Population Health Management Approach to Depression Symptom Monitoring in Primary Care via Patient Portal: A Randomized Controlled Trial

被引:4
|
作者
Staab, Erin M. M. [1 ,4 ]
Franco, Melissa I. I. [1 ]
Zhu, Mengqi [1 ]
Wan, Wen [1 ]
Gibbons, Robert D. D. [2 ,3 ]
Vinci, Lisa M. M. [1 ]
Beckman, Nancy [2 ]
Yohanna, Daniel [2 ]
Laiteerapong, Neda [1 ]
机构
[1] Univ Chicago, Dept Med, Chicago, IL USA
[2] Univ Chicago, Dept Psychiat & Behav Neurosci, Chicago, IL USA
[3] Univ Chicago, Dept Publ Hlth Sci, Chicago, IL USA
[4] 5841 S Maryland Ave,MC 2007B, Chicago, IL 60637 USA
基金
美国医疗保健研究与质量局;
关键词
depression; primary care; patient portal; patient reported outcomes; CLINICAL-OUTCOMES; REPORTED OUTCOMES; TREATMENT COMET; TIME; STRATEGIES;
D O I
10.1097/JMQ.0000000000000126
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Depression is undertreated in primary care. Using patient portals to administer regular symptom assessments could facilitate more timely care. At an urban academic medical center outpatient clinic, patients with active portal accounts and depression on their problem list or a positive screen in the past year were randomized to assessment during triage at visits (usual care) versus usual care plus assessment via portal (population health care). Portal invitations were sent regardless of whether patients had scheduled appointments. More patients completed assessments in the population health care arm than usual care: 59% versus 18%, P < 0.001. Depression symptoms were more common among patients who completed their initial assessment via the portal versus in the clinic. In the population health care arm, 57% (N = 80/140) of patients with moderate-to-severe symptoms completed at least 1 follow-up assessment versus 37% (N = 13/35) in usual care. A portal-based population health approach could improve depression monitoring in primary care.
引用
收藏
页码:188 / 195
页数:8
相关论文
共 50 条
  • [21] Marketing depression care management to employers: design of a randomized controlled trial
    Kathryn M Rost
    Donna Marshall
    Implementation Science, 5
  • [22] Protocol of Randomized Controlled Community Trial (RCCT) for obesity management in Brazilian primary health care
    de Freitas, Patricia Pinheiro
    Lopes, Mariana Souza
    Araujo, Jessica Rasquim
    da Cunha, Roberta Brandao
    Duarte, Camila Kuemmel
    Lopes, Aline Cristine Souza
    BMC HEALTH SERVICES RESEARCH, 2024, 24 (01)
  • [23] A digital health intervention for cardiovascular disease management in primary care (CONNECT) randomized controlled trial
    Julie Redfern
    Genevieve Coorey
    John Mulley
    Anish Scaria
    Lis Neubeck
    Nashid Hafiz
    Chris Pitt
    Kristie Weir
    Joanna Forbes
    Sharon Parker
    Fiona Bampi
    Alison Coenen
    Gemma Enright
    Annette Wong
    Theresa Nguyen
    Mark Harris
    Nick Zwar
    Clara K. Chow
    Anthony Rodgers
    Emma Heeley
    Katie Panaretto
    Annie Lau
    Noel Hayman
    Tim Usherwood
    David Peiris
    npj Digital Medicine, 3
  • [24] A digital health intervention for cardiovascular disease management in primary care (CONNECT) randomized controlled trial
    Redfern, Julie
    Coorey, Genevieve
    Mulley, John
    Scaria, Anish
    Neubeck, Lis
    Hafiz, Nashid
    Pitt, Chris
    Weir, Kristie
    Forbes, Joanna
    Parker, Sharon
    Bampi, Fiona
    Coenen, Alison
    Enright, Gemma
    Wong, Annette
    Nguyen, Theresa
    Harris, Mark
    Zwar, Nick
    Chow, Clara K.
    Rodgers, Anthony
    Heeley, Emma
    Panaretto, Katie
    Lau, Annie
    Hayman, Noel
    Usherwood, Tim
    Peiris, David
    NPJ DIGITAL MEDICINE, 2020, 3 (01)
  • [25] A randomized controlled trial of collaborative care for depression in primary care in Taiwan - study protocol
    Liu, S. -I.
    Huang, H. -C.
    Huang, C. -R.
    INTERNATIONAL JOURNAL OF NEUROPSYCHOPHARMACOLOGY, 2010, 13 : 155 - 155
  • [26] Impact of a collaborative care model for depression in primary care: a randomized controlled trial.
    Finley, PR
    Rens, HR
    Pont, JT
    Louie, C
    Gess, SL
    Bull, SA
    Lee, JY
    Bero, L
    PHARMACOTHERAPY, 2002, 22 (10): : 1343 - 1343
  • [27] Stepped care treatment for depression and anxiety in primary care. a randomized controlled trial
    Seekles, Wike
    van Straten, Annemieke
    Beekman, Aartjan
    van Marwijk, Harm
    Cuijpers, Pim
    TRIALS, 2011, 12
  • [28] Stepped care treatment for depression and anxiety in primary care. a randomized controlled trial
    Wike Seekles
    Annemieke van Straten
    Aartjan Beekman
    Harm van Marwijk
    Pim Cuijpers
    Trials, 12
  • [29] Proactive approach to relieve migraine through primary health care: pragmatic controlled randomized trial
    Smelt, Antonia F. H.
    Blom, Jeanet W.
    Dekker, Frans
    van den Akker, M. Elske
    Neven, Arie Knuistingh
    Zitman, Frans G.
    Ferrari, Michel D.
    Assendelft, Pim
    CANADIAN MEDICAL ASSOCIATION JOURNAL, 2012, 184 (04) : 420 - 421
  • [30] Telephone Depression Care Management for Latino Medicaid Health Plan Members A Pilot Randomized Controlled Trial
    Uebelacker, Lisa A.
    Marootian, Beth Ann
    Tigue, Patrick
    Haggarty, Ryan
    Primack, Jennifer M.
    Miller, Ivan W.
    JOURNAL OF NERVOUS AND MENTAL DISEASE, 2011, 199 (09) : 678 - 683