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?



randomised controlled trial.




blinded (outcome assessor).

GraphicFollow-up period:

12 weeks.


4 hospitals in Indianapolis, Indiana, USA.


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.


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

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article