ArticleInternational psychogeriatrics2020
Implementing collaborative care for older people with comorbid hypertension and depression in rural China.
Article in International psychogeriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Healthcare provider experiences integrating mental illness screening and management into hypertension care: qualitative systematic review.Health promotion international · 2026Pooled it
- Community-based mental health and well-being interventions for older adults in low- and middle-income countries: a systematic review and meta-analysis.BMC geriatrics · 2022Pooled it
- Community health worker interventions for older adults with complex health needs: A systematic review.Journal of the American Geriatrics Society · 2021Pooled it
- Effectiveness of integrated care for older adults with depression and hypertension in rural China: A cluster randomized controlled trial.PLoS medicine · 2022Trial
- Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.Community mental health journal · 2025Review
- Global, regional, and national burden of mental disorders among women of reproductive age, 1990-2021: a systematic analysis of the global burden of disease study 2021.BMC public health · 2025Article
- Acceptability and feasibility of a task-shifted collaborative care model for depression and anxiety in primary HIV clinics in the Philippines: a qualitative inquiry.BMC health services research · 2025Article
- Prevalence of depression and its network structure and association with quality of life in older adults with hypertension: findings of a national survey.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025Article
- Article
- Healthcare providers' experiences of community-based collaborative care for serious mental illness: a qualitative study in two integrated clinics in South Africa.Global mental health (Cambridge, England) · 2025Article
- Challenges and opportunities in strengthening primary mental healthcare for older people in India: a qualitative stakeholder analysis.BMC health services research · 2024Article
- Successful ingredients of effective Collaborative Care programs in low- and middle-income countries: A rapid review.Global mental health (Cambridge, England) · 2023Review
- Economic Burden of Depressive Symptoms Conditions among Middle-Aged and Elderly People with Hypertension in China.International journal of environmental research and public health · 2021Article
Corrections and comments
- Commented on by
Authors and funding
5 authors.
Funding
Abstract
backgroundDepression often coexists with other chronic conditions in older people. The COACH study is an ongoing random controlled trial (RCT) to test the effectiveness of a primary-care-based collaborative care approach to treat co-morbid hypertension and depression in Chinese rural elders. In the COACH model, a team-village doctor (VD), aging worker (AW), and psychiatrist consultant-provides collaborative care to enrolled subjects in each intervention village for 12 months. This study examines how COACH was implemented and identifies facilitators and barriers for its more widespread implementation.
methodsFive focus groups were conducted, two with VDs, two with AWs, and one with psychiatrists, for a total of 38 participants. Transcripts were analyzed using qualitative content analysis.
resultsCOACH care-team members showed shared understanding and appreciation of the team approach and integrated management of hypertension and depression. Team collaboration was smooth. All members regarded COACH to be effective in reducing depressive symptoms and improving patient health. Facilitators to implementation include training, leaders' support, geographic proximity between VD and AW pairs, preexisting relationships among care-team members, comparability of COACH activities and existing practices of VDs and AWs, and care team members' caring about older members of their villages. Barriers to sustainability include frustration of some VDs related to their low wages and feelings of overload of some AWs.
conclusionsCOACH was positively perceived and successfully implemented. The findings offer guidance for planning primary-care-based collaborative depression care in low- and middle-income countries.
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.