Increasing the efficiency of depression-screening using patient-targeted feedback: Randomized controlled trial - DEPSCREEN-INFO
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- F32
- 发起方
- Bundesministerium für Bildung und Forschung Dienstsitz Berlin
- 入组人数
- 4151
- 状态
- 已完成
- 最后更新
- 去年
概览
简要总结
Background: International guidelines advocate depression screening in patients with coronary heart disease (CHD) and other chronic illnesses, but evidence is lacking. Aims: To test the differential efficacy of written patient-targeted feedback v. no written patient feedback after depression screening. Method: Patients with CHD or hypertension from three cardiology settings were randomised and screened for depression (ClinicalTrials.gov Identifier: NCT01879111). Compared with the control group, where only cardiologists received written feedback, in the intervention group both cardiologists and patients received written feedback regarding depression status. Depression severity was measured 1 month (primary outcome) and 6 months after screening. Results: The control group (n = 220) and the patient-feedback group (n = 155) did not differ in depression severity 1 month after screening. Six months after screening, the patient-feedback group showed significantly greater improvements in depression severity and was twice as likely to seek information about depression compared with the control group. Conclusions: Patient-targeted feedback in addition to screening has a significant but small effect on depression severity after 6 months and may encourage patients to take an active role in the self-management of depression.
研究者
入排标准
入选标准
- •Attendance in a cardiac clinic;
- •Clinical diagnosis of coronary heart disease or hypertension;
- •Age \= 18 years;
- •Sufficient language skills;
- •Informed consent
排除标准
- •Life threatening health status;
- •Severe somatic or/and psychological disorder that needs urgent treatment;
- •Acute suicidal tendency;
- •Severe cognitive or/and visual difficulties;
- •Not being able to fill out questionnaires
结局指标
主要结局
未指定