Impact of telephone delivered case-management on the effectiveness of collaborative care for depression and anti-depressant use: A systematic review and meta-regression.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
07
03
2019
accepted:
21
05
2019
entrez:
15
6
2019
pubmed:
15
6
2019
medline:
11
2
2020
Statut:
epublish
Résumé
The health service delivery framework collaborative care is an effective intervention for depression. However, uncertainties remain about how to optimise its delivery at scale. Structured case management is a core component of collaborative care; its delivery via the telephone may improve access. To examine using meta-regression if telephone delivered case management diminishes the clinical effectiveness of collaborative care on depressive symptoms and anti-depressant use relative to face-to-face delivery methods. Randomised controlled trials were eligible if they included collaborative care interventions for adults with depression identified using self-report measures or diagnostic interviews and reported depression outcomes. Sociodemographics, intervention characteristics, depressive symptoms, and anti-depressant use were extracted. Random effects univariable and multivariable meta-regression analyses were used to examine the moderating effect of telephone delivered case-management on outcomes. Ninety-four trials were identified comprising of 103 comparisons across 24, 132 participants with depression outcomes and 67 comparisons from 15,367 participants with anti-depressant use outcomes. Telephone delivered case management did not diminish the effects of collaborative care on depressive symptoms (β = -0.01, 95% CI -0.12 to 0.10; p = 0.86). Telephone delivered case management decreased anti-depressant medication use (relative risk 0.76, 95% CI 0.63 to 0.92; p = 0.005); this effect remained when assessed simultaneously alongside other study-level moderators of collaborative care. Using remote platforms such as the telephone to deliver case management may be a feasible way to implement collaborative care with no loss of effectiveness on depressive symptoms. However, adherence to anti-depressant medication may decrease when telephone case management is used.
Sections du résumé
BACKGROUND
The health service delivery framework collaborative care is an effective intervention for depression. However, uncertainties remain about how to optimise its delivery at scale. Structured case management is a core component of collaborative care; its delivery via the telephone may improve access.
AIMS
To examine using meta-regression if telephone delivered case management diminishes the clinical effectiveness of collaborative care on depressive symptoms and anti-depressant use relative to face-to-face delivery methods.
METHODS
Randomised controlled trials were eligible if they included collaborative care interventions for adults with depression identified using self-report measures or diagnostic interviews and reported depression outcomes. Sociodemographics, intervention characteristics, depressive symptoms, and anti-depressant use were extracted. Random effects univariable and multivariable meta-regression analyses were used to examine the moderating effect of telephone delivered case-management on outcomes.
RESULTS
Ninety-four trials were identified comprising of 103 comparisons across 24, 132 participants with depression outcomes and 67 comparisons from 15,367 participants with anti-depressant use outcomes. Telephone delivered case management did not diminish the effects of collaborative care on depressive symptoms (β = -0.01, 95% CI -0.12 to 0.10; p = 0.86). Telephone delivered case management decreased anti-depressant medication use (relative risk 0.76, 95% CI 0.63 to 0.92; p = 0.005); this effect remained when assessed simultaneously alongside other study-level moderators of collaborative care.
CONCLUSION
Using remote platforms such as the telephone to deliver case management may be a feasible way to implement collaborative care with no loss of effectiveness on depressive symptoms. However, adherence to anti-depressant medication may decrease when telephone case management is used.
Identifiants
pubmed: 31199827
doi: 10.1371/journal.pone.0217948
pii: PONE-D-19-06417
pmc: PMC6568394
doi:
Substances chimiques
Antidepressive Agents
0
Types de publication
Comparative Study
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0217948Subventions
Organisme : Medical Research Council
ID : G0701013
Pays : United Kingdom
Organisme : Department of Health
ID : RCF_R10_PC
Pays : United Kingdom
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Psychol Med. 2015 Jan;45(1):11-27
pubmed: 24569086
Fam Syst Health. 2012 Sep;30(3):224-40
pubmed: 22709321
J Clin Epidemiol. 2004 Aug;57(8):785-94
pubmed: 15485730
BMC Health Serv Res. 2017 Jan 26;17(1):88
pubmed: 28126032
Gen Hosp Psychiatry. 2006 Jul-Aug;28(4):296-305
pubmed: 16814628
Stat Med. 2001 Mar 30;20(6):825-40
pubmed: 11252006
JAMA Psychiatry. 2016 Sep 1;73(9):978-89
pubmed: 27602561
Ment Health Fam Med. 2008 Jun;5(2):95-104
pubmed: 22477854
Cochrane Database Syst Rev. 2012 Oct 17;10:CD006525
pubmed: 23076925
Br J Psychiatry. 1996 Feb;168(2):164-8
pubmed: 8837905
Control Clin Trials. 1986 Sep;7(3):177-88
pubmed: 3802833
Stat Med. 2002 Jun 15;21(11):1539-58
pubmed: 12111919
Health Technol Assess. 2016 Feb;20(14):1-192
pubmed: 26910256
Health Technol Assess. 2015 Nov;19(93):1-115, v-vi
pubmed: 26560448
Soc Sci Med. 2010 Oct;71(7):1308-1315
pubmed: 20675026
BMC Psychiatry. 2008 Jul 22;8:60
pubmed: 18647396
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
BMJ. 2005 May 7;330(7499):1057-8
pubmed: 15760970
J Affect Disord. 2016 Jan 1;189:379-91
pubmed: 26476422
Patient Educ Couns. 2012 Jan;86(1):114-9
pubmed: 21474266
Biol Psychiatry. 2002 Sep 15;52(6):610-30
pubmed: 12361671
Arch Fam Med. 1995 Feb;4(2):99-105
pubmed: 7842160
BMC Health Serv Res. 2006 Jul 16;6:88
pubmed: 16842629
Stat Med. 2002 Jun 15;21(11):1559-73
pubmed: 12111920
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
Health Care Manage Rev. 2003 Apr-Jun;28(2):95-106
pubmed: 12744447
J Consult Clin Psychol. 2000 Jun;68(3):438-50
pubmed: 10883561
Telemed J E Health. 2009 Dec;15(10):933-48
pubmed: 19954346
Am J Psychiatry. 2013 Apr;170(4):414-25
pubmed: 23429924
Eur Psychiatry. 2006 Mar;21(2):87-92
pubmed: 16137864
Stat Med. 2017 May 20;36(11):1696-1714
pubmed: 28222485
Soc Sci Med. 2001 Jun;52(12):1889-901
pubmed: 11352414
BMC Med Res Methodol. 2005 Jul 23;5:23
pubmed: 16042789
PLoS One. 2014 Sep 29;9(9):e108114
pubmed: 25264616
J Gen Intern Med. 2002 Feb;17(2):103-11
pubmed: 11841525
Gen Hosp Psychiatry. 1999 Sep-Oct;21(5):340-7
pubmed: 10572775
Epidemiology. 2011 Jan;22(1):42-52
pubmed: 21052008
Br J Psychiatry. 2006 Dec;189:484-93
pubmed: 17139031
Stat Methods Med Res. 2018 Jun;27(6):1615-1633
pubmed: 27647810
J Consult Clin Psychol. 2014 Apr;82(2):349-54
pubmed: 24447003
JAMA. 2012 Oct 24;308(16):1676-84
pubmed: 23093165
J Affect Disord. 2017 May;214:26-43
pubmed: 28266319
J Clin Epidemiol. 2010 Aug;63(8):e1-37
pubmed: 20346624
Psychol Methods. 2018 Jun;23(2):191-207
pubmed: 29283590
J Clin Epidemiol. 1996 Dec;49(12):1373-9
pubmed: 8970487
JAMA. 2012 Jun 6;307(21):2278-85
pubmed: 22706833