Models in the delivery of depression care: A systematic review of randomised and controlled intervention trials
2008

Effective Components of Depression Care in Primary Care

Sample size: 55 publication 10 minutes Evidence: moderate

Author Information

Author(s): Helen Christensen, Kathleen M Griffiths, Amelia Gulliver, Dannielle Clack, Marjan Kljakovic, Leanne Wells

Primary Institution: Centre for Mental Health Research, The Australian National University

Hypothesis

What are the effective components of depression care in primary care settings?

Conclusion

Case management is crucial for improving depression outcomes in general practice.

Supporting Evidence

  • Case management and tracking were associated with improved outcomes for patients with depression.
  • Monitoring and delivery of treatment were best done by health professionals with a mental health background.
  • Patient preferences were significantly associated with positive depression outcomes.
  • Training of general practitioners in depression care did not significantly improve outcomes.

Takeaway

This study found that having a case manager helps people with depression get better care and feel better.

Methodology

The study reviewed 55 randomized and controlled trials focusing on depression outcomes in primary care.

Potential Biases

Publication bias may have influenced the results since only published literature was reviewed.

Limitations

The search terms may have been too restrictive, potentially missing relevant studies.

Participant Demographics

Most studies involved adults, with 21% focusing on older adults over 65.

Statistical Information

P-Value

p = .006

Confidence Interval

CI = 1.08–14.51

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-9-25

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