Collaborative care for depression in primary care. Making sense of a complex intervention: systemati

Authors, Primary Bower P;Gilbody S;Richards D;Fletcher J;Sutton A
Title Primary Collaborative care for depression in primary care. Making sense of a complex intervention: systematic review and meta-regression
Periodical Full The British Journal of Psychiatry
Pub Year 2006
Volume 189
issue Not Available
Start Page 484-93
Abstract BACKGROUND: The management of depression in primary care is a significant issue for health services worldwide. "Collaborative care" interventions are effective, but little is known about which aspects of these complex interventions are essential. AIMS: To use meta-regression to identify "active ingredients" in collaborative care models for depression in primary care. METHOD: Studies were identified using systematic searches of electronic databases. The content of collaborative care interventions was coded, together with outcome data on antidepressant use and depressive symptoms. Meta-regression was used to examine relationships between intervention content and outcomes. RESULTS: There was no significant predictor of the effect of collaborative care on antidepressant use. Key predictors of depressive symptom outcomes included systematic identification of patients, professional background of staff and specialist supervision. CONCLUSIONS: Meta-regression may be useful in examining "active ingredients" in complex interventions in mental health.
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Reference Type(s) Journal Article
Topic Tag(s) Care Coordination
Special Population(s) People with Mental and Behavioral Health Issues
Case Study No
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