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| Name | Class |
|---|---|
| Vastra Gotaland Region | OTHER_GOV |
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Most people in Sweden with mild to moderate depression are treated in primary care, but follow-up is unstructured, and we know little about whether structured, follow-up would affect the prognosis for depression and working life. The purpose of this study is to determine the effectiveness of regular, structured, patient-centered visits on mild to moderate depression.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Structured patient visits | Other | Participants in the intervention group visit their general practitioner at baseline and 4, 8, and 12 weeks. At each visit, participants complete MADRS-s for the assessment of depression severity and discuss the results with their GP in a patient-centered consultation. |
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| Treatment as usual | Other | The control group receives treatment as usual by general practitioner (no intervention). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured patient-centered follow up of depression | Behavioral | All patients who agree to participate in the study are diagnosed by their GP with a diagnostic assessment instrument called PRIME-MD. Participants in the intervention group visit their GPs at baseline and 4, 8, and 12 weeks. At each visit, participants complete MADRS-s for the assessment of depression severity and discuss the results with their GP in a patient-centered consultation. We have chosen to use the MADRS/MADRS-S depression rating scale in this study because it is a easy to use standard instrument especially suitable for measuring change in depressive symptoms. The control group receives treatment as usual (no intervention). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Depressive symptoms | Depressive symptoms will be assessed using the Beck Depression Inventory (BDI-II), a self-administered questionnaire that measures the symptoms and severity of the depression. | 3, 6 and 12 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Quality of life | Each patient's quality of life will be assessed using the EuroQoL-5D questionnaire that measures five dimensions of quality of life | 3, 6 and 12 months |
| Prescriptions for antidepressants |
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Inclusion criteria
Exclusion criteria
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| Name | Affiliation | Role |
|---|---|---|
| Cecila Björkelund, Professor | Göteborg University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Gothenburg | Gothenburg | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28103816 | Derived | Wikberg C, Westman J, Petersson EL, Larsson ME, Andre M, Eggertsen R, Thorn J, Agren H, Bjorkelund C. Use of a self-rating scale to monitor depression severity in recurrent GP consultations in primary care - does it really make a difference? A randomised controlled study. BMC Fam Pract. 2017 Jan 19;18(1):6. doi: 10.1186/s12875-016-0578-9. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Information on Antidepressant use will be collected from patient records from start of the study and the 12-month follow-up period
| 12-month follow-up period |
| Change in Activity/work ability | Will be measured by Work Ability Index (WAI) and the Karaseks Job Strain Model Questionnaire. The Work Ability Index is used for evaluating people's work capacity and Karaseks Job Strain Model Questionnaire is used for evaluating Demands-Control in work place | 12-month follow-up period |
| sick-listing data | Data on sick-listing is derived from primary care record fom baseline to 3 months follow up and from patient interview from 3 to 12 months | 12 month follow up |