The effects of quality improvement for depression in primary care at nine years: results from a randomized, controlled group-level trial.

ABSTRACT:

Objective

To examine 9-year outcomes of implementation of short-term quality improvement (QI) programs for depression in primary care.

Data sources

Depressed primary care patients from six U.S. health care organizations.

Study design

Group-level, randomized controlled trial.

Data collection

Patients were randomly assigned to short-term QI programs supporting education and resources for medication management (QI-Meds) or access to evidence-based psychotherapy (QI-Therapy); and usual care (UC). Of 1,088 eligible patients, 805 (74 percent) completed 9-year follow-up; results were extrapolated to 1,269 initially enrolled and living. Outcomes were psychological well-being (Mental Health Inventory, five-item version [MHI5]), unmet need, services use, and intermediate

SUBMITTER: Wells KB 

PROVIDER: S-EPMC2614007 | biostudies-literature | 2008 Dec

REPOSITORIES: biostudies-literature