A systematic review of complex system interventions designed to increase recovery from depression in primary care.

ABSTRACT:

Background

Primary care is being encouraged to implement multiprofessional, system level, chronic illness management approaches to depression. We undertook this study to identify and assess the quality of RCTs testing system level depression management interventions in primary care and to determine whether these interventions improve recovery.

Method

Searches of Medline and Cochrane Controlled Register of Trials. 'System level' interventions included: multi-professional approach, enhanced inter-professional communication, scheduled patient follow-up, structured management plan.

Results

11 trials met all inclusion criteria. 10 were undertaken in the USA. Most focussed on antidepressant compliance. Quality of reporting assessed using CONSORT criteria was poor. Eight tri

SUBMITTER: Gunn J 

PROVIDER: S-EPMC1559684 | biostudies-literature | 2006 Jul

REPOSITORIES: biostudies-literature