Table 2.
Primary (PHQ-9 < 10; improvement) and secondary (PHQ-9 scores reduced by at least 50% between baseline and the first and second follow-up assessments; reduction) outcomes at the 3-month and 5-month follow-ups
| Improvement from and reduction in depressive symptomatology at the 3-month and 5-month follow-ups | Intervention | Control | |||
|---|---|---|---|---|---|
| n of total n (%) | n of total n (%) | Risk difference in percentage points (95% CI)a | OR (95% CI)b,c | Pd | |
| Primary outcome: improvement from depressive symptomatology at 3 monthse | 109/257 (42.4) | 87/270 (32.2) | 10.2 (2.0–18.4) | 1.57 (1.07–2.29) | 0.019 |
| Secondary outcome: improvement from depressive symptomatology at 5 monthse | 127/250 (50.8) | 130/260 (50.0) | 0.8 (−7.9–9.5) | 1.01 (0.70–1.46) | 0.938 |
| Secondary outcome: reduction in depressive symptomatology at 3 monthse | 95/257 (37.0) | 73/270 (27.0) | 9.9 (2.0–17.9) | 1.58 (1.08–2.29) | 0.016 |
| Secondary outcome: reduction in depressive symptomatology at 5 monthse | 111/250 (44.4) | 112/260 (43.1) | 1.3 (−7.3–9.9) | 1.04 (0.73–1.48) | 0.841 |
aThese (post hoc) analyses are based on crude (that is, unadjusted) data on a complete case basis.
bORs and 95% CIs were calculated using fixed-effects logistic regression models, from which the P values were derived.
cAll estimates had missing data imputed according to trial arm using the multiple imputation by chained equations (MICE) models, which included stratification (sex, age group and baseline severity of PHQ-9 score (categorical)) and predictors of missingness (extended data).
dAll P values reported are based on two-sided Wald tests from the relevant logistic regression model, with no adjustments for multiple tests.
eThe primary and secondary outcomes of improvement from depressive symptomatology were defined as PHQ-9 scores less than 10; the secondary outcome of reduction in depressive symptomatology was defined as PHQ-9 scores reducing by at least 50% between baseline and the first and second follow-up assessments (yes/no).