Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care
Objective:The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM).Methods:Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of ≥10 treated for clinically significant depression symptoms in primary...
Gespeichert in:
| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2018-11, Vol.69 (11), p.1184-1187 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1187 |
|---|---|
| container_issue | 11 |
| container_start_page | 1184 |
| container_title | Psychiatric services (Washington, D.C.) |
| container_volume | 69 |
| creator | Blackmore, Michelle A Carleton, Kelly E Ricketts, Sarah M Patel, Urvashi B Stein, Dana Mallow, Alissa Deluca, Joseph P Chung, Henry |
| description | Objective:The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM).Methods:Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of ≥10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks.Results:From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2.81 (p=.001).Conclusions:More patients treated in sites that used the CoCM experienced a significantly greater reduction in depression symptoms, compared with patients in sites with the colocation model. As greater adoption of integration models in primary care occurs, it will be important to consider potential implications of these results for promoting adoption of CoCM elements. Further replication of these findings is warranted. |
| doi_str_mv | 10.1176/appi.ps.201700569 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2095527668</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2095527668</sourcerecordid><originalsourceid>FETCH-LOGICAL-a411t-eb1bb7ec5cb01a0e1b01dbae3fc73dace187aaf44f630208bd14dc26cf27a6ca3</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi1ERUvhB3BBlrhwydbjrO3dI0r5kiq1Uos4RhPHBldJbOws0v4BfjeT7tIDUk_z4Wfe8ehl7A2IFYDRF5hSWKWykgKMEEpvn7EzUMpUWyqfUy6MqqSpxSl7Wcq9EMSBfsFOawFK0sMZ-9PEMWEOJU48et7EYcAuZpzDb8cbzI7j1C_taKlH0F12OI9umrmPmd9Qk_LCv4f5J2-GMAWLw7Dnt-HHFDwVBF66lF0py_TtfkxzHAsPE7_JYcS8f9jyip14HIp7fYzn7Nunj3fNl-rq-vPX5sNVhWuAuXIddJ1xVtlOAAoHFPoOXe2tqXu0DjYG0a_XXtdCik3Xw7q3UlsvDWqL9Tl7f9BNOf7auTK3YyjW0dGTi7vSSrFVShqtN4S--w-9j7s80e9aCRrkRmlhiIIDZXMsJTvfpsNZLYh2MaldTGrTIn00iWbeHpV33ej6x4l_rhCwOgAPs49rn1b8C0f8oKM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2161285607</pqid></control><display><type>article</type><title>Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care</title><source>American Psychiatric Publishing Journals (1997-Present)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Blackmore, Michelle A ; Carleton, Kelly E ; Ricketts, Sarah M ; Patel, Urvashi B ; Stein, Dana ; Mallow, Alissa ; Deluca, Joseph P ; Chung, Henry</creator><creatorcontrib>Blackmore, Michelle A ; Carleton, Kelly E ; Ricketts, Sarah M ; Patel, Urvashi B ; Stein, Dana ; Mallow, Alissa ; Deluca, Joseph P ; Chung, Henry</creatorcontrib><description>Objective:The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM).Methods:Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of ≥10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks.Results:From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2.81 (p=.001).Conclusions:More patients treated in sites that used the CoCM experienced a significantly greater reduction in depression symptoms, compared with patients in sites with the colocation model. As greater adoption of integration models in primary care occurs, it will be important to consider potential implications of these results for promoting adoption of CoCM elements. Further replication of these findings is warranted.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201700569</identifier><identifier>PMID: 30152273</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>Clinical significance ; Collaboration ; Location based services ; Medical diagnosis ; Medical treatment ; Mental depression ; Primary care</subject><ispartof>Psychiatric services (Washington, D.C.), 2018-11, Vol.69 (11), p.1184-1187</ispartof><rights>Copyright © 2018 by the American Psychiatric Association 2018</rights><rights>Copyright American Psychiatric Publishing, Inc. Nov 1, 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a411t-eb1bb7ec5cb01a0e1b01dbae3fc73dace187aaf44f630208bd14dc26cf27a6ca3</citedby><cites>FETCH-LOGICAL-a411t-eb1bb7ec5cb01a0e1b01dbae3fc73dace187aaf44f630208bd14dc26cf27a6ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201700569$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201700569$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,21626,21627,21628,27924,27925,77794,77799</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30152273$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blackmore, Michelle A</creatorcontrib><creatorcontrib>Carleton, Kelly E</creatorcontrib><creatorcontrib>Ricketts, Sarah M</creatorcontrib><creatorcontrib>Patel, Urvashi B</creatorcontrib><creatorcontrib>Stein, Dana</creatorcontrib><creatorcontrib>Mallow, Alissa</creatorcontrib><creatorcontrib>Deluca, Joseph P</creatorcontrib><creatorcontrib>Chung, Henry</creatorcontrib><title>Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objective:The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM).Methods:Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of ≥10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks.Results:From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2.81 (p=.001).Conclusions:More patients treated in sites that used the CoCM experienced a significantly greater reduction in depression symptoms, compared with patients in sites with the colocation model. As greater adoption of integration models in primary care occurs, it will be important to consider potential implications of these results for promoting adoption of CoCM elements. Further replication of these findings is warranted.</description><subject>Clinical significance</subject><subject>Collaboration</subject><subject>Location based services</subject><subject>Medical diagnosis</subject><subject>Medical treatment</subject><subject>Mental depression</subject><subject>Primary care</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kU1v1DAQhi1ERUvhB3BBlrhwydbjrO3dI0r5kiq1Uos4RhPHBldJbOws0v4BfjeT7tIDUk_z4Wfe8ehl7A2IFYDRF5hSWKWykgKMEEpvn7EzUMpUWyqfUy6MqqSpxSl7Wcq9EMSBfsFOawFK0sMZ-9PEMWEOJU48et7EYcAuZpzDb8cbzI7j1C_taKlH0F12OI9umrmPmd9Qk_LCv4f5J2-GMAWLw7Dnt-HHFDwVBF66lF0py_TtfkxzHAsPE7_JYcS8f9jyip14HIp7fYzn7Nunj3fNl-rq-vPX5sNVhWuAuXIddJ1xVtlOAAoHFPoOXe2tqXu0DjYG0a_XXtdCik3Xw7q3UlsvDWqL9Tl7f9BNOf7auTK3YyjW0dGTi7vSSrFVShqtN4S--w-9j7s80e9aCRrkRmlhiIIDZXMsJTvfpsNZLYh2MaldTGrTIn00iWbeHpV33ej6x4l_rhCwOgAPs49rn1b8C0f8oKM</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Blackmore, Michelle A</creator><creator>Carleton, Kelly E</creator><creator>Ricketts, Sarah M</creator><creator>Patel, Urvashi B</creator><creator>Stein, Dana</creator><creator>Mallow, Alissa</creator><creator>Deluca, Joseph P</creator><creator>Chung, Henry</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20181101</creationdate><title>Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care</title><author>Blackmore, Michelle A ; Carleton, Kelly E ; Ricketts, Sarah M ; Patel, Urvashi B ; Stein, Dana ; Mallow, Alissa ; Deluca, Joseph P ; Chung, Henry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a411t-eb1bb7ec5cb01a0e1b01dbae3fc73dace187aaf44f630208bd14dc26cf27a6ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Clinical significance</topic><topic>Collaboration</topic><topic>Location based services</topic><topic>Medical diagnosis</topic><topic>Medical treatment</topic><topic>Mental depression</topic><topic>Primary care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blackmore, Michelle A</creatorcontrib><creatorcontrib>Carleton, Kelly E</creatorcontrib><creatorcontrib>Ricketts, Sarah M</creatorcontrib><creatorcontrib>Patel, Urvashi B</creatorcontrib><creatorcontrib>Stein, Dana</creatorcontrib><creatorcontrib>Mallow, Alissa</creatorcontrib><creatorcontrib>Deluca, Joseph P</creatorcontrib><creatorcontrib>Chung, Henry</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blackmore, Michelle A</au><au>Carleton, Kelly E</au><au>Ricketts, Sarah M</au><au>Patel, Urvashi B</au><au>Stein, Dana</au><au>Mallow, Alissa</au><au>Deluca, Joseph P</au><au>Chung, Henry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>69</volume><issue>11</issue><spage>1184</spage><epage>1187</epage><pages>1184-1187</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objective:The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM).Methods:Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of ≥10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks.Results:From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2.81 (p=.001).Conclusions:More patients treated in sites that used the CoCM experienced a significantly greater reduction in depression symptoms, compared with patients in sites with the colocation model. As greater adoption of integration models in primary care occurs, it will be important to consider potential implications of these results for promoting adoption of CoCM elements. Further replication of these findings is warranted.</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>30152273</pmid><doi>10.1176/appi.ps.201700569</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1075-2730 |
| ispartof | Psychiatric services (Washington, D.C.), 2018-11, Vol.69 (11), p.1184-1187 |
| issn | 1075-2730 1557-9700 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2095527668 |
| source | American Psychiatric Publishing Journals (1997-Present); EZB-FREE-00999 freely available EZB journals |
| subjects | Clinical significance Collaboration Location based services Medical diagnosis Medical treatment Mental depression Primary care |
| title | Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T09%3A28%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20Collaborative%20Care%20and%20Colocation%20Treatment%20for%20Patients%20With%20Clinically%20Significant%20Depression%20Symptoms%20in%20Primary%20Care&rft.jtitle=Psychiatric%20services%20(Washington,%20D.C.)&rft.au=Blackmore,%20Michelle%20A&rft.date=2018-11-01&rft.volume=69&rft.issue=11&rft.spage=1184&rft.epage=1187&rft.pages=1184-1187&rft.issn=1075-2730&rft.eissn=1557-9700&rft_id=info:doi/10.1176/appi.ps.201700569&rft_dat=%3Cproquest_cross%3E2095527668%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2161285607&rft_id=info:pmid/30152273&rfr_iscdi=true |