Effects of a clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial
The LancetPublished 1 January 2000
Paul M. Thompson, A‐L Kinmonth, Louis‐Mathieu Stevens, RC Pevele, Andrew Stevens, K. Ostler
Citations492
SJR quartileQ1
SJR score12.11
SNIP22.72
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Although well received, this in-practice programme, designed to convey the current consensus on best practice for the care of depression, did not deliver improvements in recognition of or recovery from depression.
Abstract
Although well received, this in-practice programme, which was designed to convey the current consensus on best practice for the care of depression, did not deliver improvements in recognition of or recovery from depression.
Keywords
PsychologyMedicineHealth Professions
Acta Psychiatrica ScandinavicaThe Hospital Anxiety and Depression Scale
46,617 Citations1983A. S. Zigmond, R. P. Snaith
It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.
Wiley series in probability and statisticsStatistical Methods for Rates and Proportions
18,048 Citations2003Joseph L. Fleiss, Bruce Levin +1 more
Journal of Psychosomatic ResearchInternational experiences with the Hospital Anxiety and Depression Scale-A review of validation data and clinical results
2,898 Citations1997Christoph S. Herrmann
Archives of General PsychiatryA Multifaceted Intervention to Improve Treatment of Depression in Primary Care
850 Citations1996Wayne Katon
American Journal of EpidemiologyRANDOMIZATION BY CLUSTER
696 Citations1981Allan Donner, Nicholas Birkett +1 more
BMJBetter reporting of randomised controlled trials: the CONSORT statement
614 Citations1996Douglas G. Altman
It is entirely reasonable to require higher standards for papers reporting randomised trials than those describing other types of study, since randomised controlled trials are the best way to compare the effectiveness of different interventions.
American Journal of PsychiatryHealth care costs associated with depressive and anxiety disorders in primary care
560 Citations1995Gregory E. Simon, Johan Ormel +2 more
In this small sample, improvement in depression over 1 year was not clearly associated with decreases in cost and longitudinal analyses did not show any clear relationship between change in psychiatric diagnosis and change in health care cost.
BMJRecognition and management of depression in general practice: consensus statement.
541 Citations1992Eugene S. Paykel, R. G. Priest
Views are presented that reflect the agreed conclusions that do not necessarily reflect the official policy of either of the two colleges and are intended to form guidelines which it is hoped will be useful in practice and also in audit.
American Journal of PsychiatrySocioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population
541 Citations1996Lewis L. Judd, Martin P. Paulus +2 more
The high 1-year prevalence of subsyndromal depressive symptoms, combined with the associated functional impairment, emphasizes the clinical and public health importance and need for additional investigations into these symptoms.
BMJRandomised controlled trial comparing problem solving treatment with amitriptyline and placebo for major depression in primary care
496 Citations1995Laurence Mynors‐Wallis, Dennis Gath +2 more
This study found that problem solving is an effective psychological treatment for major depression in primary care—as effective as amitriptyline and more effective than placebo.
Archives of General PsychiatryTreating Major Depression in Primary Care Practice
433 Citations1996Herbert C. Schulberg
Severity of depressive symptoms was reduced more rapidly and more effectively among patients randomized to pharmacotherapy or psychotherapy than among patients assigned to a physician's usual care.
BMJRandomised controlled trial evaluating cardiovascular screening and intervention in general practice: principal results of British family heart study
379 Citations1994David Wood, A L Kinmonth +9 more
The changes in coronary risk factors achieved by the voluntary health promotion package for primary care are likely to be even smaller, and the government's screening policy cannot be justified by these results.
Journal of Clinical EpidemiologyMeta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus
323 Citations1988Deborah K. Padgett, Emily Mumford +2 more
A meta-analysis of the literature of controlled studies of educational and psychosocial interventions in the treatment of diabetes mellitus yielded 93 studies of 7451 patients testing the effects of eight intervention types, finding diet instruction and social learning interventions showed the strongest and weakest effects.
New England Journal of MedicineTreating Depression and Anxiety in Primary Care
321 Citations1992L Eisenberg
This booklet explains how to identify and treat depression in patients with a history of depression and some of the basic symptoms of the disease can be confused with other psychiatric disorders.
BMJEffectiveness of health checks conducted by nurses in primary care: results of the OXCHECK study after one year
231 Citations1994John Muir, David Mant +2 more
General health checks by nurses are ineffective in helping smokers to stop smoking, but they help patients to modify their diet and total cholesterol concentration.
PubMedBarriers to the diagnosis of depression in primary care.
213 Citations1997John P. Docherty
Interfering factors include a lack of knowledge about the disease and lack of training in its management that reduce the physician's ability to render a diagnosis and undermine confidence in the capacity to treat the illness successfully.
Psychiatric BulletinThe Hospital Anxiety and Depression Scale
156 Citations1992R. P. Snaith
Although the routine of the "Monday queue" of patients waiting to receive medication is found, it is found that patients established on the drug might eventually move to having their blood monitored by local haematological services.
Acta Psychiatrica ScandinavicaAn educational program on depressive disorders for general practitioners on Gotland: background and evaluation
144 Citations1989Wolfgang Rutz, Jan Wålinder +6 more
The PPD program was associated with decreases in the use of psychiatric inpatient care and the sick leave frequency of depressed patients, and the possibility of preventing suicides was positively influenced.
Medical EducationImproving the psychiatric skills of established general practitioners: evaluation of group teaching
133 Citations1987Linda Gask, Graeme McGrath +2 more
Although those attending were experienced practitioners with a particular interest in the management of psychological problems, evaluation demonstrated a significant improvement in their skills after training.
PubMedHospital anxiety depression scale.
129 Citations1993A K Upadhyaya, I Stanley
A review of notes held by a general practice in a Cardiff suburb to determine how often teenagers see their teenage patients in the course of normal surgeries found consultations for similar reasons, irrespective of sex, with upper respiratory tract infection and skin problems being most common.
BMJRandomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients
101 Citations1995Tony Kendrick, Tom Burns +1 more
Teaching general practitioners about the problems of long term mentally ill patients may increase their involvement in patients' psychiatric care and more training for general practitioners and increased resources such as more nurse time may be necessary if improvements in care in general practice are to be generalised.
PubMedDetecting psychological distress: can general practitioners improve their own performance?
60 Citations1996A Howe
By utilizing a brief self-directed educational intervention focusing on detection of psychological distress, general practitioners can improve their performance significantly and improve their ability to detect psychological distress in their patients.
PubMedRandomized controlled trial of small group education on the outcome of chronic asthma in general practice.
57 Citations1989Patrick White, Catherina Pharoah +2 more
It would appear that small group education of general practitioners in the form reported here is not effective in reducing morbidity from chronic asthma.
PubMedDouble-blind placebo-controlled trial of amitriptyline among depressed patients in general practice.
57 Citations1988Julie A. Hollyman, P Freeling +3 more
It is found that tricyclic antidepressants are of considerable therapeutic benefit to depressed patients in general practice and significantly so as early as two weeks after the start of treatment.
PubMedEvaluation of an educational programme to improve the recognition of psychological illness by general practitioners.
42 Citations1996Philip C Hannaford, C. Thompson +1 more
Exposure to an educational package for depression was associated with improved recognition of psychological illness by general practitioners.
Human Psychopharmacology Clinical and ExperimentalThe prescription of antidepressants in general practice: I a critical review
37 Citations1989C. Thompson, Christopher M. Thompson
This review critically examines the literature which is available on the way in which general practitioners use antidepressants, the kind of depressed patients who they choose to treat, and the trials of antidepressants which have specifically been carried out in general practice.
Medical EducationThe Hampshire Depression Project: development and piloting of clinical practice guidelines and education about depression in primary health care
21 Citations1997Louis‐Mathieu Stevens, A‐L Kinmonth +2 more