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 …
