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Collaborative Depression Trial (CADET): multi-centre randomised controlled trial of collaborative care for

David A Richards1, Adwoa Hughes-Morley, Rachel A Hayes

  • 1Mood Disorders Centre, School of Psychology, University of Exeter, EX4 4QG, UK. d.a.richards@exeter.ac.uk

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This study evaluated collaborative care for depression in UK primary care. Results will inform the National Health Service (NHS) on improving depression treatment delivery and patient outcomes.

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Area of Science:

  • Mental Health Research
  • Primary Care Medicine
  • Clinical Trial Design

Background:

  • Collaborative care models for depression have shown promise in the US.
  • Adaptation and evaluation of collaborative care in UK primary care are needed.
  • This Phase III trial follows a Phase II RCT, adhering to the MRC Complex Intervention Framework.

Purpose of the Study:

  • To establish the effectiveness of collaborative care for depression in the UK primary care setting.
  • To determine if US-developed collaborative care models can yield similar benefits for UK patients.
  • To provide evidence for NHS implementation of improved depression care.

Main Methods:

  • A multi-centre, cluster-randomised controlled trial.
  • GP practices randomized to either usual care or collaborative care.
  • Collaborative care involves case managers, psychological treatment, and enhanced communication, with depression symptoms (PHQ-9) as the primary outcome.

Main Results:

  • Primary outcome: symptoms of depression assessed by PHQ-9.
  • Data collection and analysis are ongoing for this Phase III trial.
  • Previous Phase II trial results informed the design of this study.

Conclusions:

  • Demonstrating effectiveness will support NHS adoption of collaborative care for depression.
  • This intervention aims to improve the organization and delivery of depression care in primary care.
  • The goal is to provide an effective and patient-acceptable model for enhanced depression care.