Table 2 Study Characteristics
From: Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis
Study | Country | Recruitment, Inclusion Criteria | Randomization | Na | Intervention, Role of GP Training | Control Group | Comparison | Quality |
|---|---|---|---|---|---|---|---|---|
Baker (2001) [36] | GB | Consecutive patients; ≥ 18 yrs Patients seeking consultation for new-onset depression | Practices | 402 | Tailored intervention to promote guideline implementation (additional feedback, educational visits, group discussions) Additional to guideline | UCb | Patients of experimental group vs. control group | 30 |
Bosmans (2006) [33] | NL | Consecutive patients; ≥ 55 yrs PRIME-MD = MD | Practices | 145 | 4 hrs training session on screening, diagnosis and treatment as in Dutch guidelines | UC | Patients of experimental group vs. control group | 39 |
Gask (2004) [38] | GB | GP referral; 16-65 yrs Intention or current treatment of depression (symptoms < 6 mo) HAM-D ≥ 13 | Practice | 189 | Acquisition of clinical skills, 5 lectures à 2 hrs on assessment and treatment; Sole intervention | WL | Patients of experimental group vs. control group | 36 |
Kendrick (2001) [34] Thompson (2000) [35] | GB | Consecutive patients; ≥ 16 yrs HADS-D ≥ 8 | Practice | 733 | Guideline implementation & GP training (4 h seminars, educators available for 9 more mo); Additional to guideline | WL | Patients of experimental group vs. control group Sensitivity of recognition rates of experimental group vs. control group | 36 |
King (2002) [41] | GB | Consecutive patients; ≥ 18 yrs HADS-D/A ≥ 11 | Practice | 272 | Training of GPs in brief cognitive behaviour therapy (4 half day workshops); Sole intervention | WL | Patients of experimental group vs. control group | 34 |
Llewellyn-Jones (1999) [40] | AUS | Residential facility; ≥ 65 yrs GDS ≥ 10 MMSE ≥ 18 | Patient | 220 | Shared Care Intervention, including GP training & education, health education and promotion, psychoeducation; Central part of complex intervention | WLc | Experimental group vs. control group | 33 |
Rost (2001) [44] Pyne (2003) [43] Rost (2005) [45] | USA | GP referral; DSM III-R MD (latter two studies exclude patients currently in treatment) | Practice | 479 | QuEST intervention, 4 academic telephone calls to implement guidelines, nurse w/8-hour face-to-face training; Guidelines implementation | UC | Patients of experimental group vs. control groupd | 38 |
Worrall (1999) [39] | CAN | GP referral; GP diagnosis and severity rating, later CES-D ≥ 16 | Practice | 147 | 3-hour sessions on guideline implementation + possible consultation of psychiatrist; Guidelines implementation | UCb | Patients of experimental group vs. control group | 26 |