ArticleHealth affairs (Project Hope)2020
Variation In The Effectiveness Of Collaborative Care For Depression: Does It Matter Where You Get Your Care?
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 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
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Real-world implementation of Collaborative Care in the United States: a systematic review.BMC primary care · 2026Pooled it
- The prevalence of depression in patients with lumbar degenerative disk disease: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Disparities in the Treatment Engagement Cascade of Collaborative Care for Depression in a Pragmatic Implementation Study.Psychiatric services (Washington, D.C.) · 2026Trial
- First implementation of a collaborative care model for common mental disorders in primary care in France: fidelity of care manager intervention matters.BMC health services research · 2026Article
- Clinical Outcomes of a Tech-enabled Perinatal Collaborative Care Program to Treat Depression and Anxiety.Maternal and child health journal · 2026Article
- A practice-based implementation strategy bundle for integrating behavioral health in primary care: a matrixed multiple case study.Implementation science communications · 2026Article
- Collaborative Care for Anxiety: Differences in Patient and Clinic-Level Characteristics on Treatment Outcomes in a Safety-Net Hospital System.Community mental health journal · 2026Article
- Barriers and facilitators to implementing a technology-enhanced psychiatric collaborative care model among rural primary care sites: a mixed-methods implementation case study.BMC primary care · 2025Article
- Integrating behavioral health care into a low-barrier HIV clinic using the Collaborative Care Model: a mixed methods evaluation of patient care cascade outcomes and determinants.Implementation science communications · 2025Article
- Primary Care Provider Perspectives on Depression Management in Older Adults With Multimorbidity.International journal of geriatric psychiatry · 2025Article
- User-Centered Design of a Preference-Driven Patient Activation Tool for Optimizing Depression Treatment in Integrated Primary Care Settings (The Transform DepCare Study).Journal of general internal medicine · 2025Article
- Virtual Collaborative Care Versus Specialty Psychiatry Treatment for Depression or Anxiety.The Journal of clinical psychiatry · 2024Observational
- A Positive Distress Screen…Now What? An Updated Call for Integrated Psychosocial Care.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- A theory-informed, rapid cycle approach to identifying and adapting strategies to promote sustainability: optimizing depression treatment in primary care clinics seeking to sustain collaborative care (The Transform DepCare Study).Implementation science communications · 2023Article
- Assessment of Outcome-Based Measures of Depression Care Quality in Veterans Health Administration Facilities.The journal of behavioral health services & research · 2023Article
- Predictors and outcomes in primary depression care (POKAL) - a research training group develops an innovative approach to collaborative care.BMC primary care · 2022Article
- Increasing Uptake of Depression Screening and Treatment Guidelines in Cardiac Patients: A Behavioral and Implementation Science Approach to Developing a Theory-Informed, Multilevel Implementation Strategy.Circulation. Cardiovascular quality and outcomes · 2022Review
- Integrated Behavioral Health Implementation Patterns in Primary Care Using the Cross-Model Framework: A Latent Class Analysis.Administration and policy in mental health · 2022Article
- Becoming an Agile Change Conductor.Frontiers in public health · 2022Article
- Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance.JAMA network open · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Randomized controlled trials have demonstrated that the collaborative care model for depression in primary care is more effective than usual care, but little is known about the effectiveness of this approach in real-world settings. We used patient-reported outcome data from 11,303 patients receiving collaborative care for depression in 135 primary care clinics to examine variations in depression outcomes. The average treatment response across this large sample of clinics was substantially lower than response rates reported in randomized controlled trials, and substantial outcome variation was observed. Patient factors such as initial depression severity, clinic factors such as the number of years of collaborative care practice, and the degree of implementation support received were associated with depression outcomes at follow-up. Our findings suggest that the level of implementation support could be an important influence on the effectiveness of collaborative care model programs.
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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.