A collaborative care intervention improved depression outcomes, but not glycaemic control, in diabetes and comorbid depression
Q In patients with diabetes mellitus and comorbid major depression or dysthymia, does a pathways collaborative care intervention (PCCI) for depression improve both depression and glycaemic control outcomes?
METHODS
Design:
randomised controlled trial.
Allocation:
{concealed}.*
Blinding:
blinded (outcome assessors).
Follow up period:
12 months
Setting:
9 Group Health Cooperative primary care clinics in western Washington, USA.
Patients:
329 ambulatory patients (mean age 58 y, 65% women) with diabetes mellitus and comorbid major depression or dysthymia. Exclusion criteria included care from a psychiatrist, confusion suggestive of dementia, or a diagnosis of bipolar disorder or schizophrenia.
Intervention:
a PCCI (n = 164) or usual care (UC) (n = 165). The PCCI was an individualised, stepped care depression treatment programme delivered by a depression clinical specialist nurse in collaboration with …
