TY - JOUR
KW - Aged
KW - Comorbidity
KW - Coronary Disease/therapy
KW - Delivery of Health Care/economics/methods
KW - Depression/therapy
KW - Diabetes Mellitus/therapy
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Care Planning
KW - Patient Care Team
KW - Research Design
KW - Washington
AU - W. Katon
AU - E. H. Lin
AU - M. Von Korff
AU - P. Ciechanowski
AU - E. Ludman
AU - B. Young
AU - C. Rutter
AU - M. Oliver
AU - M. McGregor
A1 - 
AB - Diabetes and coronary heart disease (CHD) are two of the most prevalent medical illnesses in the US population and comorbid depression occurs in up to 20% of these patients. Guidelines for management of diabetes and CHD overlap for healthy lifestyle and disease-control recommendations. However, the majority of patients with these medical illnesses have been shown to have inadequate control of key risk factors such as blood pressure, LDL cholesterol, or blood sugar. Comorbid depression has been shown to adversely affect self-care of diabetes and CHD, and is associated with an increased risk of complications and mortality. Interventions that have improved quality and outcomes of depression care alone in patients with diabetes and CHD have not demonstrated benefits in self-care, improved disease control or morbidity and mortality. This paper describes the design and development of a new biopsychosocial intervention (TEAMcare) aimed at improving both medical disease control and depression in patients with poor control of diabetes and/or CHD who met the criteria for comorbid depression. A team approach is used with a nurse interventionist who receives weekly psychiatric and primary care physician caseload supervision in order to enhance treatment by the primary care physician. This intervention is being tested in an NIMH-funded randomized controlled trial in a large integrated health plan.
BT - Contemporary clinical trials
C5 - General Literature
CP - 4
CY - United States
DO - 10.1016/j.cct.2010.03.009
IS - 4
JF - Contemporary clinical trials
N2 - Diabetes and coronary heart disease (CHD) are two of the most prevalent medical illnesses in the US population and comorbid depression occurs in up to 20% of these patients. Guidelines for management of diabetes and CHD overlap for healthy lifestyle and disease-control recommendations. However, the majority of patients with these medical illnesses have been shown to have inadequate control of key risk factors such as blood pressure, LDL cholesterol, or blood sugar. Comorbid depression has been shown to adversely affect self-care of diabetes and CHD, and is associated with an increased risk of complications and mortality. Interventions that have improved quality and outcomes of depression care alone in patients with diabetes and CHD have not demonstrated benefits in self-care, improved disease control or morbidity and mortality. This paper describes the design and development of a new biopsychosocial intervention (TEAMcare) aimed at improving both medical disease control and depression in patients with poor control of diabetes and/or CHD who met the criteria for comorbid depression. A team approach is used with a nurse interventionist who receives weekly psychiatric and primary care physician caseload supervision in order to enhance treatment by the primary care physician. This intervention is being tested in an NIMH-funded randomized controlled trial in a large integrated health plan.
PP - United States
PY - 2010
SN - 1559-2030; 1551-7144
SP - 312
EP - 322
EP - 
T1 - Integrating depression and chronic disease care among patients with diabetes and/or coronary heart disease: the design of the TEAMcare study
T2 - Contemporary clinical trials
TI - Integrating depression and chronic disease care among patients with diabetes and/or coronary heart disease: the design of the TEAMcare study
U1 - General Literature
U2 - 20350619
U3 - 10.1016/j.cct.2010.03.009
VL - 31
VO - 1559-2030; 1551-7144
Y1 - 2010
ER -