Table 4.
Collaborative care interventions
Reference | Study Design | Depression Entry Criteria | M(SD) Baseline HbA1c levels | Enrolled/Completed | Treatment modality/Duration/Type | Depression Measures | Significant Depression Outcomes | Significant Health/Glucose Outcomes | Methodological Characteristics |
---|---|---|---|---|---|---|---|---|---|
Katon et al., 2004 | RCT of collaborative case management, TAU | PHQ>=10 and HSCL-20 depression score>1.1 | 8.0 (1.6)% intervention group ,8.0 (1.5)% usual care group | 329/288 | Depression care management, pharmacotherapy or education/problem solving | HSCL-20 | Patients in depression care management had less depression severity over time than those in TAU (z=2.84, p=.04) | No difference in HBA1c | RCT design with TAU comparison and 12-month follow-up, completer analyses, type 1 or 2, depressive symptoms, HbA1c outcome measure |
Williams et al., 2004 | RCT of depression care management, TAU | SCID MDD or Dysthymia | 7.3 (1.3)% intervention group, 7.3 (1.5)% usual care group | 417/350 | Depression care management, pharmacotherapy or education/problem solving | HSCL-20 | Depression care management patients had lower rate of depression (0.43 on 0-4 scale) than TAU | No difference in HBA1c | RCT design with TAU comparison and 12-month follow-up, ITT analyses, age 60 and over, type 1 and 2, MDD or dysthymia criterion, HbA1c outcome measure |
Bogner et al., 2007 | RCT of depression care management, TAU | SCID MDD CES-D>20 | Not reported | 123 | Depression care management, pharmacotherapy or IPT | HDRS | Depression care management patients had lower rate of mortality than TAU patients (adjusted hazard ration 0.49%) | N/A | RCT design with TAU comparison and 5-year follow-up period, separate survival analyses on patients with diabetes from larger sample, age 60 and over, type 1 or 2, MDD or dysthymia criterion, no HbA1c measure or depression outcome |