Randomized Trial of Depression Follow-Up Care by Online Messaging

Simon, Gregory E.; Ralston, James D.; Savarino, James; Pabiniak, Chester; Wentzel, Christine; Operskalski, Belinda H.

doi:10.1007/s11606-011-1679-8

Cited by 114 publications

(134 citation statements)

References 28 publications

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“…Compared with other sectors, such as for-profit companies, the adoption and integration of online technologies in UK primary care has been slow, but it is steadily growing with the introduction of new online services such as weightloss, 54 or counselling programmes, 55,56 comprehensive health information systems; 57 and e-mail and messaging with provider. 58 Technology has changed the nature of the patient-clinician interaction from one that was traditionally clinician-led to a more patient-centred approach.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

et al. 2015

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BackgroundOnline access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. AimTo assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. Design and settingA systematic review was conducted that focused on all studies about online record access and transactional services in primary care. MethodData sources included MEDLINE, Embase, CINAHL, Cochrane Library, EPOC, DARE, King's Fund, Nuffield Health, PsycINFO, OpenGrey (1999-2012. The literature was independently screened against detailed inclusion and exclusion criteria; independent dual data extraction was conducted, the risk of bias (RoB) assessed, and a narrative synthesis of the evidence conducted. ResultsA total of 176 studies were identified, 17 of which were randomised controlled trials, cohort, or cluster studies. Patients reported improved satisfaction with online access and services compared with standard provision, improved selfcare, and better communication and engagement with clinicians. Safety improvements were patient-led through identifying medication errors and facilitating more use of preventive services. Provision of online record access and services resulted in a moderate increase of e-mail, no change on telephone contact, but there were variable effects on face-to-face contact. However, other tasks were necessary to sustain these services, which impacted on clinician time. There were no reports of harm or breaches in privacy. ConclusionWhile the RoB scores suggest many of the studies were of low quality, patients using online services reported increased convenience and satisfaction. These services positively impacted on patient safety, although there were variations of record access and use by specific ethnic and socioeconomic groups. Professional concerns about privacy were unrealised and those about workload were only partly so.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

et al. 2015

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“…For this reason, many chronic disease prevention and management (CDPM) programs have been designed with the aim of improving outcomes in these patients. CDPM programs targeting diabetes, [3][4][5][6][7] asthma, 8,9 heart diseases, [10][11][12] depression, [13][14][15] chronic obstructive lung disease (COPD), 16,17 obesity, 18,19 kidney disease, 20 dyslipidemia, 21 hypertension 22 and chronic pain 23 have been shown to be effective in improving outcomes such as hospital admissions, costs, adherence to medication, disease control, use of health services, quality of life and mortality. However, these studies were conducted in different settings and were based on single diseases.…”

mentioning

confidence: 99%

Integration of chronic disease prevention and management services into primary care: a pragmatic randomized controlled trial (PR1MaC)

et al. 2016

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C hronic conditions are the most common problems in health care and the leading causes of death globally. 1 Acute communicable diseases have given way to chronic conditions such as arthritis, diabetes, and cardiovascular and respiratory diseases that will impose an even greater burden in the future. 2 The needs of patients with these diseases are usually complex and are challenging to manage. For this reason, many chronic disease prevention and management (CDPM) programs have been designed with the aim of improving outcomes in these patients. CDPM programs targeting diabetes, 3-7 asthma, 8,9 heart diseases, [10][11][12] costs, adherence to medication, disease control, use of health services, quality of life and mortality. However, these studies were conducted in different settings and were based on single diseases.Interventions oriented toward single diseases take little account of the multiple morbidities experienced by most patients in primary care. To date, the appropriateness of using Background: Chronic disease prevention and management programs are usually single-disease oriented. Our objective was to evaluate an intervention that targeted multiple chronic conditions and risk factors. Methods:We conducted a pragmatic randomized controlled trial involving patients aged 18-75 years with at least 1 of the targeted chronic conditions or risk factors from 8 primary care practices in the Saguenay region of Quebec, Canada, to evaluate an intervention that included self-management support and patient-centred motivational approaches. Self-management (primary outcome) was evaluated using the Health Education Impact Questionnaire (heiQ). Secondary outcomes included self-efficacy, health-related quality of life, psychological distress and health behaviours.Results: Three hundred thirty-two patients were recruited and randomly assigned (n = 166 for both intervention and control groups) and evaluated after 3 months. The intervention group showed improvement in 6 of the 8 heiQ domains: health-directed behaviour (relative risk [RR] 1.71, 95% confidence interval [CI] 1.13 to 2.59), emotional well-being (RR 1.73, 95% CI 1.07 to 2.79), self-monitoring and insight (RR 2.40, 95% CI 1.19 to 4.86), constructive attitudes and approaches (RR 2.40, 95% CI 1.37 to 4.21), skill and technique acquisition (RR 1.70, 95% CI 1.14 to 2.53), and health service navigation (RR 1.93, 95% CI 1.08 to 3.47). Improvement was also observed in the Physical Component Summary (p = 0.017) and the Single Index (p = 0.041) of the 12-Item Short Form Health Survey (version 2). The intervention group improved in fruit and vegetable consumption (odds ratio [OR] 2.36, 95% CI 1.41 to 3.95) and physical activity (OR 3.81, 95% CI 1.65 to 8.76). One-year improvement was maintained in the intervention group for several outcomes.Interpretation: It is possible to implement an intervention integrating chronic disease prevention and management services into primary care settings. We obtained positive and promising results using this intervention.

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“…Darunter leidet die Behandlungskontinuität [2,3]. Darüber hinaus ist die Depression Risikofaktor für und auch Folge somatischer Krankheiten und hat damit Einfluss auf die Krankheitskosten: 4 Versicherte mit Depression haben ein 3-fach höheres Risiko, sich nicht an ein medikamentöses Behandlungsschema zu halten, als Versicherte ohne Depression [2].…”

Section: Hintergrund Und Fragestellungunclassified

Telephone coaching for depression

Gerlach-Reinholz

Drop²,

Basic³

et al. 2017

Nervenarzt

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Randomized Trial of Depression Follow-Up Care by Online Messaging

Abstract: Our findings suggest that organized follow-up care for depression can be delivered effectively and efficiently through online messaging.

Cited by 114 publications

References 28 publications

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

Integration of chronic disease prevention and management services into primary care: a pragmatic randomized controlled trial (PR1MaC)

Telephone coaching for depression

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