A Randomized Trial of Off‐Site Collaborative Care for Depression in Chronic Hepatitis C Virus

Objective To test the effectiveness of a collaborative depression care model in improving depression and hepatitis C virus (HCV) care. Data Sources/Study Setting Hepatitis C virus clinic patients who screened positive for depression at four Veterans Affairs Hospitals. Study Design We compared off‐si...

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Bibliographic Details
Published in:Health services research 2018-08, Vol.53 (4), p.2547-2566
Main Authors: Kanwal, Fasiha, Pyne, Jeffrey M., Tavakoli‐Tabasi, Shahriar, Nicholson, Susan, Dieckgraefe, Brian, Storay, Erma, Goetz, Matthew Bidwell, Kramer, Jennifer R., Smith, Donna, Sansgiry, Shubhada, Tansel, Aylin, Gifford, Allen L., Asch, Steven M.
Format: Article
Language:English
Subjects:
Analysis
Antiviral agents
Antiviral drugs
Arkansas
Clinical outcomes
Clinical trials
Collaboration
Computerized medical records
Data collection
depression
Electronic health records
Electronic medical records
Evidence-based medicine
Health care management
Health screening
Health status
Hepatitis
Hepatitis C
Hepatitis C virus
Hospitals
Improving Patient Centered Care
Integrated care
Intervention
Medical records
Medical screening
Mental depression
Mental disorders
Mental health
Patient compliance
Patients
Pharmacists
Physical health
Psychiatrists
Remission
Remission (Medicine)
Statistical analysis
Telephone surveys
Texas
Veterans
Viruses
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Summary:Objective To test the effectiveness of a collaborative depression care model in improving depression and hepatitis C virus (HCV) care. Data Sources/Study Setting Hepatitis C virus clinic patients who screened positive for depression at four Veterans Affairs Hospitals. Study Design We compared off‐site depression collaborative care (delivered by depression care manager, pharmacist, and psychiatrist) with usual care in a randomized trial. Primary depression outcomes were treatment response (≥50 percent decrease in 20‐item Hopkins Symptoms Checklist [SCL‐20] score), remission (mean SCL‐20 score,
ISSN:0017-9124
1475-6773
DOI:10.1111/1475-6773.12758