Walker 2009b.
| Methods | Study design: Randomised controlled trial |
| Participants | Setting: Lung cancer outpatient clinics Inclusion criteria: Diagnosis of lung cancer, 18 or over, predicted survival of 3 months or more, meet DSM‐IV for MDD present for 4 weeks or more Exclusion criteria: Unable to provide consent, chronic depression (continuously depressed for 2 years or more), requires urgent psychiatric care or currently receiving same, cognitive impairment or communication difficulties, cerebral metastases, unable to attend regularly, intervention inappropriate due to medical condition,comorbid psychiatric condition or other clinical reason. Age: 18 or over Gender: Unclear Country: United Kingdom (Scotland) Sample size: Total 200 planned |
| Interventions | Intervention: Depression Care for People with Lung Cancer Contains the four elements of collaborative care: 1) a multi‐professional approach to patient care: General practitioner (PCP), nurse (CM), psychiatrist (MH specialist) 2) a structured management plan: Treatment phase includes a) coordination of care across professionals, b) monitoring symptoms, c) brief psychological intervention including education and PST. Maintenance phase includes completion of outcome measure and appropriate action taken by CM. MH specialist sees urgent cases or those with non‐response to treatment 3) scheduled patient follow‐ups: 10 (30‐45 minute) sessions in 16 weeks (expected average per patient = 6‐8), maintenance: telephone every 4 weeks until end of trial 4) enhanced inter‐professional communication: CMs received weekly supervision from MH specialist Control: Treatment as usual enhanced as PCPs and oncologists were informed of diagnosis |
| Outcomes | Depression (HSCL‐20): severity at 4, 8, 12, 16, 20, 24, 28, 32 weeks. Also severity of anxiety symptoms QoL: 4, 8, 12, 16, 20, 24, 28, 32 weeks Costs: 4, 8, 12, 16, 20, 24, 28, 32 weeks Satisfaction: 4, 8, 12, 16, 20, 24, 28, 32 weeks Social: 4, 8, 12, 16, 20, 24, 28, 32 weeks |
| Notes | Study complete awaiting publication of results; CM: case manager; DSM‐IV: Diagnostic and Statistical Manual fourth edition; HSCL: Hopkins Symptom Checklist; MDD: major depressive disorder; MH: mental health; PCP: primary care provider; PST: problem solving therapy |