Evidence map›Paper›PMID 31023189›Full record

ArticlePsychiatric services (Washington, D.C.)2019

Collaborative Care for Depression of Adults and Adolescents: Measuring the Effectiveness of Screening and Treatment Uptake.

Hale Thompson, Walter Faig, Neha Gupta, Rebecca Lahey, Robyn Golden, Mark Pollack, Niranjan Karnik

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

4 citing papers in PubMed.

  1. Article
  2. Review
  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.

Hale ThompsonDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
Walter FaigDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
Neha GuptaDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
Rebecca LaheyDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
Robyn GoldenDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
Mark PollackDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
Niranjan KarnikDepartment of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.

Funding

The Institute for Translational MedicineUL1TR002389 · NCATS · UNIVERSITY OF CHICAGO · PI Joshua J Jacobs, DAVID O MELTZER · 2017 to 2026
$71.6M
NCATS NIH HHS UL1 TR002389
6 · The paper itself

Abstract

objectiveThis study analyzed effectiveness of screening, referrals, and treatment uptake of a collaborative care for depression intervention across 10 primary care clinics in Chicago.

methodsBetween November 2016 and December 2017, patients (N=25,369) were screened with the Patient Health Questionnaire-2 and the Patient Health Questionnaire-9 on the basis of an eligibility algorithm. Electronic health record data were analyzed for sample characteristics, screening rates, referrals, and treatment pathways. To identify disparities, a test of proportions was conducted between eligible and screened patients as well as referred and treated patients.

resultsScreenings, referrals, and uptake occurred proportionately across subgroups except for patients ages 12-17. Adolescent age was associated with disproportionate Patient Health Questionnaire-9 screenings and with treatment disengagement.

conclusionsThe intervention shows promise in expanding access to care and reducing disparities. Greater access to psychotherapies and innovative treatment modalities, particularly for adolescents, may improve overall treatment uptake.

Indexed as

AdolescentAdultChicagoChildDelivery of Health Care, IntegratedDepressive DisorderFemaleHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient Health QuestionnairePrimary Health CareReferral and ConsultationTreatment Adherence and ComplianceYoung AdultCollaborative careDepressionHealth disparitiesPopulation healthPrimary careScreening

Identifiers

PMID31023189
PMCPMC6602801

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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.