Improving Primary Care for Depression in Late Life
The Design of a Multicenter Randomized Trial
Datos Bibliográficos
| ID | 9105014 |
|---|---|
| Autores | Jürgen Unützer (0009-0005-6585-7835, University of California, San Francisco, autor de correspondencia), Wayne Katon (University of Washington), John W Williams (0000-0001-6046-9634, RAND Corporation), Christopher M Callahan (0000-0002-4617-6672, Regenstrief Institute), Linda Harpole, Linda H Harpole (Duke Medical Center), Enid M Hunkeler, Marc Hoffing, Patricia A Areán (0000-0001-5971-6319, University of California, San Francisco, autor de correspondencia), Patricia Arean, Mark T Hegel (0000-0003-2877-2398, University of Washington), Michael Schoenbaum (0000-0002-7793-6734, RAND Corporation), Sabine M Oishi, Sabine Oishi (University of California, San Francisco, autor de correspondencia), Christopher A Langston, Christopher Langston (0000-0002-2009-4273, Indiana University) |
| Año | 2001 |
| Volumen | 39 |
| Número | 8 |
| Páginas | 785-799 |
| Fecha de publicación | 2001-08-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-200108000-00005 |
| PMID | 11468498 |
| OpenAlex | W1967842899 |
| Idioma | EN |
| Citas recibidas | 18 |
| Referencias citadas | 53 |
BACKGROUND: Late life depression can be successfully treated with antidepressant medications or psychotherapy, but few depressed older adults receive effective treatment. RESEARCH DESIGN: A randomized controlled trial of a disease management program for late life depression. SUBJECTS: Approximately 1,750 older adults with major depression or dysthymia are recruited from seven national study sites. INTERVENTION: Half of the subjects are randomly assigned to a collaborative care program where a depression clinical specialist supervised by a psychiatrist and a primary care expert supports the patient's regular primary care provider to treat depression. Intervention services are provided for 12 months using antidepressant medications and Problem Solving Treatment in Primary Care according to a stepped care protocol that varies intervention intensity according to clinical needs. The other half of the subjects are assigned to care as usual. EVALUATION: Subjects are independently assessed at baseline, 3 months, 6 months, 12 months, 18 months, and 24 months. The evaluation assesses the incremental cost-effectiveness of the intervention compared with care as usual. Specific outcomes examined include care for depression, depressive symptoms, health-related quality of life, satisfaction with depression care, health care costs, patient time costs, market and nonmarket productivity, and household income. CONCLUSIONS: The study blends methods from health services and clinical research in an effort to protect internal validity while maximizing the generalizability of results to diverse health care systems. We hope that this study will show the cost-effectiveness of a new model of care for late life depression that can be applied in a range of primary care settings
Clinical trial · Collaborative Care · Cost effectiveness · Depression (economics) · Economic evaluation · Generalizability theory · Health care · Intervention (counseling) · Mental health · Physical therapy · Psychiatry · Quality of life (healthcare) · Randomized controlled trial · Chronic Disease Management Strategies · Internal Medicine · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Treatment of Major Depression
Treatment of mental disorder in the primary care setting in the Netherlands in the light of the new reimbursement system
Comparative Effectiveness of Coalitions Versus Technical Assistance for Depression Quality Improvement in Persons with Multiple Chronic Conditions
Improving the Primary Care Treatment of Late Life Depression
A Typology of Primary Care Workforce Innovations in the United States Since 2000
Collaborative Care for Depression
Collaborative Care Management of Late-Life Depression in the Primary Care Setting
Clinical and health services relationships between major depression, depressive symptoms, and general medical illness
The PHQ-9
The Effect of Leisure Activity Diversity and Exercise Time on the Prevention of Depression in the Middle-Aged and Elderly Residents of Taiwan
Case Study of Resilient Baton Rouge
Ethnic/Racial Differences in Depression among U.S. Primary Care Patients
Primary Care Professional’s Perspectives on Treatment Decision Making for Depression with African Americans and Latinos in Primary Care Practice
Effect of Collaborative Care for Depression on Risk of Cardiovascular Events
Barriers to Physical and Mental Condition Integrated Service Delivery
Disease Management for Depression and At-Risk Drinking Via Telephone in an Older Population of Veterans
Arthritis and Heart Disease as Risk Factors for Major Depression
Monitoring Depression Treatment Outcomes With the Patient Health Questionnaire-9
Six-Item Screener to Identify Cognitive Impairment Among Potential Subjects for Clinical Research
The Cage Questionnaire
The Structured Clinical Interview for DSM-III-R (SCID)
Grading the severity of chronic pain
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
An Overview of the Health and Retirement Study
“Mini-mental state”
A 12-Item Short-Form Health Survey
Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study
The logged dependent variable, heteroscedasticity, and the retransformation problem
A Comparison of Alternative Models for the Demand for Medical Care
A new self-completion outcome measure for diabetes
Asset and Health Dynamics Among the Oldest Old
| Obras citantes distintas | 18 |
|---|---|
| Citas por año | 0,72 |
| Intervalo de citas | 2001 - 2018 (18) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 14 |