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The aim of the study Collabri Flex is to:
The Collabri Flex model for Collaborative Care takes point of departure in the earlier study Collabri. It is changed according to gathered information under the first study of the Collabri model in order to achieve a Danish Collaborative Care model easier to implement.
The aims of Project Collabri Flex are to:
In Collabri the treatment is in line with a set of general treatment principles relevant for collaborative care interventions. The patients in the intervention group are offered cognitive behavioral therapy (CBT), psychoeducation and medication according to a stepped care model by a care manager refering to the general practitioner.
The Collabri Flex study is set up as a researcher-blinded individually randomized controlled trial with participation of an intervention group (treatment according to the Collabri Flex model) and a consultation liaison group.
This study will contribute with new knowledge on collaborative care interventions in a Scandinavian context.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Collabri Flex | Experimental | Collaborative care |
|
| Consultation-Liaison | Experimental | Consultations with general practitioner |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collaborative care | Behavioral | Collaborative care provided by the general practitioner and the care manager. Treatment modalities: Cognitive-behavior Therapy, psychoeducation and medication according to a stepped care model |
| Measure | Description | Time Frame |
|---|---|---|
| Self-reported degree of depression | Measured by Beck Depression Inventory (BDI-II) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Self-reported degree of anxiety | Measured by Beck anxiety Inventory (BAI) | 6 months |
| Self-reported psychological stress | Measured by Symptom Checklist (SCL-90-R) |
| Measure | Description | Time Frame |
|---|---|---|
| Sick leave | Obtained from the DREAM database | 6 months |
| Sick leave | Obtained from the DREAM database | 18 months |
Inclusion Criteria:
Exclusion Criteria:
For patients in the Collabri Flex group:
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| Name | Affiliation | Role |
|---|---|---|
| Lene F Eplov, MD, PhD | Research Unit, Mental Health Center Copenhagen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mental Health Centre Copenhagen | Copenhagen | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40510804 | Derived | Curth NK, Bjorkedal STB, Hjorthoj C, Brinck-Claussen U, Jorgensen KB, Rosendal S, Bojesen AB, Nordentoft M, Eplov LF. Collaborative Care Versus Consultation Liaison for Patients With Depression or Anxiety Disorders in General Practice in Denmark: 18-Month Follow-Up From the Collabri Flex Trials. Depress Anxiety. 2025 Jun 5;2025:2909617. doi: 10.1155/da/2909617. eCollection 2025. | |
| 37395101 |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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| Consultations-Liaison | Behavioral | Consultation-Liaison provided by general practitioner involving a educational relationship with the Collabri Flex team (care manager and psychiatrist). |
|
| 6 months |
| Self-reported functional impairment | Measured by Sheehan disability Scale (SDS) | 6 months |
| Self-reported quality of life/well-being | Measured by WHO-5 | 6 months |
| Self-reported self-efficacy | Measured by personal control (IPQ-R scale) and two subscales from the Chronic Disease Self-Efficacy Scales; Obtain help from Comunity, Family, Friends Scale and Control/manage Depression Scale | 6 months |
| Self-reported self-efficacy | Measured by personal control (IPQ-R scale) and two subscales from the Chronic Disease Self-Efficacy Scales; Obtain help from Comunity, Family, Friends Scale and Control/manage Depression Scale | 18 months |
| Self-reported health-related quality of life | Measured by EQ-5D | 6 months |
| Self-reported health-related quality of life | Measured by EQ-5D | 18 months |
| Self-reported experience of support in recovery | Experience of support in recovery (INSPIRE) | 6 months |
| Employment | Obtained from the DREAM database | 6 months |
| Employment | Obtained from the DREAM database | 18 months |
| Mental-health outpatient services | Obtained from LPR | 6 months |
| Mental-health outpatient services | Obtained from LPR | 18 months |
| Patient satisfaction | Self-reported experience of satisfaction with treatment (CSQ-8) | 6 months |
| Self-reported degree of depression | Measured by Beck Depression Inventory (BDI-II) | 18 months |
| Self-reported degree of anxiety | Measured by Beck anxiety Inventory (BAI) | 18 months |
| Self-reported psychological stress | Measured by Symptom Checklist (SCL-90-R) | 18 months |
| Self-reported functional impairment | Measured by Sheehan disability Scale (SDS) | 18 months |
| Self-reported quality of life/well-being | Measured by WHO-5 | 18 months |
| Derived |
| Curth NK, Hjorthoj C, Brinck-Claussen U, Jorgensen KB, Rosendal S, Bojesen AB, Nordentoft M, Eplov LF. The effects of collaborative care versus consultation liaison for anxiety disorders and depression in Denmark: two randomised controlled trials. Br J Psychiatry. 2023 Sep;223(3):430-437. doi: 10.1192/bjp.2023.77. |
| 31653228 | Derived | Curth NK, Brinck-Claussen U, Jorgensen KB, Rosendal S, Hjorthoj C, Nordentoft M, Eplov LF. Collaborative care vs consultation liaison for depression and anxiety disorders in general practice: study protocol for two randomized controlled trials (the Danish Collabri Flex trials). Trials. 2019 Oct 25;20(1):607. doi: 10.1186/s13063-019-3657-0. |