Depression Decision Support in Primary Care: A Cluster Randomized Trial

  1. Steven K. Dobscha, MD;
  2. Kathryn Corson, PhD;
  3. David H. Hickam, MD, MPH;
  4. Nancy A. Perrin, PhD;
  5. Dale F. Kraemer, PhD; and
  6. Martha S. Gerrity, MD, PhD
  1. From Portland Veterans Affairs Medical Center, Oregon Health & Science University, and Oregon State University, Portland, Oregon.
    1. Figure 1.
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      Figure 1. Study flow chart.

      PHQ-9 = Patient Health Questionnaire.

    2. Figure 2.
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      Figure 2. Unadjusted mean Hopkins Symptom Checklist-20 (SCL-20) depression severity scores over time.

      Mean ± SE scores for the intervention group were 1.89 ± 0.05 at baseline, 1.54 ± 0.05 at 6 months, and 1.63 ± 0.06 at 12 months. Mean ± SE scores for the usual care group were 1.92 ± 0.05 at baseline, 1.58 ± 0.06 at 6 months, and 1.62 ± 0.06 at 12 months.

    3. Figure 3.
      View larger version:
      Figure 3. Unadjusted mean Patient Health Questionnaire-9 (PHQ-9) depression scores over time.

      P = 0.019 for initial improvement from baseline (quadratic model), comparing intervention and usual care groups.

    Summary for Patients

    • Summaries for Patients:Decision Support in Primary Care and Depression Outcomes Ann Intern Med October 3, 2006 145:I-10
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    This Article

    1. Ann Intern Med October 3, 2006 vol. 145 no. 7 477-487
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      1. Summary for Patients

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