaborative care fidelity on symptom trajectories and clinical outcomes among military service members enrolled in a multi-site randomized controlled trial for the treatment of depression and posttraumatic stress disorder (PTSD).

designStudy data for our analyses came from a two-parallel arm randomized trial that evaluated the effectiveness of a centralized collaborative care model compared to the existing collaborative care model for the treatment of PTSD and depression. All patients were included in the analyses to evaluate how longitudinal trajectories of PTSD and depression scores differed across various collaborative care fidelity groupings.

participantsA total of 666 US Military Service members screening positive for probable PTSD or depression through primary care. MAIN MEASURES: Disease registry data from a web-based clinical management support tool was used to measure collaborative care fidelity for patients enrolled in the trial. Participant depression and PTSD symptoms were collected independently from research survey assessments at four time points across the 1-year trial period. Treatment utilization records were acquired from the Military Health System administrative records to determine mental health service use. KEY

resultsConsistent and late fidelity to the collaborative care model predicted an improving symptom trajectory over the course of treatment. This effect was more pronounced for patients with depression than for patients with PTSD.

conclusionsLong-term fidelity to key collaborative care elements throughout care episodes may improve depression outcomes, particularly for patients with elevated symptoms. More controlled research is needed to further understand the influence of collaborative care fidelity on clinical outcomes.

trial registrationClinicaltrials.gov Identifier NCT01492348.

Indexed as

Intersectoral CollaborationAdultDepressionFemaleHumansMaleMilitary PersonnelPrimary Health CareStress Disorders, Post-TraumaticTreatment Outcomecollaborative caredepressionposttraumatic stress disordertreatment fidelity

Identifiers

PMID29704183
PMCPMC6025672

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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.