Evaluation of a Mental Health Physician Support Program i... | NCT01975948 | Trialant
NCT01975948
Sponsor
Nova Scotia Health Authority
Status
Completed
Last Update Posted
Oct 14, 2021Actual
Enrollment
285Actual
Phase
Not Applicable
Conditions
Major Depressive Disorder
Interventions
Mental Health Practice Support Program
Treatment as Usual
Countries
Canada
Protocol Section
Identification Module
NCT ID
Results Section
Participant Flow Module
Pre-assignment Details
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
NCT01975948
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
CDHA-RS/2014-150
Secondary IDs
Not provided
Brief Title
Evaluation of a Mental Health Physician Support Program in Nova Scotia
Official Title
Evaluation of a Mental Health Physician Support Program in Nova Scotia: Impact on Patient Outcomes and Stigmatization
Acronym
Not provided
Organization
Nova Scotia Health AuthorityOTHER
Status Module
Record Verification Date
Sep 2021
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Nov 2013Actual
Primary Completion Date
Dec 2015Actual
Completion Date
Dec 2015Actual
First Submitted Date
Oct 21, 2013
First Submission Date that Met QC Criteria
Oct 29, 2013
First Posted Date
Nov 5, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Feb 1, 2017
Results First Submitted that Met QC Criteria
Jun 18, 2017
Results First Posted Date
Jun 26, 2017Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Sep 20, 2021
Last Update Posted Date
Oct 14, 2021Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Bianca Horner, Primary Mental Healthcare Education Leader, Nova Scotia Health AuthorityPrincipal Investigator
Lead Sponsor
Nova Scotia Health AuthorityOTHER
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The aim of this study is to test the program's effectiveness in a primary care setting in reducing stigma among medical personnel, increasing the comfort level of physicians and staff in providing care to those living with mental illness, and in improving client well-being and mental health.
Detailed Description
Skill-based approaches are effective in reducing stigma in health professionals.
Overview: The Nova Scotia (NS) Department of Health and Wellness and the Mental Health Commission of Canada launched a demonstration project in NS-Adult Mental Health Practice Support Program. Originating in British Columbia (BC), it uses a novel learning platform which supports primary healthcare providers with treatment and management of mental illness. We hypothesized that enhanced skills in program participants would lead to increased comfort on the part of practitioners, diminished social distance and stigmatization; improved clinical outcomes and a reduction in healthcare costs.
This evaluation has three co-primary objectives:
To determine whether the Mental Health Practice Support Program (PSP) leads to lower levels of stigma among physicians participating in the program.
To determine whether participation in the Mental Health PSP leads to lower levels of stigma among medical office assistants (MOAs)
To determine whether participation of physicians in the Mental Health PSP leads to greater improvement in depressive symptom ratings among patients they are treating for depression, compared to treatment as usual.
Two secondary objectives:
To determine whether participation in the PSP leads to improved occupational functioning compared to treatment as usual.
To assess the impact of participation in the Mental Health PSP on healthcare costs.
Four exploratory objectives:
To assess physicians' confidence and comfort in the management of depression treatment
To determine whether physician participation int he Mental Health PSP is associated with a reduced frequency of antidepressant prescribing.
To determine whether the patients of physicians participating in the Mental Health PSP report higher levels of satisfaction with the treatment that they receive.
To determine whether patients participation in the Mental Health PSP is associated with improved quality of life.
Methods: Seventy seven practices with one hundred and eleven community-based family physicians were recruited. Each practice was assigned a practice number. Each physician within the practice was assigned a unique identifier number. Individual practitioner or practice teams were randomly assigned to intervention or control groups. Randomization was stratified on the total number of physicians per practice, as well as urban or rural setting to ensure equal distribution of practice clusters and urban and rural groups. STATA, version 12 [College Station, TX, 2012] to generate the sequence for practice [cluster] randomization. Random numbers were generated from a binomial distribution with a probability of success of 0.5. Intervention group participants attended 3 half-day workshops with a "6- week action period" between workshops to practice learnings. Practice support was provided through diagnostic assessment tools, evidence based self-management tools, and on-site practice support coordinator support. A stigma-assessment tool, the Opening Minds Scale for Healthcare Providers (OMS-HC), was administered to both groups at intervention group pre-training, and post-training. Providers comfort and confidence in diagnosing and managing mental illness was also assessed, at comparable times.
Upon completion of the intervention group training, physicians from both groups were asked to identify 3 consecutive evaluable patients. Patients were enrolled and allocated to intervention or control groups as per their associated physician.
Conditions Module
Conditions
Major Depressive Disorder
Keywords
Mental Health
Education and Practice Support Program
Depression
Primary Care
Skill-based training
Patient centered outcomes
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Not Applicable
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
285Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Mental Health PSP: Physicians
Experimental
Physicians training in Adult Mental Health Practice Support Program
Other: Mental Health Practice Support Program
Treatment as Usual: Physicians
Active Comparator
Those administering treatment as usual for depression
Other: Treatment as Usual
Mental Health PSP: Patients
Experimental
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
Other: Mental Health Practice Support Program
Treatment as Usual: Patients
Active Comparator
Those receiving treatment as usual for depression
Other: Treatment as Usual
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Mental Health Practice Support Program
Other
training and (2) practice support.
Three half day workshop sessions over a 24 week period.
Practice support:
3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Depression Severity (Change in Patient Health Questionnaire-9 (PHQ-9) Score From Baseline
The Patient Health Questionnaire-9 (PHQ-9) covers nine symptom-based Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for major depressive disorder. Scores range from 0-27, with higher scores indicating more severe depression severity. We compared between-group mean differences of PHQ-9 scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal PHQ-9 ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
Baseline, 1, 2, 3, and 6 months
Between Group Changes in Total Score on the Opening Minds Scale for Health Care Providers (OMS-HC)
The Opening Minds Scale for Health Care Providers (OMS-HC) is a 15 item validated scale that also captures three main dimensions of stigma; negative attitudes, health professionals' own willingness to disclose/seek help for a mental illness, and preference for greater social distance. Items are rated on a 5-point scale: from strongly agree to strongly disagree. Total scores can range from 15 to 75 for the overall total score, 6 to 30, 4-29, 5-25 for sub-scales respectively. Total scores are averaged to result in mean scores range from 1 to 5 with lower scores indicating less stigma. This scale has been widely validated and used in evaluations of anti-stigma interventions in Canada. The analysis was conducted using a multi-level mixed model in which physicians were clustered within practices and stigma ratings were clustered within physicians (one or two observations per physician). The effect of the intervention was measured in this analysis as an intervention by time interaction.
Baseline and at 6 months
Secondary Outcomes
Measure
Description
Time Frame
Between Group Changes in Occupational Functioning From Baseline to 6 Months
Lam's Employment Absence and Productivity Scale (LEAPS) is a 7 item scale that assesses workplace impact of major depression. Each item is rated on a 5-point Likert scale with the following response format: none of the time (0%), some of the time (25%), half the time (50%), most of the time (75%), or all the time (100%), scored as 0-4, respectively. Total scores can range from 0-28 with lower scores indicating less disruption.We compared between-group mean differences of LEAPs scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal LEAPs ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
Other Outcomes
Measure
Description
Time Frame
Between Group Change at 6 Months From Baseline in Physician Confidence and Comfort in Managing Mental Illness
A modified version of a British Columbia (BC) developed survey, "Practice Support Program Pre-Post Learning Module Questionnaire" was used. Physician confidence was measured on a three point scale ranging from 'very confident' to 'not at all confident.' Mean scores were averaged and can range from one to three, with lower scores indicating higher confidence. Physicians were asked to their level of confidence to:
diagnose depression
screen for addictions
screen for other mental health conditions
treat depression
treat other mental health disorders
prescribe medications for mental health conditions
assess patients' problems and strengths
overall confidence in quality of mental health care provided
knowledge/awareness of non-pharmaceutical interventions
knowledge/awareness of regional mental health resources for patients
Cronbach's alpha .84 at pre-test and .87 at post-test
Lauria-Horner B, Beaulieu T, Knaak S, Weinerman R, Campbell H, Patten S. Controlled trial of the impact of a BC adult mental health practice support program (AMHPSP) on primary health care professionals' management of depression. BMC Fam Pract. 2018 Nov 28;19(1):183. doi: 10.1186/s12875-018-0862-y.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
Plan to Share IPD
Yes
Description
Results will be distributed through publications in academic journals and presented at upcoming conferences, study sponsors and contributors: i.e. the Mental Health Commission of Canada, the Nova Scotia Department of Health and Wellness, Dalhousie University, the University of Calgary, Doctors of Nova Scotia, study participants, etc.
Study Protocol, SAP, and Informed Consent will be shared. However when SAP is checked below in IPD sharing field, it will not allow to be saved (check-mark in SAP does not remain when save button is clicked).
De-identified patient data will not be shared as we made a commitment to physicians that only the PI would have access to this information, even though de-identified, some were concerned that patients could still be identified.
Types
Study Protocol
Informed Consent Form (ICF)
Time Frame
Available as of August 21/2017 till December 31/2017
285 participants were enrolled in the study: Physicians (n=111);Patients (n=129); Medical office Staff (MOAs) (n=45)
MOA Group: MOAs excluded from outcome analysis due to inconsistent particpation and small sample size
Recruitment Details
Seventy seven practices with one hundred and eleven community-based family physicians were recruited between September 2013 and January 2014.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Mental Health Practice Support Program;Physician Sample
Physician training in Adult Mental Health Practice Support Program
Mental Health Practice Support Program: (1) training and (2) practice support.
•Three half day workshop sessions over a 24 week period.
•Practice support: 3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
FG001
Depression Treatment as Usual;Physician Sample
Treatment as Usual for Depression
Depression Treatment as Usual: Physicians manage patients with depression as usual
FG002
Mental Health Practice Support Program;Patient Sample
Patients were assigned to the same arm as their physician who were randomized to the Practice Support Program training. Patients were enrolled between June 2014-May 2015 with the last follow-up visit in November 2015
FG003
Treatment as Usual: Patient Sample
Patients were assigned to the same arm as their physician, who were randomized to treating their patients as usual. Patients were enrolled between June 2014-May 2015 with the last follow-up visit in November 2015
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
FG00056 subjects
FG00155 subjects
FG00272 subjects
FG00357 subjects
COMPLETED
FG00039 subjects
FG00134 subjects
FG00265 subjects
FG00351 subjects
NOT COMPLETED
FG00017 subjects
FG00121 subjects
FG0027 subjects
FG0036 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG00017 subjects
FG00121 subjects
FG0027 subjects
FG003
Baseline Characteristics Module
Baseline Analysis Population Description
It should be noted that baseline measures for the physician group are based on pre and post training completers (n=73). Patient data is based on those who completed at least one data time point (n=116).
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Practice Support Program: Physician Sample
Physician training in Adult Mental Health Practice Support Program
Mental Health Practice Support Program: (1) training and (2) practice support.
•Three half day workshop sessions over a 24 week period.
•Practice support: 3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
Denominators
Units
Counts
Participants
BG000
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Customized
Measures for the physician group are based on pre and post training completers (n=73).
Outcome Measures Module
Outcome Measures
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Depression Severity (Change in Patient Health Questionnaire-9 (PHQ-9) Score From Baseline
The Patient Health Questionnaire-9 (PHQ-9) covers nine symptom-based Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for major depressive disorder. Scores range from 0-27, with higher scores indicating more severe depression severity. We compared between-group mean differences of PHQ-9 scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal PHQ-9 ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
All participants with at least one follow-up data (n=116) were included in the analysis
Posted
Mean
Standard Deviation
units on a scale
Baseline, 1, 2, 3, and 6 months
ID
Title
Description
Adverse Events Module
Frequency Threshold
0
Time Frame
Not provided
Description
Serious and other adverse events were not monitored/assessed. The clinical skills and knowledge addressed in the training are standard approaches, involving cognitive and behavioral strategies. There are no risks associated with the implementation of these strategies.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
Serious Adverse Events
Not provided
Other Adverse Events
Not provided
More Info Module
Limitations and Caveats
Challenges in physician sample: 75% completed pre-post OMS-HC scale Physicians experienced challenges identifying study patients leading to small number of patients.
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Point of Contact
Title
Organization
Phone
Extension
Email
Dr. Bianca Lauria-Horner
Dalhousie University, Department of Psychiatry
902-473-5633
bianca.horner@dal.ca
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
ID
Term
D003865
Depressive Disorder, Major
D000092862
Psychological Well-Being
D003863
Depression
Ancestor Terms
ID
Term
D003866
Depressive Disorder
D019964
Mood Disorders
D001523
Mental Disorders
D010549
Personal Satisfaction
Browse Leaves
Not provided
Browse Branches
Not provided
Intervention Browse Module
MeSH Terms
ID
Term
D013812
Therapeutics
Ancestor Terms
Not provided
Browse Leaves
Not provided
Browse Branches
Not provided
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Health Services Research
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Not provided
Who Masked
ParticipantOutcomes Assessor
Mental Health PSP: Patients
Mental Health PSP: Physicians
Treatment as Usual
Other
Physicians manage patients with depression as usual
Treatment as Usual: Patients
Treatment as Usual: Physicians
Baseline, 1, 2, 3, and 6 months
Baseline and 6 months
Between Group Change in Physician Confidence and Comfort With Non-program Specific Tools and Skills
A modified version of a British Columbia (BC) developed survey "Practice Support Program Pre-Post Learning Module Questionnaire" was used. Physicians were also asked to rate their level of familiarity, confidence and comfort with a variety of non-program specific mental health tools and skills for assisting patients with mental health concerns (e.g., PHQ9 & PHQ2, AUDIT, SMME, MOCA, GAF, GAD-7). Physician confidence was measured on a three point scale ranging from 'very confident' to 'not at all confident. Mean scores were averaged and can range from one to three, with lower mean scores indicating higher levels of comfort, confidence and familiarity. Cronbach's alpha for physicia was .90 at pre-test and .91 at post-test,
3
Baseline and 6 months
Between Group Change in Physician Confidence and Comfort With Program Specific Tools and Skills
A modified version of a British Columbia (BC) developed survey, Practice Support Program Pre-Post Learning Module Questionnaire was used. Physicians were also asked to rate their level of familiarity, confidence and comfort with a variety of non-program specific mental health tools and skills for assisting patients with mental health concerns (e.g., CBIS manual, electronic hyperlinked mental health algorithm, Bounce Back program DVD, referrals for Bounce Back telephone coaching, ASW and coaching skills, Diagnostic Assessment Interview, Problem List Action Plan, CBIS resource list, CBIS skills handout, Family Physician Guide, and medication algorithm). Physician confidence was measured on a three point scale ranging from 'very confident' to 'not at all confident. Mean scores were averaged and can range from one to three, with lower mean scores indicating higher levels of comfort, confidence and familiarity. Cronbach's alpha was .98 at pre-test and .98 at post-test
Baseline and 6 months
Between Goup Change in Client Satisfaction Inventory (CSI) From Baseline to 6 Months
The CSI is a 25-item scale to measure the degree or magnitude of client satisfaction with care received. Responses range from 1 to 7. Total raw scores range from 0 to 175, with higher scores representing higher levels of satisfaction. Total scores were averaged reducing the overall score to a 7-point scale. We compared between-group mean differences of CSI scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal CSI ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
Baseline, 1, 2,3, and 6 months
Between Groups Changes in Quality of Life From Baseline to 6 Months.
The Medical Outcomes Short Form (SF-36) assesses quality of life. All questions are scored on a scale from 0 to 100, with 100 representing the highest level of functioning possible. Aggregate scores are compiled as a percentage of the total points possible, using the RAND scoring table.We ompared between-group mean differences of SF-36 scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal SF-36 ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
Baseline, 1, 2, 3 and 6 months
Number of Patients That Were Prescribed Antidepressant (AD) at 6 Months
We compared between group use of antidepressant in both groups using the Client Service Receipt Inventory questionnaire at 6 months.
6 months
Between Group Change in Sheehan Disability Scale (SDS)
The SDS is a visual analog scale which asks respondents to rate from 0-10 the extent to which symptoms have disputed: a: work/school work; b) social life/leisure activities; c) family life/home responsibilities. Total scores can range from 0-30, with lower scores indicating less disruption. We ompared between-group mean differences of SDS scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal SDS ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
Baseline, 1, 2, 3, and 6 months
6 subjects
BG001
Treatment as Usual: Physician Sample
Treatment as Usual for Depression
Depression Treatment as Usual: Physicians manage patients with depression as usual
BG002
Practice Support Program: Patient Sample
Patients of physicians trained in the Adult Mental Health Practice Support Program.
Inclusion criteria included >18 years of age, with a diagnosis of depression, PHQ-9 score of > 10, able to read and speak in English at grade 6 level, and intact cognitive functioning (physician judgment). Exclusion criteria included active treatment with antidepressants within 5 weeks and psychotherapy within 3 months of enrollment, and clinically judged urgent or emergent medical/psychiatric condition by their physician.
BG003
Treatment as Usual: Patient Sample
Patients of physician who were randomized in the control group (TAU).
Inclusion criteria included >18 years of age, with a diagnosis of depression, PHQ-9 score of > 10, able to read and speak in English at grade 6 level, and intact cognitive functioning (physician judgment). Exclusion criteria included active treatment with antidepressants within 5 weeks and psychotherapy within 3 months of enrollment, and clinically judged urgent or emergent medical/psychiatric condition by their physician.
BG004
Total
Total of all reporting groups
39
BG00134
BG00265
BG00351
BG004189
Number
participants
Title
Denominators
Categories
Physician 20-29years
Title
Measurements
BG0000
BG0012
BG002NAThis section applies only to physician population
BG003NAThis section applies only to physician population
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Physician 30-39years
Title
Measurements
BG0008
BG0015
BG002NAThis section applies only to physician population
BG003
Physician 40-49years
Title
Measurements
BG00010
BG00114
BG002NAThis section applies only to physician population
BG003
Physician 50-59years
Title
Measurements
BG00016
BG00110
BG002NAThis section applies only to physician population
BG003
Physician 60-69years
Title
Measurements
BG0005
BG0013
BG002NAThis section applies only to physician population
BG003
Age, Customized
Patient data is based on those who completed at least one data time point (n=116).
Count of Participants
Participants
Title
Denominators
Categories
Patients 18-29 years
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00211
BG00312
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Patients 30-39 years
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00213
BG003
Patients 40-49 years
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00214
BG003
Patients 50-59 years
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0029
BG003
Patients 60-69 years
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0029
BG003
Patients >70 years
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0025
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00021
BG00121
BG00245
BG00340
BG004127
Male
BG00018
BG00113
BG00220
BG00311
BG004
Region of Enrollment
Number
participants
Title
Denominators
Categories
Canada
Title
Measurements
BG00039
BG00134
BG00265
BG00351
BG004189
Years in practice
Measures for the physician group are based on pre and post training completers (n=73).
Number
participants
Title
Denominators
Categories
Less than 1 year
Title
Measurements
BG0000
BG0012
BG002NAThis section applies only to physician group
BG003NAThis section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
1-4years
Title
Measurements
BG0007
BG0012
BG002NAThis section applies only to physician group
BG003
5-9years
Title
Measurements
BG0003
BG0013
BG002NAThis section applies only to physician group
BG003
10-14years
Title
Measurements
BG0003
BG0015
BG002NAThis section applies only to physician group
BG003
15-19years
Title
Measurements
BG0001
BG0016
BG002NAThis section applies only to physician group
BG003
20-24years
Title
Measurements
BG0009
BG0013
BG002NAThis section applies only to physician group
BG003
25-29years
Title
Measurements
BG0009
BG0017
BG002NAThis section applies only to physician group
BG003
30 years or more
Title
Measurements
BG0005
BG0016
BG002NAThis section applies only to physician group
BG003
Pattern of work
Measures for the physician group are based on pre and post training completers (n=73).
Number
participants
Title
Denominators
Categories
Full time
Title
Measurements
BG00034
BG00129
BG002NAThis section applies only to physician group
BG003NAThis section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Part time
Title
Measurements
BG0005
BG0015
BG002NAThis section applies only to physician group
BG003
Practice type
Measures for the physician group are based on pre and post training completers (n=73)
Number
participants
Title
Denominators
Categories
Solo practice
Title
Measurements
BG0009
BG0015
BG002NAThis section applies only to physician group
BG003NAThis section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
2-physician practice
Title
Measurements
BG0008
BG0015
BG002NAThis section applies only to physician group
BG003
Small gp practice (<5)
Title
Measurements
BG00016
BG0018
BG002NAThis section applies only to physician group
BG003
Large gp practice (5+)
Title
Measurements
BG0005
BG00116
BG002NAThis section applies only to physician group
BG003
Unique patients/yr
Measures for the physician group are based on pre and post training completers (n=73)
Number
participants
Title
Denominators
Categories
Fewer than 1,000
Title
Measurements
BG0006
BG0017
BG002NAThis section applies only to physician group
BG003NAThis section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
1,000-1,999
Title
Measurements
BG00012
BG00112
BG002NAThis section applies only to physician group
BG003
2,000-2,999
Title
Measurements
BG0002
BG0017
BG002NAThis section applies only to physician group
BG003
3,000 or more
Title
Measurements
BG00011
BG0016
BG002NAThis section applies only to physician group
BG003
Other (hospitalist, locum, etc)
Title
Measurements
BG0002
BG0010
BG002NAThis section applies only to physician group
BG003
Marital Status
Patient data is based on those who completed at least one data time point (n=116).
Count of Participants
Participants
Title
Denominators
Categories
Patients: Married/common-law
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00233
BG00332
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Patients: Separated/divorced
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00211
BG003
Patients: Never married
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00217
BG003
Patients: Widowed
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0020
BG003
Employment status
Patient data is based on those who completed at least one data time point (n=116).
Count of Participants
Participants
Title
Denominators
Categories
Patients: Employed full time
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00227
BG00326
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Patients:Employed part time
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0028
BG003
Patients:Unemployed but available to work
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0025
BG003
Patients:Unemployed due to illness
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0026
BG003
Patients:Retired/student/at-home/other
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0025
BG003
Education
Patient data is based on those who completed at least one data time point (n=116).
Count of Participants
Participants
Title
Denominators
Categories
Some elementary or high school
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0028
BG0032
BG004NATotal not calculated because data are not available (NA) in one or more arms.
High school diploma
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00214
BG003
Some post-secondary
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0025
BG003
Post-secondary certificate/diploma
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00214
BG003
Post-secondary degree
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00215
BG003
Master's degree or higher
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0025
BG003
Mother tongue
Patient data is based on those who completed at least one data time point (n=116).
Count of Participants
Participants
Title
Denominators
Categories
Patient: English
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00256
BG00348
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Patient: French
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0023
BG003
Patient: Other
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0022
BG003
Who do you usually live with?
Patient data is based on those who completed at least one data time point (n=116).
Count of Participants
Participants
Title
Denominators
Categories
Patient: Husband/wife/steady partner
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00218
BG00317
BG004NATotal not calculated because data are not available (NA) in one or more arms.
Patient:Spouse partner and children
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00215
BG003
Patient:Children (but no spouse/partner)
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0024
BG003
Patient:Parents
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0024
BG003
Patient:Alone
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG00213
BG003
Patient:Other
Title
Measurements
BG000NAThis section applies only to patient population
BG001NAThis section applies only to patient population
BG0026
BG003
OG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
OG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
Units
Counts
Participants
OG00065
OG00151
Title
Denominators
Categories
baseline
Title
Measurements
OG00016.43± 4.77
OG00117.28± 4.12
1 month
Title
Measurements
OG00011.25± 5.82
OG00110.39± 6.49
2 months
Title
Measurements
OG0009.72± 6.28
OG0018.46± 6.47
3 months
Title
Measurements
OG0008.44± 6.15
OG0017.55± 6.13
6 month
Title
Measurements
OG0006.78± 5.41
OG0018.42± 6.57
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
One hundred evaluable patients per arm were needed to achieve 80% power to detect a PHQ-9 between-group difference in mean change of 2 points, significance level (α) .05, a two-sided test, and a standard deviation of 5 points. An intra cluster correlation of 0.05 for patient outcomes was used (Murphey et al), and an average cluster size: 3 patients/practice resulted in compensatory increase to 110 patients per arm. Under the assumption that attrition would be 33 % we needed 166 patients per arm.
Mixed Models Analysis
.047
Adjusted for baseline depressive symptoms and unemployment as covariates (p=.016), and non-completers (missing one or more points of follow up data).
Other
Primary
Between Group Changes in Total Score on the Opening Minds Scale for Health Care Providers (OMS-HC)
The Opening Minds Scale for Health Care Providers (OMS-HC) is a 15 item validated scale that also captures three main dimensions of stigma; negative attitudes, health professionals' own willingness to disclose/seek help for a mental illness, and preference for greater social distance. Items are rated on a 5-point scale: from strongly agree to strongly disagree. Total scores can range from 15 to 75 for the overall total score, 6 to 30, 4-29, 5-25 for sub-scales respectively. Total scores are averaged to result in mean scores range from 1 to 5 with lower scores indicating less stigma. This scale has been widely validated and used in evaluations of anti-stigma interventions in Canada. The analysis was conducted using a multi-level mixed model in which physicians were clustered within practices and stigma ratings were clustered within physicians (one or two observations per physician). The effect of the intervention was measured in this analysis as an intervention by time interaction.
Posted
Mean
Standard Deviation
units on a scale
Baseline and at 6 months
ID
Title
Description
OG000
Mental Health PSP: Physicians
Physician training in Adult Mental Health Practice Support Program
Mental Health Practice Support Program: (1) training and (2) practice support.
•Three half day workshop sessions over a 24 week period.
•Practice support: 3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
OG001
Treatment as Usual: Physicians
Depression Treatment as Usual: Physicians manage patients with depression as usual
Units
Counts
Participants
OG00039
OG00134
Title
Denominators
Categories
OMS-HC Total Score Baseline
Title
Measurements
OG0002.21± .40
OG0012.11± .35
OMS-HC Total Score 6 months
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Our calculations indicated that 50 physicians in each of the two groups will provide >80% power to detect clinically significant reductions in stigma as assessed by OMS-HC change scores. Clinically meaningful was defined as a change of 3 points, derived on the basis of this being slightly better than what is usually seen in brief interventions.
Mixed Models Analysis
0.15
Other
Secondary
Between Group Changes in Occupational Functioning From Baseline to 6 Months
Lam's Employment Absence and Productivity Scale (LEAPS) is a 7 item scale that assesses workplace impact of major depression. Each item is rated on a 5-point Likert scale with the following response format: none of the time (0%), some of the time (25%), half the time (50%), most of the time (75%), or all the time (100%), scored as 0-4, respectively. Total scores can range from 0-28 with lower scores indicating less disruption.We compared between-group mean differences of LEAPs scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal LEAPs ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
All participants with at least one follow-up data (n=116) were included in the analysis
Posted
Mean
Standard Deviation
units on a scale
Baseline, 1, 2, 3, and 6 months
ID
Title
Description
OG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
OG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
Units
Counts
Participants
OG00065
OG00151
Title
Denominators
Categories
Baseline
Title
Measurements
OG00011.26± 5.80
OG00112.76± 6.52
1 month
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
.993
Other
Other Pre-specified
Between Group Change at 6 Months From Baseline in Physician Confidence and Comfort in Managing Mental Illness
A modified version of a British Columbia (BC) developed survey, "Practice Support Program Pre-Post Learning Module Questionnaire" was used. Physician confidence was measured on a three point scale ranging from 'very confident' to 'not at all confident.' Mean scores were averaged and can range from one to three, with lower scores indicating higher confidence. Physicians were asked to their level of confidence to:
diagnose depression
screen for addictions
screen for other mental health conditions
treat depression
treat other mental health disorders
prescribe medications for mental health conditions
assess patients' problems and strengths
overall confidence in quality of mental health care provided
knowledge/awareness of non-pharmaceutical interventions
knowledge/awareness of regional mental health resources for patients
Cronbach's alpha .84 at pre-test and .87 at post-test
Posted
Mean
Standard Deviation
units on a scale
Baseline and 6 months
ID
Title
Description
OG000
Practice Support Program: Physician Sample
Physician training in Adult Mental Health Practice Support Program
Mental Health Practice Support Program: (1) training and (2) practice support.
•Three half day workshop sessions over a 24 week period.
•Practice support: 3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
OG001
Treatment as Usual: Physician Sample
Treatment as Usual for Depression
Depression Treatment as Usual: Physicians manage patients with depression as usual
Units
Counts
Participants
OG00039
OG00134
Title
Denominators
Categories
Baseline Management of mental illness
Title
Measurements
OG0002.18± .39
OG0012.03± .37
6 monthsManagement of mental illness
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
<.001
Cohen'd
1.48
2-Sided
Other
OG000
OG001
Correlation between increases in Physician Comfort and Confidence in managing mental illness and Stigma Score.
Generalized estimating equations (GEE)
Other Pre-specified
Between Group Change in Physician Confidence and Comfort With Non-program Specific Tools and Skills
A modified version of a British Columbia (BC) developed survey "Practice Support Program Pre-Post Learning Module Questionnaire" was used. Physicians were also asked to rate their level of familiarity, confidence and comfort with a variety of non-program specific mental health tools and skills for assisting patients with mental health concerns (e.g., PHQ9 & PHQ2, AUDIT, SMME, MOCA, GAF, GAD-7). Physician confidence was measured on a three point scale ranging from 'very confident' to 'not at all confident. Mean scores were averaged and can range from one to three, with lower mean scores indicating higher levels of comfort, confidence and familiarity. Cronbach's alpha for physicia was .90 at pre-test and .91 at post-test,
3
Posted
Mean
Standard Deviation
units on a scale
Baseline and 6 months
ID
Title
Description
OG000
Mental Health PSP: Physicians
Physician training in Adult Mental Health Practice Support Program
Mental Health Practice Support Program: (1) training and (2) practice support.
•Three half day workshop sessions over a 24 week period.
•Practice support: 3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
OG001
Treatment as Usual: Physicians
Depression Treatment as Usual: Physicians manage patients with depression as usual
Units
Counts
Participants
OG00039
OG00134
Title
Denominators
Categories
Baseline non-program specific mental health tools
Title
Measurements
OG0002.34± .4
OG0012.27± .5
6 months non-program specific mental health tools
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
<.001
Cohen'd
1.44
2-Sided
Other
OG000
OG001
Correlation between increases in Physician Comfort and Confidence with non-program specific tools and Stigma Score.
Generalized estimating equations (GEE)
Other Pre-specified
Between Group Change in Physician Confidence and Comfort With Program Specific Tools and Skills
A modified version of a British Columbia (BC) developed survey, Practice Support Program Pre-Post Learning Module Questionnaire was used. Physicians were also asked to rate their level of familiarity, confidence and comfort with a variety of non-program specific mental health tools and skills for assisting patients with mental health concerns (e.g., CBIS manual, electronic hyperlinked mental health algorithm, Bounce Back program DVD, referrals for Bounce Back telephone coaching, ASW and coaching skills, Diagnostic Assessment Interview, Problem List Action Plan, CBIS resource list, CBIS skills handout, Family Physician Guide, and medication algorithm). Physician confidence was measured on a three point scale ranging from 'very confident' to 'not at all confident. Mean scores were averaged and can range from one to three, with lower mean scores indicating higher levels of comfort, confidence and familiarity. Cronbach's alpha was .98 at pre-test and .98 at post-test
Posted
Mean
Standard Deviation
units on a scale
Baseline and 6 months
ID
Title
Description
OG000
Mental Health PSP: Physicians
Physician training in Adult Mental Health Practice Support Program
Mental Health Practice Support Program: (1) training and (2) practice support.
•Three half day workshop sessions over a 24 week period.
•Practice support: 3 evidence based Supported Self Management tools (Cognitive Behavioral Interpersonal Skills Manual,Bounceback program, Antidepressant Skills Workbook), and Practice support coordinator provides guidance to incorporate newly acquired tools, skills, and processes
OG001
Treatment as Usual: Physicians
Depression Treatment as Usual: Physicians manage patients with depression as usual
Units
Counts
Participants
OG00039
OG00134
Title
Denominators
Categories
Baseline program specific mental health tools
Title
Measurements
OG0002.82± .31
OG0012.80± .20
6 months program specific mental health tools
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
<.001
Cohen'd
3.25
2-Sided
Superiority
OG000
OG001
Correlation between increases in Physician Comfort and Confidence with program specific tools and Stigma Score.
Generalized estimating equations (GEE)
Other Pre-specified
Between Goup Change in Client Satisfaction Inventory (CSI) From Baseline to 6 Months
The CSI is a 25-item scale to measure the degree or magnitude of client satisfaction with care received. Responses range from 1 to 7. Total raw scores range from 0 to 175, with higher scores representing higher levels of satisfaction. Total scores were averaged reducing the overall score to a 7-point scale. We compared between-group mean differences of CSI scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal CSI ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
All participants with at least one follow-up data (n=116) were included in the analysis
Posted
Mean
Standard Deviation
units on a scale
Baseline, 1, 2,3, and 6 months
ID
Title
Description
OG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
OG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
Units
Counts
Participants
OG00065
OG00151
Title
Denominators
Categories
Baseline
Title
Measurements
OG0006.3± .51
OG0016.1± .87
I month
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
.742
Other
Other Pre-specified
Between Groups Changes in Quality of Life From Baseline to 6 Months.
The Medical Outcomes Short Form (SF-36) assesses quality of life. All questions are scored on a scale from 0 to 100, with 100 representing the highest level of functioning possible. Aggregate scores are compiled as a percentage of the total points possible, using the RAND scoring table.We ompared between-group mean differences of SF-36 scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal SF-36 ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
All participants with at least one follow-up data (n=116) were included in the analysis
Posted
Mean
Standard Deviation
units on a scale
Baseline, 1, 2, 3 and 6 months
ID
Title
Description
OG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
OG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
Units
Counts
Participants
OG00065
OG00151
Title
Denominators
Categories
Baseline
Title
Measurements
OG00054.03± 14.07
OG00154.10± 12.92
1 month
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
.543
Other
Other Pre-specified
Number of Patients That Were Prescribed Antidepressant (AD) at 6 Months
We compared between group use of antidepressant in both groups using the Client Service Receipt Inventory questionnaire at 6 months.
All participants with at least one follow-up data (n=116) were included in the analysis
Posted
Count of Participants
Participants
6 months
ID
Title
Description
OG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
OG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
Units
Counts
Participants
OG00065
OG00151
Title
Denominators
Categories
Title
Measurements
OG00031
OG00135
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
.009
Other
Other Pre-specified
Between Group Change in Sheehan Disability Scale (SDS)
The SDS is a visual analog scale which asks respondents to rate from 0-10 the extent to which symptoms have disputed: a: work/school work; b) social life/leisure activities; c) family life/home responsibilities. Total scores can range from 0-30, with lower scores indicating less disruption. We ompared between-group mean differences of SDS scores during follow-up, assessed as a group-by-time interaction. We used a multi-level mixed model analysis: physicians clustered within practices, patients clustered within their corresponding physicians, and longitudinal SDS ratings clustered within patients. The four follow-up time points were represented by indicator variables. The effect of the intervention was measured as an intervention by time interaction, and the time-by-group interaction was assessed using a likelihood ratio test.
All participants with at least one follow-up data (n=116) were included in the analysis
Posted
Mean
Standard Deviation
units on a scale
Baseline, 1, 2, 3, and 6 months
ID
Title
Description
OG000
Mental Health PSP: Patients
Those belonging to a physician who has completed the Adult Mental Health Practice Support Program training.
OG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
Units
Counts
Participants
OG00065
OG00151
Title
Denominators
Categories
Baseline
Title
Measurements
OG00018.87± 7.06
OG00119.83± 6.20
1 month
Title
Measurements
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
.213
Other
0
0
0
0
EG001
Treatment as Usual: Patients
Those receiving treatment as usual for depression.
0
0
0
0
Restriction Type
Not provided
Results Disclosure Restriction on PI(s)?
No
Other Details
Not provided
D001519
Behavior
D001526
Behavioral Symptoms
NA
This section applies only to physician population
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician population
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician population
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician population
BG004NATotal not calculated because data are not available (NA) in one or more arms.
18
BG004NATotal not calculated because data are not available (NA) in one or more arms.
8
BG004NATotal not calculated because data are not available (NA) in one or more arms.
7
BG004NATotal not calculated because data are not available (NA) in one or more arms.
3
BG004NATotal not calculated because data are not available (NA) in one or more arms.
1
BG004NATotal not calculated because data are not available (NA) in one or more arms.
62
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms.
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
NA
This section applies only to physician group
BG004NATotal not calculated because data are not available (NA) in one or more arms
5
BG004NATotal not calculated because data are not available (NA) in one or more arms.
10
BG004NATotal not calculated because data are not available (NA) in one or more arms.
2
BG004NATotal not calculated because data are not available (NA) in one or more arms.
13
BG004NATotal not calculated because data are not available (NA) in one or more arms.
2
BG004NATotal not calculated because data are not available (NA) in one or more arms.
3
BG004NATotal not calculated because data are not available (NA) in one or more arms.
15
BG004NATotal not calculated because data are not available (NA) in one or more arms.
6
BG004NATotal not calculated because data are not available (NA) in one or more arms.
10
BG004NATotal not calculated because data are not available (NA) in one or more arms.
17
BG004NATotal not calculated because data are not available (NA) in one or more arms.
13
BG004NATotal not calculated because data are not available (NA) in one or more arms.
1
BG004NATotal not calculated because data are not available (NA) in one or more arms.
0
BG004NATotal not calculated because data are not available (NA) in one or more arms.
1
BG004NATotal not calculated because data are not available (NA) in one or more arms.
19
BG004NATotal not calculated because data are not available (NA) in one or more arms.
2
BG004NATotal not calculated because data are not available (NA) in one or more arms.
4
BG004NATotal not calculated because data are not available (NA) in one or more arms.
6
BG004NATotal not calculated because data are not available (NA) in one or more arms.
1
BG004NATotal not calculated because data are not available (NA) in one or more arms.
2.07
± .46
OG0012.07± .38
Attitudes subscale:Baseline
Title
Measurements
OG0002.13± .48
OG0012.02± .48
Attitudes subscale: 6 months
Title
Measurements
OG0001.97± .49
OG0011.9± .51
Disclosure/help-seeking: Baselinr
Title
Measurements
OG0002.65± .66
OG0012.65± .61
Disclosure/help-seeking: 6 months
Title
Measurements
OG0002.57± .75
OG0012.63± .52
Social distance: Baseline
Title
Measurements
OG0001.95± .46
OG0011.77± .39
Social distance : 6 months
Title
Measurements
OG0001.79± .55
OG0011.82± .48
OG000
OG001
Between Group Changes in subscale of the Opening Minds Scale for Health Care Providers (OMS-HC) measures three different dimensions of stigma: attitudes towards people with a mental illness (6 items); health care professionals' attitudes about disclosure of a mental illness/willingness to seek help for a mental illness (4 items), and preference for social distance (5 items). Items are rated on a 5-point scale. Mean scores can range from one to five with lower scores indicating less stigma.
Mixed Models Analysis
.03
OMS-HC analysis adjusted for practice size: P value applies to between group physicians reduction in one stigma domaine: preference for social distance
Cohen'd
.45
2-Sided
Other
7.67
± 5.36
OG0017.13± 5.96
2 months
Title
Measurements
OG0007.45± 6.21
OG0017.16± 6.88
3 months
Title
Measurements
OG0005.54± 4.37
OG0015.96± 5.06
6 months
Title
Measurements
OG0006.04± 5.79
OG0016.03± 6.12
1.80
± .36
OG0012.12± .40
We used the slope of a regression line fit using generalized estimating equations (GEE) with an exchangeable correlation structure.
.03
Other
1.81
± .4
OG0012.32± .48
.476
We used the slope of a regression line fit using generalized estimating equations (GEE) with an exchangeable correlation structure.
Superiority
1.79
± .44
OG0012.64± .21
.945
We used the Spearman's correlation coefficient using the slope of a regression line fit using generalized estimating equations (GEE) with an exchangeable correlation structure.