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Evid Based Nurs 4:50 doi:10.1136/ebn.4.2.50
  • Treatment

Adjunctive nurse telehealth care reduced depressive symptoms and improved functioning


 
 QUESTION: In depressed patients, is adjunctive nurse telehealth care more effective in reducing depressive symptoms than usual physician care alone? Does the addition of peer support to nurse telehealth care further improve outcomes?

Design

Randomised (unclear allocation concealment), unblinded, controlled trial with 6 months of follow up.

Setting

Primary care clinics in northern California, USA.

Patients

302 patients (mean age 55 y, 69% women) who had major depressive disorder or dysthymia and had a prescription for a selective serotonin reuptake inhibitor (SSRI). Exclusion criteria were previous antidepressant drug prescription in the previous 6 months, inadequate command of English, substance abuse, current suicide risk, or reported thoughts of violence. Follow up was 90% at 6 weeks and 85% at 6 months.

Intervention

Patients were allocated to usual physician care (physician counselling and treatment with an SSRI) (n=123); usual physician care and nurse telehealth care (n=117); or usual physician care, …

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