The Design, Implementation, and Acceptance of a Primary Care-Based Intervention to Prevent Depression Relapse

Ludman, Evette; Korff, Michael Von; Katon, Wayne; Lin, Elizabeth; Simon, Greg; Walker, Edward; Unützer, Jürgen; Bush, Terry; Wahab, Shagufta

doi:10.2190/44lk-28e9-rrj5-kqvw

Cited by 41 publications

(36 citation statements)

References 23 publications

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“…For example, in an intervention programme for prevention of depression relapse SDM was included. 7 In this study, improvement was found in medication adherence over a 1-year follow-up period. This more recent finding regarding the impact of SDM highlights the potential for the positive effects of SDM in depressed patient populations.…”

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confidence: 56%

“…3,4 As a response to these issues, in recent years there has been an enhanced focus on the patient in the form of patient-centred interventions to improve depression care, such as Stepped Collaborative Care models for primary care depression treatment. [5][6][7] The patient-provider aspects of these interventions that more centrally involve the patient are gaining attention, in part due to the shared treatment decision-making (SDM) initiatives underway in western Europe and North America. However, little is known about the feasibility and effects of patient-clinician shared decision-making (SDM) for depression treatment.…”

Section: Introduction and Study Objectivementioning

confidence: 99%

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Depressed patients’ perceptions of depression treatment decision‐making

Simón

Loh

Wills

et al. 2006

Health Expectations

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Objective Little is known about the feasibility and effects of patientclinician shared decision-making (SDM) for depression treatment. Within a goal of informing the design of a SDM intervention, the objective of this study was to investigate depressed patientsÕ perceptions of the treatment decision-making process with general practitioners (GPs).Setting and participants Data were gathered from a convenience sample of 40 depressed patients to understand key aspects of treatment decision-making from the patient perspective. The sample varied in depression severity and type of setting in which treatment was sought.Main variables studied Semi-structured interview questions focused on patientsÕ prior experiences with depression and treatment, perceptions of the treatment decision-making process, and needs and expectations about treatment. Current depression severity was also assessed.Results Patient lack of insight regarding depression severity substantially delayed patient engagement in treatment seeking and decision-making. Patients expected their GPs to be a first and main source of objective information and discussion about depression and treatment and to provide emotional support for decision-making. Patients also identified needs for additional information about depression and its treatment, as well as concerns about certain aspects of treatment.Conclusions The depression treatment context has some aspects that differ from treatment decision-making for other types of health conditions. SDM approaches for depression treatment should be adapted based on depression severity and patientidentified needs.

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mentioning

confidence: 56%

Section: Introduction and Study Objectivementioning

confidence: 99%

Depressed patients’ perceptions of depression treatment decision‐making

Simón

Loh

Wills

et al. 2006

Health Expectations

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“…65 Katon et al Five articles reported the findings of just one study (Katon et al). 45,[57][58][59][60] Although the practitioners in this study were predominantly mental health professionals, and therefore did not strictly meet our part A inclusion criteria, it was unclear whether or not delivery by a mental health professional was mandatory for the implementation of the intervention. Therefore, this study was critically appraised and is summarised in further detail below.…”

Section: Completed Studiesmentioning

confidence: 99%

The clinical effectiveness and cost-effectiveness of low-intensity psychological interventions for the secondary prevention of relapse after depression: a systematic review.

Rodgers

Asaria²,

Walker³

et al. 2012

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTAThe clinical effectiveness and costeffectiveness of low-intensity psychological interventions for the secondary prevention of relapse after depression: a systematic review NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component ...

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“…Three depression prevention specialists (a psychologist, a nurse practitioner with a master's degree in psychosocial nursing, and a social worker) received a 60-page training manual 19 and participated in 2 half-day training sessions with a psychiatrist (W.K. ), primary care physician (E.L.), and psychologist (E.J.L.…”

Section: Visits With Depression Specialistsmentioning

confidence: 99%