Báo cáo y học: "Evaluation of a system of structured, pro-active care for chronic depression in primary care: a randomised controlled trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Evaluation of a system of structured, pro-active care for chronic depression in primary care: a randomised controlled trial | Buszewicz et al. BMC Psychiatry 2010 10 61 http 1471-244X 10 61 BMC Psychiatry STUDY PROTOCOL Open Access Evaluation of a system of structured pro-active care for chronic depression in primary care a randomised controlled trial Marta Buszewicz1 Mark Griffin1 Elaine M McMahon1 Jennifer Beecham3 Michael King2 Abstract Background People with chronic depression are frequently lost from effective care with resulting psychological physical and social morbidity and considerable social and financial societal costs. This randomised controlled trial will evaluate whether regular structured practice nurse reviews lead to better mental health and social outcomes for these patients and will assess the cost-effectiveness of the structured reviews compared to usual care. The hypothesis is that structured pro-active care of patients with chronic depression in primary care will lead to a cost-effective improvement in medical and social outcomes when compared with usual general practitioner GP care. Methods Design Participants were recruited from 42 general practices throughout the United Kingdom. Eligible participants had to have a history of chronic major depression recurrent major depression or chronic dsythymia confirmed using the Composite International Diagnostic Interview CIDI . They also needed to score 14 or above on the Beck Depression Inventory BDI-II at recruitment. Once consented participants were randomised to treatment as usual from their general practice controls or the practice nurse led intervention. The intervention includes a specially prepared education booklet and a comprehensive baseline assessment of participants mood and any associated physical and psycho-social factors followed by regular 3 monthly reviews by the nurse over the 2 year study period. At these appointments intervention participants mood will be reviewed together with their current pharmacological and psychological treatments and any relevant social factors with the nurse

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