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Evid Based Nurs 10:117 doi:10.1136/ebn.10.4.117
  • Treatment

A care management intervention improved depression after stroke


 
 Q In patients with depression after stroke, does a care management intervention improve depression outcomes more than usual care?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (outcome assessor).

GraphicFollow-up period:

12 weeks.

GraphicSetting:

4 hospitals in Indianapolis, Indiana, USA.

GraphicPatients:

188 patients ⩾18 years of age (mean age 60 y, 54% women) who had major (74%) or minor (26%) depression after ischaemic stroke (patients were identified at the time of stroke and screened for depression 1–2 mo later), no severe language or cognitive impairment, and a life expectancy ⩾6 months. Exclusion criteria included active psychosis, suicidality, substance abuse, use of a monoamine oxidase inhibitor, and pregnancy.

GraphicIntervention:

the “Activate–Initiate–Monitor” care management intervention (n = 94) or usual care (n = 94). The intervention, conducted by nurse care managers, consisted of …

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