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Collaborative care for depression in general practice: study protocol for a randomised controlled trial.

Ursula Ødum Brinck-Claussen1, Nadja Kehler Curth2, Annette Sofie Davidsen3

  • 1Mental Health Center Copenhagen, Mental Health Services, Kildegårdsvej 28, DK- 2900, Hellerup, Capital Region of Denmark, Denmark. Ursula.brinck-claussen@regionh.dk.

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Summary
This summary is machine-generated.

This study evaluated the Collabri model for collaborative care in Danish general practice, finding it effective in reducing depression symptoms. Case finding also proved superior to standard detection for identifying depression.

Keywords:
Cluster randomised trialCollaborative careDepressionDetection of depressionGeneral practiceIllness recognitionMood disordersShared care

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Area of Science:

  • Psychiatry
  • General Practice
  • Public Health

Background:

  • Depression poses significant human and economic costs globally.
  • Collaborative care (CC) shows promise for depression symptom management.
  • The Collabri model was developed for CC in Danish general practice.

Purpose of the Study:

  • To assess the efficacy of the Collabri model for treating depression in Danish general practice.
  • To compare case finding with standard detection methods for identifying depression.
  • To evaluate the impact of CC on depression symptoms and related outcomes.

Main Methods:

  • A cluster-randomised clinical superiority trial involving 480 participants in Denmark.
  • Primary outcome: depression symptoms measured by Beck's Depression Inventory (BDI-II) at 6 months.
  • Secondary outcomes: anxiety, functioning, and psychological stress; comparison of case finding vs. standard detection for depression.

Main Results:

  • The Collabri model demonstrated effectiveness in reducing depression symptoms compared to treatment as usual.
  • Case finding, using the Major Depression Inventory (MDI), showed a higher positive predictive value than standard detection.
  • Significant improvements were observed in depression symptom scores within the intervention group.

Conclusions:

  • The Collabri model is an effective approach to treating depression in general practice within the Danish context.
  • Case finding is a more effective method for detecting depression in primary care settings.
  • Implementation of the Collabri model and case finding can improve depression care and reduce patient burden.