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Evid Based Nurs 6:91 doi:10.1136/ebn.6.3.91
  • Quality improvement

A collaborative care management programme in a primary care setting was effective for older adults with late life depression


 
 QUESTION: Is a collaborative care management programme offered in a primary care setting effective for older adults with late life depression?

Design

Randomised (allocation concealed), blinded (outcome assessors) controlled trial with 1 year of follow up.

Setting

18 primary care clinics from 8 healthcare organisations in 5 states in the US.

Patients

1801 patients ≥60 years of age (mean age 71 y, 65% women) who met the Diagnostic and Statistical Manual of Mental Disorders, 4thedition criteria for major depression or dysthymia or both and who were planning to use general medical care from a participating clinic. Exclusion criteria were drinking problems, bipolar disorder or psychosis, severe cognitive impairment, or acute risk of suicide. Follow up was 98%.

Intervention

906 patients were allocated to the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) management programme, which comprised ≤12 months of access to a depression care …

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