Randomized controlled trial of a health plan-level mood disorders psychosocial intervention for solo or small practices
نویسندگان
چکیده
BACKGROUND Mood disorders represent the most expensive mental disorders for employer-based commercial health plans. Collaborative care models are effective in treating chronic physical and mental illnesses at little to no net healthcare cost, but to date have primarily been implemented by larger healthcare organizations in facility-based models. The majority of practices providing commercially insured care are far too small to implement such models. Health plan-level collaborative care treatment can address this unmet need. The goal of this study is to implement at the national commercial health plan level a collaborative care model to improve outcomes for persons with mood disorders. METHODS/DESIGN A randomized controlled trial of a collaborative care model versus usual care will be conducted among beneficiaries of a large national health plan from across the country seen by primary care or behavioral health practices. At discharge 344 patients identified by health plan claims as hospitalized for unipolar depression or bipolar disorder will be randomized to receive collaborative care (patient phone-based self-management support, care management, and guideline dissemination to practices delivered by a plan-level care manager) or usual care from their provider. Primary outcomes are changes in mood symptoms and mental health-related quality of life at 12 months. Secondary outcomes include rehospitalization, receipt of guideline-concordant care, and work productivity. DISCUSSION This study will determine whether a collaborative care model for mood disorders delivered at the national health plan level improves outcomes compared to usual care, and will inform a business case for collaborative care models for these settings that can reach patients wherever they receive treatment. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02041962; registered January 3, 2014.
منابع مشابه
The Effects of Lumbar Stabilization Exercise Program Using Respiratory Resistance on Pain, Dysfunction, Psychosocial Factor, Respiratory Pressure in Female Patients in ’40s with Low Back Pain: Randomized Controlled Trial
Background. Middle-aged women are at risk of musculoskeletal disorders because of the decreased muscle mass and bone density caused by a decreased endocrine function. Objectives. This study investigated the effectiveness of a stabilization exercise using respiratory resistance on female patients in their 40s with low back pain. Methods. Forty-four female patients in their 40s with low back pa...
متن کاملEffects of Horticultural Activities on Mild to Moderate Depression Symptoms: A Randomized Controlled Trial
Objectives: This study was designed to evaluate the effectiveness of participating in horticultural activities on changes in the severity of depression symptoms in adults with mild to moderate depression symptoms. Materials and Methods: In this non-blinded, randomized controlled trial, 102 eligible participants were selected and assigned randomly to experimental and control groups (51 members ...
متن کاملEffectiveness of Tailored Care Intervention Program on Biochemical Outcomes of Patients with Diabetes in Indonesia: A Randomized Controlled Trial
Background: Although people with diabetes have common problems, their educational needs may be different and they all have the right to participate in the planning and implementation of individual or group health care programs. Meanwhile, there are no proper care interventions for diabetic patients in Indonesia. Therefore, the aim of this study was to evaluate the efficacy of a tailored care in...
متن کاملThe Effect of Lycopene Supplementation on Mood Status and Quality of Life in Infertile Men: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Background: Infertility is a major worldwide problem which is caused by several factors such as environmental, physiological, and genetic conditions. Lycopene is considered to be one of the most important antioxidants that can contribute to reducing or preventing the psychological damage that leads to infertility. Thus, the aim of this study was to evaluate the effect of lycopene supplementatio...
متن کاملThe Efficacy of Mindfulness-Based Cognitive Therapy on General Health in Patients with Systemic Lupus Erythematosus: A Randomized Controlled Trial
Background & Aims: Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease, involving multiple organs and producing autoantibodies against different components of the cell. SLE is of unknown etiology with various clinical and laboratory manifestations. Different psychological disorders are seen in patients with SLE, including mood, anxiety, and cognitive disorders. This study w...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 2 شماره
صفحات -
تاریخ انتشار 2014