Evidence map›Paper›PMID 30678679›Full record

Trial reportBMC psychiatry2019

An outreach collaborative model for early identification and treatment of mental disorder in Danish workplaces.

Helle Østermark Sørensen, Jan B Valentin, Malene Krogsgaard Bording, Jens Ivar Larsen, Anelia Larsen, Øyvind Omland

Registry-linked trialOpen access · goldAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03786328 (An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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.

NCT03786328 nacompletednot on this map

An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces

TypeinterventionalSponsorHelle Østermark SørensenRan2008 to 2013Enrolled73ConditionsDepression, AnxietyArmsStandard Psychiatric Treatment, Preventive Psychological Treatment
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

6 authors at 1 institution in 1 country.

Helle Østermark SørensenUnit for Psychiatric Research, Psychiatry, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark. heoes@rn.dk.ORCID 0000-0002-1989-0467
Jan B ValentinUnit for Psychiatric Research, Psychiatry, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark.
Malene Krogsgaard BordingUnit for Psychiatric Research, Psychiatry, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark.
Jens Ivar LarsenUnit for Psychiatric Research, Psychiatry, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark.
Anelia LarsenUnit for Psychiatric Research, Psychiatry, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark.
Øyvind OmlandClinic for Occupational Medicine, Aalborg University Hospital, Havrevangen 1, 9000, Aalborg, Denmark.
Aalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression and anxiety are prevalent mental disorders among the working population with potentially high personal and financial cost. The overall aim of this study was to test the applicability of an outreach collaborative model for early identification and treatment of clinical and sub-clinical mental disorders among Danish employees. This applicability was examined by I) investigating the fractions of identified and treated clinical and subclinical cases, II) describing the distribution and characteristics of cases identified and III) investigating the effect of allocated treatment.

methodsA longitudinal study design with four assessments (T0-T3) over 16 months was applied. Self-reporting questionnaires probing for psychopathology were distributed to all employees in six consecutively enrolled companies at the four time points. Employees meeting the screening criteria at T1 were assessed diagnostically. Subjects diagnosed with a clinical mental disorder were allocated to outpatient psychiatric treatment, and subjects with subclinical conditions were allocated to preventive cognitive behavioural therapy. Follow-up was conducted 6 and 12 months after initiation of treatment. We used chi-squared test and F-test to compare the different groups on baseline characteristics and mixed effects linear regression to analyse the treatment effects.

resultsForty (6.8%) of the 586 responders at T1 were diagnosed with a clinical mental disorder and referred to outpatient psychiatric treatment. Thirty-three (5.6%) were affected by a subclinical condition and referred to preventive treatment. Nearly two-thirds (63%) of the employees diagnosed with a clinical condition had never received treatment before. Symptom severity decreased significantly for both treated groups until follow-up. When compared to a composed control group, subclinical cases displayed a more rapid initial significant symptomatic decrease on the global symptom scale (coefs = - 0.914, 95% CI [- 1.754, - 0,075]) and anxiety sub-scale (coefs = - 1.043, 95% CI [- 2.021, - 0.066]). This did not apply to the clinical cases as no significant difference in change were identified.

conclusionsThe outreach collaborative model demonstrated an applicability to identify both clinical and subclinical cases, among these a high number of employees with an unmet need for treatment. We found evidence of a positive initial effect on symptomatology from the allocated preventive treatment among the subclinical cases, but not for clinical cases.

trial registrationRetrospectively registered at December 18, 2018 at clinicaltrials.gov, identifier: NCT03786328 .

Indexed as

Intersectoral CollaborationAdultAmbulatory CareCognitive Behavioral TherapyDenmarkFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMental DisordersMiddle AgedPsychotherapyRetrospective StudiesSurveys and QuestionnairesTreatment OutcomeAnxietyDepressionEarly identificationLongitudinal studyOutreach collaborative modelUnmet treatment needWorkplace

Identifiers

PMID30678679
PMCPMC6345055
OpenAlexW2947010758

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.