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Cluster randomised controlled trial (clinicians randomised).
Single blind (assessors blinded).
Three urban and two rural primary care clinics at a Veterans Affairs Medical Centre, USA; recruitment July 2002 to October 2003.
Forty one primary care clinicians were randomised and all their patients with moderate to severe depression (Patient Health Questionnaire (PHQ-9) score between 10 and 25 or Hopkins Symptom Checklist 20 (SCL-20) score >1) were eligible for inclusion. 375 patients met inclusion criteria and enrolled. Patient exclusions: very severe depression (PHQ-9 score >9); active dangerous ideation; psychotic disorder; dementia; bipolar disorder; treated by mental health specialist in preceding 6 months; or terminally ill.
Depression decision support or usual care. Depression decision support: …
For correspondence: Steven K Dobscha, MD, Portland Veterans Affairs Medical Center, PO Box 1034 (P3MHDC), Portland, Oregon 97207, USA;
Source of funding: Veterans Affairs Health Services Research & Development Service, USA.
Please visit http://ebmh.bmj.com/supplemental for reference list.
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