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IMPACT collaborative care programme reduces suicide ideation in depressed older adults

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 Q Does the IMPACT collaborative care intervention improve later-life depression?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Unclear.

Embedded ImageBlinding:

Single blind (outcome assessors blinded).

Embedded ImageFollow-up period:

Two years (1 year intervention period and 1 year follow-up).

Embedded ImageSetting:

Eighteen primary care clinics, USA; time period not stated.

Embedded ImagePatients:

1801 older adults (aged 60 years or over) with DSM-IV major depression, dysthymia, or both. Exclusions: acute suicide risk, ongoing alcohol abuse, severe cognitive dysfunction, or history of bipolar disorder or psychosis.

Embedded ImageIntervention:

Improving Mood: Promoting Access to Collaborative Treatment (IMPACT) for Late-Life Depression in Primary Care (1-year collaborative care programme in which a specially trained depression care manager supported primary care clinicians, and provided initial assessment, education about treatments, and telephone support for participants—see http://impact-uw.org for more information) or …

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