Literature Collection | Integration Academy

3941

Effectiveness of a training programme for primary care physicians directed at the enhancement of their psychiatric knowledge in Saudi Arabia

Type: Journal Article

Authors: Naseem Akhtar Qureshi, Henk T. van der Molen, Henk G. Schmidt, Tariq A. Al-Habeeb, Mohi Eldin M. Magzoub

Year: 2006

Publication Place: United Kingdom: Taylor & Francis

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3942

Effectiveness of acceptance–commitment therapy on craving beliefs in patients on methadone maintenance therapy: A pilot study

Type: Journal Article

Authors: Mozhgan Saedy, Amir Rezaei Ardani, Shirin Kooshki, Mahmoud Jamali Firouzabadi, Susan Emamipour, Leila Darabi Mahboub, Mahya Mojahedi

Year: 2018

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3943

Effectiveness of adjunctive, personalised psychosocial intervention for non-response to opioid agonist treatment: Study protocol for a pragmatic randomised controlled trial

Type: Journal Article

Authors: J. Marsden, G. Stillwell, J. Hellier, A. M. Brown, S. Byford, M. Kelleher, J. Kelly, C. Murphy, J. Shearer, L. Mitcheson

Year: 2017

Publication Place: United States

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3944

Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial

Type: Journal Article

Authors: N. Jannati, S. Mazhari, L. Ahmadian, M. Mirzaee

Year: 2020

Publication Place: Ireland

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3945

Effectiveness of an Integrated Care Pathway for Adolescents with Depression: A Pilot Clinical Trial Protocol

Type: Journal Article

Authors: Darren B. Courtney, Amy Cheung, Joanna Henderson, Kathryn Bennett, Marco Battaglia, John Strauss, Rachel Mitchell, Karen Wang, Peter Szatmari

Year: 2019

Publication Place: Ottawa, <Blank>

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3946

Effectiveness of an integrated primary care intervention in improving psychosocial outcomes among Latino adults with diabetes: The LUNA-D study

Type: Journal Article

Authors: Sheila F. Castañeda, Linda C. Gallo, Melawhy L. Garcia, Paulina M. Mendoza, Angela P. Gutierrez, Maria Lopez-Gurrola, Scott Roesch, Margaret S. Pichardo, Fatima Muñoz, Gregory A. Talavera

Year: 2022

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3947

Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): A cluster randomised controlled trial

Type: Journal Article

Authors: V. Patel, H. A. Weiss, N. Chowdhary, S. Naik, S. Pednekar, S. Chatterjee, M. J. De Silva, B. Bhat, R. Araya, M. King, G. Simon, H. Verdeli, B. R. Kirkwood

Year: 2010

Publication Place: England

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3948

Effectiveness of and Access to Medications for Opioid Use Disorder for Adolescents and Young Adults: A Scoping Review

Type: Journal Article

Authors: D. McCarty, B. Chan, B. M. Buchheit, C. Bougatsos, S. Grusing, R. Chou

Year: 2021

Publication Place: United States

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3949

Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis

Type: Journal Article

Authors: C. Twomey, G. O'Reilly, M. Byrne

Year: 2015

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3950

Effectiveness of collaborative care and colocated specialty care for bipolar disorder in primary care: A secondary analysis of a randomized clinical trial

Type: Journal Article

Authors: Joseph M. Cerimele, Brittany E. Blanchard, Morgan Johnson, Joan Russo, Amy M. Bauer, Richard C. Veith, Jurgen Unutzer, John C. Fortney

Year: 2023

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3951

Effectiveness of collaborative care depression treatment in Veterans' Affairs primary care

Type: Journal Article

Authors: S. C. Hedrick, E. F. Chaney, B. Felker, C. F. Liu, N. Hasenberg, P. Heagerty, J. Buchanan, R. Bagala, D. Greenberg, G. Paden, S. D. Fihn, W. Katon

Year: 2003

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3952

Effectiveness of collaborative care for depression in human immunodeficiency virus clinics

Type: Journal Article

Authors: J. M. Pyne, J. C. Fortney, G. M. Curran, S. Tripathi, J. H. Atkinson, A. M. Kilbourne, H. J. Hagedorn, D. Rimland, M. C. Rodriguez-Barradas, T. Monson, K. A. Bottonari, S. M. Asch, A. L. Gifford

Year: 2011

Publication Place: United States

Abstract: BACKGROUND: Depression is common among persons with the human immunodeficiency virus (HIV) and is associated with unfavorable outcomes. METHODS: A single-blind randomized controlled effectiveness trial at 3 Veterans Affairs HIV clinics (HIV Translating Initiatives for Depression Into Effective Solutions [HITIDES]). The HITIDES intervention consisted of an off-site HIV depression care team (a registered nurse depression care manager, pharmacist, and psychiatrist) that delivered up to 12 months of collaborative care backed by a Web-based decision support system. Participants who completed the baseline telephone interview were 249 HIV-infected patients with depression, of whom 123 were randomized to the intervention and 126 to usual care. Participant interview data were collected at baseline and at the 6- and 12-month follow-up visits. The primary outcome was depression severity measured using the 20-item Hopkins Symptom Checklist (SCL-20) and reported as treatment response (>/=50% decrease in SCL-20 item score), remission (mean SCL-20 item score, <0.5), and depression-free days. Secondary outcomes were health-related quality of life, health status, HIV symptom severity, and antidepressant or HIV medication regimen adherence. RESULTS: Intervention participants were more likely to report treatment response (33.3% vs 17.5%) (odds ratio, 2.50; 95% confidence interval [CI], 1.37-4.56) and remission (22.0% vs 11.9%) (2.25; 1.11-4.54) at 6 months but not 12 months. Intervention participants reported more depression-free days during the 12 months (beta = 19.3; 95% CI, 10.9-27.6; P < .001). Significant intervention effects were observed for lowering HIV symptom severity at 6 months (beta = -2.6; 95% CI, -3.5 to -1.8; P < .001) and 12 months (beta = -0.82; -1.6 to -0.07; P = .03). Intervention effects were not significant for other secondary outcomes. CONCLUSION: The HITIDES intervention improved depression and HIV symptom outcomes and may serve as a model for collaborative care interventions in HIV and other specialty physical health care settings where patients find their "medical home." TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00304915.

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3953

Effectiveness of Collaborative Care for Depression in Public-Sector Primary Care Clinics Serving Latinos

Type: Journal Article

Authors: I. T. Lagomasino, M. Dwight-Johnson, J. M. Green, L. Tang, L. Zhang, N. Duan, J. Miranda

Year: 2017

Publication Place: United States

Abstract: OBJECTIVE: Quality improvement interventions for depression care have been shown to be effective for improving quality of care and depression outcomes in settings with primarily insured patients. The aim of this study was to determine the impact of a collaborative care intervention for depression that was tailored for low-income Latino patients seen in public-sector clinics. METHODS: A total of 400 depressed patients from three public-sector primary care clinics were enrolled in a randomized controlled trial of a tailored collaborative care intervention versus enhanced usual care. Social workers without previous mental health experience served as depression care specialists for the intervention patients (N=196). Depending on patient preference, they delivered a cognitive-behavioral therapy (CBT) intervention or facilitated antidepressant medication given by primary care providers or both. In enhanced usual care, patients (N=204) received a pamphlet about depression, a letter for their primary care provider stating that they had a positive depression screen, and a list of local mental health resources. Intent-to-treat analyses examined clinical and process-of-care outcomes at 16 weeks. RESULTS: Compared with patients in the enhanced usual care group, patients in the intervention group had significantly improved depression, quality of life, and satisfaction outcomes (p<.001 for all). Intervention patients also had significantly improved quality-of-care indicators, including the proportion of patients receiving either psychotherapy or antidepressant medication (77% versus 21%, p<.001). CONCLUSIONS: Collaborative care for depression can greatly improve care and outcomes in public-sector clinics. Social workers without prior mental health experience can effectively provide CBT and manage depression care.

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3954

Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial

Type: Journal Article

Authors: C. M. Callahan, M. A. Boustani, F. W. Unverzagt, M. G. Austrom, T. M. Damush, A. J. Perkins, B. A. Fultz, S. L. Hui, S. R. Counsell, H. C. Hendrie

Year: 2006

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3955

Effectiveness of collaborative care in addressing depression treatment preferences among low-income Latinos

Type: Journal Article

Authors: M. Dwight-Johnson, I. T. Lagomasino, J. Hay, L. Zhang, L. Tang, J. M. Green, N. Duan

Year: 2010

Publication Place: United States

Abstract: OBJECTIVE: This study assessed treatment preferences among low-income Latino patients in public-sector primary care clinics and examined whether a collaborative care intervention that included patient education and allowed patients to choose between medication, therapy, or both would increase the likelihood that patients received preferred treatment. METHODS: A total of 339 Latino patients with probable depressive disorders were recruited; participants completed a baseline conjoint analysis preference survey and were randomly assigned to receive the intervention or enhanced usual care. At 16 weeks, a patient survey assessed depression treatment received during the study period. Logistic regression models were constructed to estimate treatment preferences, examine patient characteristics associated with treatment preferences, and examine patient characteristics associated with a match between stated preference and actual treatment received. RESULTS: The conjoint analysis preference survey showed that patients preferred counseling or counseling plus medication over antidepressant medication alone and that they preferred treatment in primary care over specialty mental health care, but they showed no significant preference for individual versus group treatment. Patients also indicated that individual education sessions, telephone sessions, transportation assistance, and family involvement were barrier reduction strategies that would enhance their likelihood of accepting treatment. Compared with patients assigned to usual care, those in the intervention group were 21 times as likely to receive preferred treatment. Among all participants, women, unemployed persons, those who spoke English, and those referred by providers were more likely to receive preferred treatment. CONCLUSIONS: Collaborative care interventions that include psychotherapy can increase the likelihood that Latino patients receive preferred care; however, special efforts may be needed to address preferences of working persons, men, and Spanish-speaking patients.

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3956

Effectiveness of collaborative stepped care for anxiety disorders in primary care: a pragmatic cluster randomised controlled trial

Type: Journal Article

Authors: A. Muntingh, C. van der Feltz-Cornelis, H. van Marwijk, P. Spinhoven, W. Assendelft, M. de Waal, H. Ader, A. van Balkom

Year: 2014

Publication Place: Switzerland

Abstract: BACKGROUND: Collaborative stepped care (CSC) may be an appropriate model to provide evidence-based treatment for anxiety disorders in primary care. METHODS: In a cluster randomised controlled trial, the effectiveness of CSC compared to care as usual (CAU) for adults with panic disorder (PD) or generalised anxiety disorder (GAD) in primary care was evaluated. Thirty-one psychiatric nurses who provided their services to 43 primary care practices in the Netherlands were randomised to deliver CSC (16 psychiatric nurses, 23 practices) or CAU (15 psychiatric nurses, 20 practices). CSC was provided by the psychiatric nurses (care managers) in collaboration with the general practitioner and a consultant psychiatrist. The intervention consisted of 3 steps, namely guided self-help, cognitive behavioural therapy and antidepressants. Anxiety symptoms were measured with the Beck Anxiety Inventory (BAI) at baseline and after 3, 6, 9 and 12 months. RESULTS: We recruited 180 patients with a DSM-IV diagnosis of PD or GAD, of whom 114 received CSC and 66 received usual primary care. On the BAI, CSC was superior to CAU [difference in gain scores from baseline to 3 months: -5.11, 95% confidence interval (CI) -8.28 to -1.94; 6 months: -4.65, 95% CI -7.93 to -1.38; 9 months: -5.67, 95% CI -8.97 to -2.36; 12 months: -6.84, 95% CI -10.13 to -3.55]. CONCLUSIONS: CSC, with guided self-help as a first step, was more effective than CAU for primary care patients with PD or GAD.

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3957

Effectiveness of community mental health nurses in an integrated primary care service: An observational cohort study

Type: Journal Article

Authors: M. Kenwright, P. Fairclough, J. McDonald, L. Pickford

Year: 2024

Abstract:

BACKGROUND: The movement of community mental health nurses into primary care is important for the delivery of primary care integrated teams. There is little evidence or guidance on how integration should be implemented, or on the effectiveness of mental health nurses in primary care. OBJECTIVES: 1. Examine one method of integrating community mental health nurses in a primary care mental health service to identify factors that both facilitated and hindered integration. 2. Report on the outcomes of community mental health nurses in delivering problem-specific evidence-based psychological interventions in primary care. DESIGN: A naturalistic observational cohort study. SETTING: An integrated primary care mental health service in the UK North Midlands. PARTICIPANTS: 1,582 referrals from 1st April 2019 - 31st March 2022. METHOD: Anonymised patient records from routine treatment with community mental health nurses in an integrated primary care service were extracted and analysed to identify patient characteristics, content of treatment and outcomes. Features of service design were also examined to report on aids and barriers to primary care integration. RESULTS: Large and clinically significant pre to post treatment effect sizes of between 0.5 and 0.8 were observed in symptom reduction and functional improvement for patients treated by community mental health nurses for a range of mental health problems. Aids to integration were: A single line of clinical management and governance; shared training across all roles; a shared IT system/electronic appointment diary. Barriers to integration were: Different contract management structures, and different clinical IT systems across primary and secondary care. CONCLUSIONS: Integrating community mental health nurses into one primary care mental health service comprising different mental health professionals provided a single point of access to different mental health treatments. Primary care community mental health nurses delivered effective evidence-based psychological interventions in a stepped-care model that reduced demands on secondary care services.

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3958

Effectiveness of disease management programs in depression: a systematic review

Type: Journal Article

Authors: E. Badamgarav, S. R. Weingarten, J. M. Henning, K. Knight, V. Hasselblad, A. J. Gano, J. J. Ofman

Year: 2003

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3959

Effectiveness of Drug Dependence Treatment in HIV Prevention

Type: Journal Article

Authors: Michael Farrell, Linda Gowing, John Marsden, Walter Ling, Robert Ali

Year: 2005

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3960

Effectiveness of drug tests in outpatients starting opioid substitution therapy

Type: Journal Article

Authors: J. Dupouy, L. Dassieu, R. Bourrel, J. C. Poutrain, S. Bismuth, S. Oustric, M. Lapeyre-Mestre

Year: 2013

Publication Place: United States

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