Table 4.
Secondary outcomes | Patient, n (%) | PHQ-9a, mean (SD) | PHQ-9; estimate, mean (95% CI)b | ||
ATPc | |||||
|
Mean trajectory
|
||||
|
|
Baseline | 61 (97) | 12.4 (7.2) | —d |
|
|
Follow-up at 6 months | 57 (90) | 9.8 (6.7) | — |
|
|
Follow-up at 12 months | 45 (71) | 10 (6) | — |
|
Change from baseline | ||||
|
|
6 months versus baseline | 55 (87) | −2.3 (4.4) | −2.4 (−3.8 to −0.9) |
|
|
12 months versus baseline | 43 (68) | −2.8 (5.2) | −2.2 (−3.9 to −0.5) |
STPe | |||||
|
Mean trajectory
|
||||
|
|
Baseline | 53 (98) | 12.6 (6.8) | — |
|
|
Follow-up at 6 months | 40 (74) | 10.8 (6.5) | — |
|
|
Follow-up at 12 months | 34 (63) | 11.9 (7.1) | — |
|
Change from baseline | ||||
|
|
6 months versus baseline | 40 (74) | −0.7 (4.8) | −0.9 (−2.5 to 0.8) |
|
|
12 months versus baseline | 33 (61) | −0.5 (6.4) | −0.7 (−2.4 to 1.0) |
ATP versus STP, difference at baseline | — | — | 1.8 (−9.4 to 13.1) | ||
ATP versus STP, difference at follow-up at 6 months | — | — | 0.3 (−10.9 to 11.6) | ||
ATP versus STP, difference at follow-up at 12 months | — | — | 0.3 (−11 to 11.6) | ||
ATP versus STP, difference in follow-up at 6 months versus baseline differences | — | — | −1.5 (−3.7 to 0.6) | ||
ATP versus STP, difference in follow-up at 12 months versus baseline differences | — | — | −1.5 (−3.9 to 0.9) |
aPHQ-9: Patient Health Questionnaire-9; range 0-27, higher is more depressed.
bFrom mixed-effects linear regression models adjusted for study site, consulting psychiatrist, and language of the interview, as well as clustering due to patient and primary care physician.
cATP: asynchronous telepsychiatry.
dNot available.
eSTP: synchronous telepsychiatry.