Evidence map›Paper›PMID 31199827›Full record

SynthesisPloS one2019

Impact of telephone delivered case-management on the effectiveness of collaborative care for depression and anti-depressant use: A systematic review and meta-regression.

Joanna L Hudson, Peter Bower, Evangelos Kontopantelis, Penny Bee, Janine Archer, Rose Clarke, Andrew S Moriarty, David A Richards, Simon Gilbody, Karina Lovell and 4 more

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

14 authors.

Joanna L HudsonKing's College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, De Crespigny Park, London, United Kingdom.ORCID 0000-0003-0672-2621
Peter BowerNIHR School for Primary Care Research, Centre for Primary Care and Centre for Health Informatics, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom.
Evangelos KontopantelisNIHR School for Primary Care Research, Centre for Primary Care and Centre for Health Informatics, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom.
Penny BeeDivision of Nursing, Midwifery & Social Work, University of Manchester, Manchester, United Kingdom.
Janine ArcherSchool of Health and Society, University of Salford, Salford, United Kingdom.
Rose ClarkeSheffield NHS Improving Access to Psychological Therapies (IAPT), St George's Community Health Centre, Sheffield, United Kingdom.
Andrew S MoriartyDepartment of Health Sciences and Hull York Medical School, University of York, York, United Kingdom.
David A RichardsInstitute of Health Research, University of Exeter College of Medicine and Health, University of Exeter, Exeter, United Kingdom.
Simon GilbodyDepartment of Health Sciences and Hull York Medical School, University of York, York, United Kingdom.
Karina LovellDivision of Nursing, Midwifery & Social Work, University of Manchester, Manchester, United Kingdom.
Chris DickensInstitute of Health Research, University of Exeter College of Medicine and Health, University of Exeter, Exeter, United Kingdom.
Linda GaskNIHR School for Primary Care Research, Centre for Primary Care and Centre for Health Informatics, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom.
Waquas WaheedNIHR School for Primary Care Research, Centre for Primary Care and Centre for Health Informatics, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom.
Peter A CoventryDepartment for Health Sciences and Centre for Reviews and Dissemination, University of York, York, United Kingdom.

Funding

Department of Health RCF_R10_PCMedical Research Council G0701013
6 · The paper itself

Abstract

backgroundThe health service delivery framework collaborative care is an effective intervention for depression. However, uncertainties remain about how to optimise its delivery at scale. Structured case management is a core component of collaborative care; its delivery via the telephone may improve access.

aimsTo examine using meta-regression if telephone delivered case management diminishes the clinical effectiveness of collaborative care on depressive symptoms and anti-depressant use relative to face-to-face delivery methods.

methodsRandomised controlled trials were eligible if they included collaborative care interventions for adults with depression identified using self-report measures or diagnostic interviews and reported depression outcomes. Sociodemographics, intervention characteristics, depressive symptoms, and anti-depressant use were extracted. Random effects univariable and multivariable meta-regression analyses were used to examine the moderating effect of telephone delivered case-management on outcomes.

resultsNinety-four trials were identified comprising of 103 comparisons across 24, 132 participants with depression outcomes and 67 comparisons from 15,367 participants with anti-depressant use outcomes. Telephone delivered case management did not diminish the effects of collaborative care on depressive symptoms (β = -0.01, 95% CI -0.12 to 0.10; p = 0.86). Telephone delivered case management decreased anti-depressant medication use (relative risk 0.76, 95% CI 0.63 to 0.92; p = 0.005); this effect remained when assessed simultaneously alongside other study-level moderators of collaborative care.

conclusionUsing remote platforms such as the telephone to deliver case management may be a feasible way to implement collaborative care with no loss of effectiveness on depressive symptoms. However, adherence to anti-depressant medication may decrease when telephone case management is used.

Indexed as

Case ManagementDelivery of Health CareAdultAntidepressive AgentsClinical Trials as TopicDepressionFemaleHumansMaleAntidepressive Agents

Identifiers

PMID31199827
PMCPMC6568394

What OpenQuestion holds

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LicenceCC BY
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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.