Collaborative Care for Patients with Depression and Chronic Illnesses

Collaborative care for patients with depression and chronic illnesses.

BACKGROUND Patients with depression and poorly controlled diabetes, coronary heart disease, or both have an increased risk of adverse outcomes and high health care costs. We conducted a study to determine whether coordinated care management of multiple conditions improves disease control in these patients. METHODS We conducted a single-blind, randomized, controlled trial in 14 primary care cl...

Collaborative Care for Patients with Depression Improves Chronic Disease Management

Setting and participants. The study was conducted in 14 primary care clinics in the Group Health Cooperative, a large health care system in Washington State. Subjects were included if they had diagnoses of diabetes, CHD, or both and screened positive for depression using the Patient Health Questionnaire-9 (PHQ-9). Subjects also were ambulatory, Englishspeaking, and had plans to be enrolled in a...

Improving confidence for self care in patients with depression and chronic illnesses.

The aim of this study was to examine whether patients who received a multicondition collaborative care intervention for chronic illnesses and depression had greater improvement in self-care knowledge and efficacy, and whether greater knowledge and self-efficacy was positively associated with improved target outcomes. A randomized controlled trial with 214 patients with comorbid depression and p...

Collaborative Care for Depression in Chronic Hepatitis C Clinics.

OBJECTIVE Depression is highly prevalent yet underdiagnosed and undertreated among patients with chronic hepatitis C virus (HCV) infection. Collaborative care models have improved depression outcomes in primary care settings, and this study aimed to provide more information on testing such methods in specialty HCV care. METHODS Hepatitis C Translating Initiatives for Depression Into Effective...

Depression in the Context of Chronic and Multiple Chronic Illnesses