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The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
897 Results
41
A randomized trial of telephonic counseling plus walking for depressed diabetes patients
Type: Journal Article
Year: 2011
Abstract: Abstract. Background: Patients with diabetes and depression often have self-management needs that require between-visit support. This study evaluated the impact of telephone-delivered cognitive behavioral therapy (CBT) targeting patients� management of depressive symptoms, physical activity levels, and diabetes-related outcomes. Methods: 291 patients with type 2 diabetes and significant depressive symptoms (Beck Depression Inventory scores ?14)were recruited from a community-university-and VA healthcare system. A manualized telephone CBT program was delivered by nurses weekly for 12weeks, followed by nine monthly booster sessions. Sessions initially focused exclusively on patients� depression management and then added a pedometer-based walking program. The primary outcome was hemoglobin A1cmeasured at 12-months. Blood pressure was a secondary outcome; levels of physical activity were determined by pedometer readings; depression, coping, and health related quality of life (HRQL) were measured using standardized scales. Results: Baseline A1c levels were relatively good and there was no difference in A1c at follow-up. Intervention patients experienced a4.26 mmHg decrease in systolic blood pressure relative to controls (p=.05). Intervention patients had significantly greater increases in step-counts (mean difference 1,131 steps/day; p=.0002) and greater reductions in depressive symptoms (58%remitted at12 months versus 39%; p=.002). Intervention patients also experienced relative improvements in coping and HRQL. Conclusions: This program of telephone delivered CBT combined with a pedometer-based walking program did not improve A1c values but significantly decreased patients� blood pressure, increased physical activity, and decreased depressive symptoms. The intervention also improved patients� functioning and quality of life.
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View the DOI record for A randomized trial of telephonic counseling plus walking for depressed diabetes patients
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View the PubMed citation for A randomized trial of telephonic counseling plus walking for depressed diabetes patients42
A Retrospective Examination of Symptom Improvements in Primary Care Patients Receiving Behavior Therapy With and Without Concurrent Pharmacotherapy
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Primary care providers are the biggest prescribers of psychopharmacological medications. In this non-randomized retrospective examination, we asked whether primary care patients receiving behavioral health interventions with and without concurrent pharmacological treatments showed differential symptom improvement. Participants (79.4% women, 61.5% Hispanic, M age = 41.68, SD = 13.50) were 431 primary care patients referred to behavioral health with a primary concern of depression at one of three federally qualified health centers. Thirty-three percent of patients initiated or had an increase in pharmacotherapy concurrently with behavioral therapy; 26.9% had no change in medication during the episode of care, and 39.7% had no concurrent psychotropic medication prescribed during the episode of care. One-way analyses of variance revealed patients in the no medication group had higher global functioning, as measured by Global Assessment of Functioning (GAF) scores, than patients who were taking medication, or who initated or had an increase in medication. There was a significant main effect of time, where patients had significantly higher GAF scores during their last session in comparison to the first session. All three patient groups experienced comparable improvements in GAF scores, but patients in the initiated/increased medication group were significantly more likely to terminate behavioral health treatment prematurely. Results suggest primary care patients experience improvements in functioning across an episode of behavioral health care, even without concurrent psychotropic medication use.
Topic(s):
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45
A screening tool for social anxiety disorder in primary care: data from South Africa
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: There is little research from low- and middle-income countries examining the psychometric properties of a screening tool for social anxiety disorder. The sensitivity and specificity of the Social Anxiety Screening Questionnaire against the Mini-International Neuropsychiatric Interview as a gold standard in social phobia diagnosis were investigated using analyses of receiver operating characteristics. The "best subsets" selection procedure was conducted to determine the best three to five questions. Three questions on the screening questionnaire that best discriminate between a positive and negative diagnosis of social anxiety disorder on the MINI module were identified. Answering yes to all three of these questions gives a false-positive rate of 0.44 and a false negative rate of 0.11. For this combination, the sensitivity was 0.84, and specificity was 0.67. Additional work is needed to develop a more accurate scale that could help increase the percentage of people who receive appropriate treatment of this debilitating disorder.
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View the DOI record for A screening tool for social anxiety disorder in primary care: data from South Africa
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View the PubMed citation for A screening tool for social anxiety disorder in primary care: data from South Africa46
A Single Integrated Behavioral Health Appointment Improves Patients' Perceptions of Behavioral Health Treatment
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
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View the DOI record for A Single Integrated Behavioral Health Appointment Improves Patients' Perceptions of Behavioral Health Treatment
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View the PubMed citation for A Single Integrated Behavioral Health Appointment Improves Patients' Perceptions of Behavioral Health Treatment48
A systematic review of complex system interventions designed to increase recovery from depression in primary care
Type: Journal Article
Year: 2006
Topic(s):
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View the DOI record for A systematic review of complex system interventions designed to increase recovery from depression in primary care
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View the PubMed citation for A systematic review of complex system interventions designed to increase recovery from depression in primary care49
A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.
Topic(s):
General Literature
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50
A target-driven collaborative care model for Major Depressive Disorder is effective in primary care in the Netherlands. A randomized clinical trial from the depression initiative
Type: Journal Article
Year: 2013
Publication Place: Netherlands
Topic(s):
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54
Acceptability, feasibility and outcome of a screening programme for complicated grief in integrated primary and behavioural health care clinics
Type: Journal Article
Year: 2019
Publication Place: England
Topic(s):
General Literature
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55
Access to mental health services: Implementing an integrated solution
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
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View the DOI record for Access to mental health services: Implementing an integrated solution
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View the PubMed citation for Access to mental health services: Implementing an integrated solution57
Achieving same-day access in integrated primary care
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
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58
Activating older adults with serious mental illness for collaborative primary care visits
Type: Journal Article
Year: 2013
Publication Place: United States
Topic(s):
General Literature
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View the DOI record for Activating older adults with serious mental illness for collaborative primary care visits
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View the PubMed citation for Activating older adults with serious mental illness for collaborative primary care visits59
Adaptation in Delivering Integrated Care: The Tension Between Care and Evidence-Based Practice
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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View the DOI record for Adaptation in Delivering Integrated Care: The Tension Between Care and Evidence-Based Practice
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View the PubMed citation for Adaptation in Delivering Integrated Care: The Tension Between Care and Evidence-Based Practice