OBJECTIVE:Family practice-based depression case management improves depression symptoms and adherence to medication. The aim of this study was to explore the long-term effects of practice-based depression case management on patient depression-related self-management knowledge and activities. METHODS: This long-term follow-up of a randomized controlled trial study took place 12 months after the end of the 1-year case management intervention. We used a modified version of the depression-specific self-management questionnaire described in Ludman et al. [Psychol Med, 33 (2003) 1061-1070]. Analyses of self-management knowledge and activities used a linear mixed model accounting for practice cluster effects and treatment group. RESULTS: Of the 626 patients included at baseline, 439 (70.1%) participated 24 months later in this follow-up study, i.e., 12 months after the end of the intervention. Compared to control recipients, intervention recipients presented statistically significant increased knowledge of medication side-effects and felt more able to avoid situations that may trigger depression. They also tried more often to undertake enjoyable activities and set more time aside for these activities. CONCLUSION: This study suggests that case management improves depression-related self-management knowledge and activities in depressed primary care patients 12 months after the end of the intervention. PRACTICE IMPLICATIONS: Clinicians may consider introducing practice-based case management for improving patients' self-management activities and knowledge.
RCT Entities:
OBJECTIVE: Family practice-based depression case management improves depression symptoms and adherence to medication. The aim of this study was to explore the long-term effects of practice-based depression case management on patientdepression-related self-management knowledge and activities. METHODS: This long-term follow-up of a randomized controlled trial study took place 12 months after the end of the 1-year case management intervention. We used a modified version of the depression-specific self-management questionnaire described in Ludman et al. [Psychol Med, 33 (2003) 1061-1070]. Analyses of self-management knowledge and activities used a linear mixed model accounting for practice cluster effects and treatment group. RESULTS: Of the 626 patients included at baseline, 439 (70.1%) participated 24 months later in this follow-up study, i.e., 12 months after the end of the intervention. Compared to control recipients, intervention recipients presented statistically significant increased knowledge of medication side-effects and felt more able to avoid situations that may trigger depression. They also tried more often to undertake enjoyable activities and set more time aside for these activities. CONCLUSION: This study suggests that case management improves depression-related self-management knowledge and activities in depressed primary care patients 12 months after the end of the intervention. PRACTICE IMPLICATIONS: Clinicians may consider introducing practice-based case management for improving patients' self-management activities and knowledge.
Authors: Juliana J Petersen; Johannes Hartig; Michael A Paulitsch; Manuel Pagitz; Karola Mergenthal; Sandra Rauck; Andreas Reif; Ferdinand M Gerlach; Jochen Gensichen Journal: PLoS One Date: 2018-09-07 Impact factor: 3.240
Authors: Xin Yi Li; Qian Liu; Pan Chen; Juan Ruan; Xuan Gong; Dan Luo; Yang Zhou; Cong Yin; Xiao Qin Wang; Lianzhong Liu; Bing Xiang Yang Journal: Front Psychiatry Date: 2022-02-24 Impact factor: 4.157