1 / 1

Objective: The study examines whether the treatment of depression with treatments

Collaborative Care: Depression Initiative in Primary care (CC: DIP) Van der Feltz-Cornelis CM, Van Marwijk HWJ, Huijbregts KML, IJff MA, Nijpels G, Beekman AJ. Screening Procedure: Fase1: Screening with PHQ-9 using the GP’s database. Fase2: Classification with MINI-

clive
Download Presentation

Objective: The study examines whether the treatment of depression with treatments

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Collaborative Care: Depression Initiative in Primary care (CC: DIP) Van der Feltz-Cornelis CM, Van Marwijk HWJ, Huijbregts KML, IJff MA, Nijpels G, Beekman AJ • Screening Procedure: • Fase1: Screening with PHQ-9 using • the GP’s database. • Fase2: Classification with MINI- • Neuropsychiatric interview (DSM IV- • criteria) • Depressive symptoms must last longer • than 6 months or must be • accompanied by dysfunctioning • Fase 3: Conversation with GP followed • by contracting and start of CC- • intervention • Questionnaires • - IDS-SR - DESS • - TIQ-P - SF36 • PRODISQ - EQ-D5 (Euroqol) • PDRQ9 - CSQ8 • Holmes en Rahe scale • Outcome measures: • Reduction of depressive • symptoms (primary outcome) • 2. Cost-effectivity • 3. Quality of life • 4. Adherence and compliance to • treatment. • 5. (Possible) preferences of the • patient • 6. Patient-doctor relationship Objective: The study examines whether the treatment of depression with treatments from the guideline according to a collaborative care (CC) model [1,2]is effective compared to care as usual (CAU) in terms of a reduction of depressive symptoms. Principal elements in the CC model are: A. Contracting of the treatment plan by the General Practitioners (GPs) with the patient B. Adherence improving strategies for GPs and casemanager C. Problem Solving Treatment (PST) [3] D. An antidepressant algorithm for the GP setting [4] Design: - Two-armed cluster randomised trial in 40 GP practices (figure 1) [5]. - Stratification for comorbid medical illness - Three regions: Amsterdam, Hoorn and West Friesland. - In cooperation with the department of General Practice, VU University Medical Center, Amsterdam (EMGO). - 2 x 120 patients References: 1. Van der Feltz-Cornelis CM et al. (2006). Depressie initiatief. Depressie management in Nederland. Trimbos-instituut. 2. Bodenheimer T (2005). Helping Patients Improve Their Health-Related Behaviors:What System Changes Do We Need? Diseasemanagement, 8(5), 319-329. 3. Mynors-Wallis LM, Gath DH, Day A, et al. (2000). Randomised controlled trial of problem solving treatment, antidepressant medication, and combined treatment for mayor depression in primary care. BMJ, 320, 26-30. 4. Trivedi MH, Rush AJ, Crismon ML, et al. (2004). Clinical Results for patients With Major Depressive Disorder in the Texas Medication Algorithm Project. Arch Gen Psychiatry, 61, 669-680. 5. Van der Feltz-Cornelis CM & Adèr HJ (2000). Randomization in psychiatric interventionresearch in the general practice setting. International Journal of Methods in PsychiatricResearch, 9 (3), 134-142 Contact: Marjoliek IJff, mijff@trimbos.nl & Klaas Huijbregts, khuijbregts@trimbos.nl

More Related