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Treatment
Adjunctive nurse telehealth care reduced depressive symptoms and improved functioning

https://doi.org/10.1136/ebn.4.2.50

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    Hunkeler EM, Meresman JF, Hargreaves WA, et al.Efficacy of nurse telehealth care and peer support in augmenting treatment of depression in primary care.Arch Fam Med2000 Aug;9:700–8OpenUrlCrossRefPubMedWeb of Science

    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 …

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    Footnotes

    • Sources of funding: Kaiser Permanente Northern California; Kaiser Permanente Medical Care Program—California Division; Smith-Kline Beecham Pharmaceuticals; Garfield Memorial Fund.

    • For correspondence: Ms E M Hunkeler, Division of Research, Kaiser Permanente Northern California, 3505 Broadway, Seventh Floor, Oakland, CA 94611-5463, USA. Fax +1 510 450 2097.

    • A modified version of this abstract appears in Evidence-Based Mental Health.