Evidence map›Paper›PMID 36460965›Full record

ArticleBMC primary care2022

Predictors and outcomes in primary depression care (POKAL) - a research training group develops an innovative approach to collaborative care.

J Gensichen, K Lukaschek, C Jung-Sievers, P Falkai, A Schmitt, P Henningsen, T Dreischulte, G Pitschel-Walz, H Krcmar, M Böhm and 23 more

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  6. Observational
  7. [A qualitative interview study to streamline integration of patient participation in research].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2025
    Article
  8. Article
  9. Article
  10. The critical role of primary care providers in addressing suicide.European archives of psychiatry and clinical neuroscience · 2024
    Article
  11. Deconstructing depression by machine learning: the POKAL-PSY study.European archives of psychiatry and clinical neuroscience · 2024
    Article
  12. Article
  13. Article
  14. 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

33 authors at 6 institutions in 2 countries.

J GensichenInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany. jochen.gensichen@med.uni-muenchen.de.
K LukaschekInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
C Jung-SieversChair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry and Epidemiology, Pettenkofer School of Public Health, LMU Munich, Munich, Germany.
P FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
A SchmittDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
P HenningsenDepartment of Psychosomatic Medicine and Psychotherapy, Klinikum Rechts Der Isar, Technical University of Munich, Munich, Germany.
T DreischulteInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
G Pitschel-WalzInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
H KrcmarSchool of Computation, Information and Technology, Technical University of Munich, Garching, Munich, Germany.
M BöhmDepartment of Informatics, University of Applied Sciences Landshut, Landshut, Germany.
B PrommeggerSchool of Computation, Information and Technology, Technical University of Munich, Garching, Munich, Germany.
K LindeInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
A DrescherInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
P SchönwegerChair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry and Epidemiology, Pettenkofer School of Public Health, LMU Munich, Munich, Germany.
C HaasInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
C BrandInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
P YounesiInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
J VukasInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
V BrisnikInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
H SchillokInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
J RaubInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
L KaupeInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Nussbaumstraße 5, 80336, Munich, Germany.
K BiersackDepartment of Psychosomatic Medicine and Psychotherapy, Klinikum Rechts Der Isar, Technical University of Munich, Munich, Germany.
F GökceInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
J EderDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
L HattenkoferDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Ph Reindl-SpannerSchool of Computation, Information and Technology, Technical University of Munich, Garching, Munich, Germany.
V von SchrottenbergInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
C TeusenInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
Ph SternerDepartment of Psychology, Psychological Methods and Assessment, Ludwig Maximilian University of Munich, Munich, Germany.
M BühnerDepartment of Psychology, Psychological Methods and Assessment, Ludwig Maximilian University of Munich, Munich, Germany.
A SchneiderInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
POKAL group
LMU Klinikum · DETechnical University of Munich · DELudwig-Maximilians-Universität München · DETUM Klinikum · DEUniversidade de São Paulo · BRUniversity of Applied Sciences Landshut · DE

Funding

Deutsche Forschungsgemeinschaft DFG - GrK 2621 / POKAL-Kolleg
6 · The paper itself

Abstract

backgroundThe interdisciplinary research training group (POKAL) aims to improve care for patients with depression and multimorbidity in primary care. POKAL includes nine projects within the framework of the Chronic Care Model (CCM). In addition, POKAL will train young (mental) health professionals in research competences within primary care settings. POKAL will address specific challenges in diagnosis (reliability of diagnosis, ignoring suicidal risks), in treatment (insufficient patient involvement, highly fragmented care and inappropriate long-time anti-depressive medication) and in implementation of innovations (insufficient guideline adherence, use of irrelevant patient outcomes, ignoring relevant context factors) in primary depression care.

methodsIn 2021 POKAL started with a first group of 16 trainees in general practice (GPs), pharmacy, psychology, public health, informatics, etc. The program is scheduled for at least 6 years, so a second group of trainees starting in 2024 will also have three years of research-time. Experienced principal investigators (PIs) supervise all trainees in their specific projects. All projects refer to the CCM and focus on the diagnostic, therapeutic, and implementation challenges.

resultsThe first cohort of the POKAL research training group will develop and test new depression-specific diagnostics (hermeneutical strategies, predicting models, screening for suicidal ideation), treatment (primary-care based psycho-education, modulating factors in depression monitoring, strategies of de-prescribing) and implementation in primary care (guideline implementation, use of patient-assessed data, identification of relevant context factors). Based on those results the second cohort of trainees and their PIs will run two major trials to proof innovations in primary care-based a) diagnostics and b) treatment for depression.

conclusionThe research and training programme POKAL aims to provide appropriate approaches for depression diagnosis and treatment in primary care.

Indexed as

Chronic DiseasePatient Care TeamPharmacyPrimary Health CareCooperative BehaviorDepressionGeneral PractitionersHumansMultimorbidityPharmacistsReproducibility of ResultsResearch DesignChronic care model (CCM)DepressionMultimorbidityPrimary careResearch training group

Identifiers

PMID36460965
PMCPMC9717547
OpenAlexW4311106396

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.