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A pilot study of telephone care management and structured disease self-management groups for chronic depression.

A pilot study of telephone care management and structured disease self-management groups for chronic depression. Research Abstract Details 

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  • A pilot study of telephone care management and structured disease self-management groups for chronic depression. Abstract Text:

    evette j ludmanEvette J Ludman,gregory e simonGregory E Simon,louis c grothausLouis C Grothaus,casey luceCasey Luce,david k markleyDavid K Markley,judith schaeferJudith Schaefer,

    OBJECTIVE: The authors developed, implemented, and pilot-tested intervention programs to provide effective care for chronic or recurrent depression. METHODS: A total of 104 patients with chronic or recurrent depression were randomly assigned to one of four groups: continued usual behavioral health care, usual care plus telephone monitoring and care management by a care manager, usual care plus care management plus a peer-led chronic-disease self-management group program, or usual care plus care management plus a professionally led depression psychotherapy group. Outcomes in intent-to-treat analyses were assessed at three, six, nine, and 12 months and included treatment participation rates, Hopkins Symptom Checklist depression scale scores, major depression (Structured Clinical Interview for DSM-IV), Patient-Rated Global Improvement ratings, treatment satisfaction, and adequacy of medication. RESULTS: Participation in care management was high in the three intervention groups. Close to 60% of participants invited to both group interventions attended at least an initial meeting, but a greater number assigned to the care management plus the professionally led group continued participation through the 12-month period. The sample was too small to reliably detect small or moderate differences in clinical outcomes, but various measures consistently favored the care management plus professionally led group. CONCLUSIONS: It is feasible to direct additional intervention services to patients with persistent or recurring depression. A larger trial of organized self-management support for chronic depression will be necessary for a definitive evaluation of program effectiveness.

    A pilot study of telephone care management and structured disease self-management groups for chronic depression. Publishing Authors By Initials

    ej ludmanEJ Ludman,ge simonGE Simon,lc grothausLC Grothaus,c luceC Luce,dk markleyDK Markley,j schaeferJ Schaefer,

    For similar geographic locations: americas: north america: united states: northwestern united states: washington research abstracts see: geographic locations: americas: north america: united states: northwestern united states: washington research

    PUBMED ID PMID:

    MEDLINE DATE:

    A pilot study of telephone care management and structured disease self-management groups for chronic depression. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: Psychiatric services (Washington, D.C.)

    VOLUME: 58

    Page Numbers: 1065-72

    Journal Abbreviation:

    ISSN: 1075-2730

    DAY: 3

    MONTH: Aug

    YEAR: 2007

    A pilot study of telephone care management and structured disease self-management groups for chronic depression. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 9502838

    A pilot study of telephone care management and structured disease self-management groups for chronic depression. Keywords Mesh Terms:

    KEYWORDS: Washington

    MESH TERMS: therapy

    Chemical & Substance for Abstract: A pilot study of telephone care management and structured disease self-management groups for chronic depression. Information

    Substance Name: Antidepressive Agents

    Registry Number: 0

    Grant and Affiliation Information for A pilot study of telephone care management and structured disease self-management groups for chronic depression.

    AFFILIATION: Group Health Center for Health Studies, 1730 Minor Avenue, Seattle, WA 98101, USA. ludman.e@ghc.org

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIMH

    GRANT: MH 065530

    ACRONYM: MH

    MEDLINETA: Psychiatr Serv

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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