Evidence map›Paper›PMID 34613577›Full record

Observational studyJournal of general internal medicine2022

Are Veterans Getting Their Preferred Depression Treatment? A National Observational Study in the Veterans Health Administration.

Lucinda B Leung, Hannah N Ziobrowski, Victor Puac-Polanco, Robert M Bossarte, Corey Bryant, Janelle Keusch, Howard Liu, Wilfred R Pigeon, David W Oslin, Edward P Post and 3 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Associations between depression, stress, and e-cigarette use among OEF/OIF veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association
    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

13 authors at 7 institutions in 1 country.

Lucinda B LeungCenter for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. lleung@mednet.ucla.edu.ORCID 0000-0002-8103-8611
Hannah N ZiobrowskiDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Victor Puac-PolancoDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Robert M BossarteDepartment of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown, WV, USA.
Corey BryantVA Ann Arbor, Center for Clinical Management Research, Ann Arbor, MI, USA.
Janelle KeuschVA Ann Arbor, Center for Clinical Management Research, Ann Arbor, MI, USA.
Howard LiuDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Wilfred R PigeonCenter of Excellence for Suicide Prevention, Canandaigua VAMC, Canandaigua, NY, USA.
David W OslinCpl Michael J Crescenz VA Medical Center, VISN 4 Mental Illness Research Education and Clinical Center, Philadelphia, PA, USA.
Edward P PostVA Ann Arbor, Center for Clinical Management Research, Ann Arbor, MI, USA.
Alan M ZaslavskyDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Jose R ZubizarretaDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Harvard University · USVA Center for Clinical Management Research · USPhiladelphia VA Medical Center · USUCLA Health · USUniversity of Michigan · USUniversity of Rochester Medical Center · USWest Virginia University · US

Funding

Improving Depression Management in Primary CareIK2HX002867 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI LEUNG, LUCINDA B · 2020 to 2025
–
HSRD VA IK2 HX002867
6 · The paper itself

Abstract

backgroundPhysician responsiveness to patient preferences for depression treatment may improve treatment adherence and clinical outcomes.

objectiveTo examine associations of patient treatment preferences with types of depression treatment received and treatment adherence among Veterans initiating depression treatment.

designPatient self-report surveys at treatment initiation linked to medical records.

settingVeterans Health Administration (VA) clinics nationally, 2018-2020.

participantsA total of 2582 patients (76.7% male, mean age 48.7 years, 62.3% Non-Hispanic White) MAIN MEASURES: Patient self-reported preferences for medication and psychotherapy on 0-10 self-anchoring visual analog scales (0="completely unwilling"; 10="completely willing"). Treatment receipt and adherence (refilling medications; attending 3+ psychotherapy sessions) over 3 months. Logistic regression models controlled for socio-demographics and geographic variables. KEY

resultsMore patients reported strong preferences (10/10) for psychotherapy than medication (51.2% versus 36.7%, McNemar χ

conclusionsMismatches between treatment preferences and treatment type received were common and associated with worse treatment adherence for psychotherapy. Future research could examine ways to decrease mismatch between patient preferences and treatments received and potential effects on patient outcomes.

Indexed as

VeteransDepressionFemaleHumansMaleMiddle AgedPatient PreferencePsychotherapyVeterans Healthmajor depressiontreatment adherencetreatment preferencesVeterans

Identifiers

PMID34613577
PMCPMC8493943
OpenAlexW3204524124

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.