Adler 2004.
Methods | Randomised trial | |
Participants | 533 patients with depression and/or dysthymia (intervention: 268; control: 265) . 9 Eastern Massachusetts primary care practices USA Year of study: Not stated. |
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Interventions | Pharmacists assessed a range of variables; medication history, medication regimen for drug issues, drug efficacy and toxicity, education about depression including symptoms and antidepressants, encouraged anti‐depressant therapy and maintained strong therapeutic communication with patients. This was tailored towards the patient's needs in accordance with depression guidelines. Pharmacists spent 70 minutes per patient across a 6‐month period; minimal intervention was to be 9 appointments over 18 months. | |
Outcomes | Modified Beck Depression Inventory (mBDI) at 6 months | |
Notes | Funding source: National Institute of Mental Health under grant RO1 MH56214 Conflict of interest: None stated. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomised by a "computerised coin‐flip" built into the screener |
Allocation concealment (selection bias) | Low risk | Randomisation is post‐enrolment |
Blinding of participants and personnel (performance bias) All Outcomes/Outcome 1 | High risk | Outcome are self‐reported and no blinding of personnel or participants |
Blinding of outcome assessment (detection bias) All Outcomes/Outcome 1 | High risk | Non‐blinded patients acted as their own assessors. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Between group attrition < 10%. |
Selective reporting (reporting bias) | Low risk | All outcomes reported |
Other bias | Low risk | None identified |