<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03285659</url>
  </required_header>
  <id_info>
    <org_study_id>P17/077</org_study_id>
    <nct_id>NCT03285659</nct_id>
  </id_info>
  <brief_title>Development and Assessment of the Implementation of a Collaborative Care Approach for Depression in Primary Care</brief_title>
  <official_title>Study Protocol: Development and Assessment of an Active Strategy for the Implementation of a Collaborative Care Approach for Depression in Primary Care. The INDI·i Project</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina</source>
  <oversight_info>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      Depression is one of the most common conditions among primary care patients. Nevertheless,&#xD;
      there are several problems in depression diagnosis, clinical management and outcomes. The&#xD;
      INDI study, which is based in a collaborative care model, aims to improve the management of&#xD;
      depression in primary care patients. It is intended to be implemented in clinical practice&#xD;
      within the context of primary care.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      BACKGROUND Depression is one of the most common conditions among primary care patients.&#xD;
      Nevertheless, there are several problems in its diagnosis, clinical management and outcomes.&#xD;
      The INDI study, which is based in a collaborative care model, aims to improve the management&#xD;
      of depression in primary care patients. INDI has been proved previously to be an efficient&#xD;
      intervention showing clinical and socio-economic benefits. INDI is intended to be implemented&#xD;
      in the clinical practice within the context of primary care.&#xD;
&#xD;
      METHOD Aim: Test the feasibility and the impact of an implementation strategy of the INDI&#xD;
      model for the management of depression in primary care.&#xD;
&#xD;
      Design: This is a casi-experimental study within the context of primary care. Specific&#xD;
      geographic areas will be identified to implement the INDI program (intervention group) and&#xD;
      other areas with similar features will to be compared (control group.&#xD;
&#xD;
      Participants: Patients diagnosed with depression will be invited to voluntarily participate&#xD;
      in this study. Additionally, the investigators will also consider as participants the health&#xD;
      professionals, the centres of primary care, as well as the health organizations of the&#xD;
      geographic areas where the study will take place: Camp de Tarragona and Valles Occidental&#xD;
      (Catalonia, Spain).&#xD;
&#xD;
      Intervention: The INDI model is a health care program for improving the management of&#xD;
      depression. INDI includes clinical, training and organizational interventions with the&#xD;
      participation of nurses as care managers. An active strategy based on the Promoting Action on&#xD;
      Research Implementation in Health Services's model (PARIHS) will be designed for the&#xD;
      implementation.&#xD;
&#xD;
      Evaluation: This study will use qualitative and quantitative methods to obtain data on the&#xD;
      variables related to a successful implementation: feasibility, acceptability, and impact.&#xD;
&#xD;
      Discussion: In this study, the investigators aim to test the feasibility of a clinical&#xD;
      intervention INDI, based on a collaborative care model, in the management of depression in&#xD;
      primary care setting. If the implementation of such intervention is successful, then the&#xD;
      achieved data and experience will help to plan a strategy to generalize the INDI model to the&#xD;
      Catalan health system. The investigators expect significant clinical benefits to the&#xD;
      patients, the health system and to the society.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Unknown status</overall_status>
  <last_known_status>Not yet recruiting</last_known_status>
  <start_date type="Anticipated">January 1, 2018</start_date>
  <completion_date type="Anticipated">December 31, 2019</completion_date>
  <primary_completion_date type="Anticipated">July 1, 2019</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Non-Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Health Services Research</primary_purpose>
    <masking>Single (Outcomes Assessor)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>degree of implementation and capacity for change of the collaborative care model (INDI)</measure>
    <time_frame>12 months</time_frame>
    <description>degree of implementation of the collaborative care model (INDI) in health organization and professionals using the Assessment of Readiness for Chronicity in Health Care Organizations (ARCHO)</description>
  </primary_outcome>
  <primary_outcome>
    <measure>patient experience about the collaborative care model (INDI)</measure>
    <time_frame>12 months</time_frame>
    <description>how patients experience depression care according to the collaborative care model (INDI) using the Instrument for Evaluating Patient Experience of Chronic Illness Care (IEXPAC) scale</description>
  </primary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Anticipated">44</enrollment>
  <condition>Depression</condition>
  <arm_group>
    <arm_group_label>Intervention: INDI Implementation</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Primary care centres which will implement the collaborative (INDI) care model for depression</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Control: no INDI implementation</arm_group_label>
    <arm_group_type>No Intervention</arm_group_type>
    <description>Primary care centres in which the collaborative care strategy INDI will not be implemented, but will be compared in terms of their clinical practice towards depression</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Intervention: INDI Implementation</intervention_name>
    <description>Implementation of a collaborative care model in the context of primary care to manage depression</description>
    <arm_group_label>Intervention: INDI Implementation</arm_group_label>
    <other_name>INDI</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Patients: adult patients with a new diagnosis of depression or a new episode of&#xD;
             antidepressant treatment. The comorbidity of depression with other common mental&#xD;
             disorders such as anxiety disorders or somatization disorders is not an exclusion&#xD;
             criterion.&#xD;
&#xD;
          -  Organization: Health centres (i.e. Primary care centres) of Catalonia, which are&#xD;
             comparable in terms of their sociodemographic, healthy and organizational features&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Patients: adult patients with a diagnosis of psychotic or bipolar disorder, drug or&#xD;
             alcohol use disorder, dementia, intellectual disability, postpartum depression, and&#xD;
             patients included in the home care program&#xD;
&#xD;
          -  Organization: no exclusion criteria&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Enric Aragonès, PhD</last_name>
    <role>Principal Investigator</role>
    <affiliation>Jordi Gol Fundation</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Catarina Pires, PhD</last_name>
    <phone>0034 652957478</phone>
    <email>jamnista@gmail.com</email>
  </overall_contact>
  <reference>
    <citation>Aragones E, Pinol JL, Labad A, Masdeu RM, Pino M, Cervera J. Prevalence and determinants of depressive disorders in primary care practice in Spain. Int J Psychiatry Med. 2004;34(1):21-35. doi: 10.2190/C25N-W4NY-BN8W-TXN2.</citation>
    <PMID>15242139</PMID>
  </reference>
  <reference>
    <citation>Aragones E, Pinol JL, Caballero A, Lopez-Cortacans G, Casaus P, Hernandez JM, Badia W, Folch S. Effectiveness of a multi-component programme for managing depression in primary care: a cluster randomized trial. The INDI project. J Affect Disord. 2012 Dec 15;142(1-3):297-305. doi: 10.1016/j.jad.2012.05.020. Epub 2012 Oct 11.</citation>
    <PMID>23062747</PMID>
  </reference>
  <reference>
    <citation>Aragones E, Caballero A, Pinol JL, Lopez-Cortacans G. Persistence in the long term of the effects of a collaborative care programme for depression in primary care. J Affect Disord. 2014 Sep;166:36-40. doi: 10.1016/j.jad.2014.05.003. Epub 2014 May 11.</citation>
    <PMID>25012408</PMID>
  </reference>
  <reference>
    <citation>Aragones E, Caballero A, Pinol JL, Lopez-Cortacans G, Badia W, Hernandez JM, Casaus P, Folch S, Basora J, Labad A; INDI research group. Assessment of an enhanced program for depression management in primary care: a cluster randomized controlled trial. The INDI project (Interventions for Depression Improvement). BMC Public Health. 2007 Sep 20;7:253. doi: 10.1186/1471-2458-7-253.</citation>
    <PMID>17883845</PMID>
  </reference>
  <reference>
    <citation>Aragones E, Lopez-Cortacans G, Sanchez-Iriso E, Pinol JL, Caballero A, Salvador-Carulla L, Cabases J. Cost-effectiveness analysis of a collaborative care programme for depression in primary care. J Affect Disord. 2014 Apr;159:85-93. doi: 10.1016/j.jad.2014.01.021. Epub 2014 Feb 13.</citation>
    <PMID>24679395</PMID>
  </reference>
  <reference>
    <citation>Aragones E, Comin E, Cavero M, Perez V, Molina C, Palao D. [A computerised clinical decision-support system for the management of depression in Primary Care]. Aten Primaria. 2017 Jun-Jul;49(6):359-367. doi: 10.1016/j.aprim.2016.09.011. Epub 2017 Jan 9. Spanish.</citation>
    <PMID>28081896</PMID>
  </reference>
  <reference>
    <citation>Aragones E, Pinol JL, Labad A. Depression and physical comorbidity in primary care. J Psychosom Res. 2007 Aug;63(2):107-11. doi: 10.1016/j.jpsychores.2007.05.008.</citation>
    <PMID>17662745</PMID>
  </reference>
  <reference>
    <citation>Solberg LI, Crain AL, Jaeckels N, Ohnsorg KA, Margolis KL, Beck A, Whitebird RR, Rossom RC, Crabtree BF, Van de Ven AH. The DIAMOND initiative: implementing collaborative care for depression in 75 primary care clinics. Implement Sci. 2013 Nov 16;8:135. doi: 10.1186/1748-5908-8-135.</citation>
    <PMID>24238225</PMID>
  </reference>
  <reference>
    <citation>Sighinolfi C, Nespeca C, Menchetti M, Levantesi P, Belvederi Murri M, Berardi D. Collaborative care for depression in European countries: a systematic review and meta-analysis. J Psychosom Res. 2014 Oct;77(4):247-63. doi: 10.1016/j.jpsychores.2014.08.006. Epub 2014 Aug 27.</citation>
    <PMID>25201482</PMID>
  </reference>
  <reference>
    <citation>Eccles MP, Armstrong D, Baker R, Cleary K, Davies H, Davies S, Glasziou P, Ilott I, Kinmonth AL, Leng G, Logan S, Marteau T, Michie S, Rogers H, Rycroft-Malone J, Sibbald B. An implementation research agenda. Implement Sci. 2009 Apr 7;4:18. doi: 10.1186/1748-5908-4-18.</citation>
    <PMID>19351400</PMID>
  </reference>
  <reference>
    <citation>Stetler CB, Damschroder LJ, Helfrich CD, Hagedorn HJ. A Guide for applying a revised version of the PARIHS framework for implementation. Implement Sci. 2011 Aug 30;6:99. doi: 10.1186/1748-5908-6-99.</citation>
    <PMID>21878092</PMID>
  </reference>
  <reference>
    <citation>Nuno-Solinis R, Fernandez-Cano P, Mira-Solves JJ, Toro-Polanco N, Carlos Contel J, Guilabert Mora M, Solas O. [Development of an instrument for the assessment of chronic care models]. Gac Sanit. 2013 Mar-Apr;27(2):128-34. doi: 10.1016/j.gaceta.2012.05.012. Epub 2012 Jul 24. Spanish.</citation>
    <PMID>22832167</PMID>
  </reference>
  <reference>
    <citation>Solberg LI, Asche SE, Margolis KL, Whitebird RR. Measuring an organization's ability to manage change: the change process capability questionnaire and its use for improving depression care. Am J Med Qual. 2008 May-Jun;23(3):193-200. doi: 10.1177/1062860608314942.</citation>
    <PMID>18539980</PMID>
  </reference>
  <reference>
    <citation>Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995 Jul 29;311(7000):299-302. doi: 10.1136/bmj.311.7000.299.</citation>
    <PMID>7633241</PMID>
  </reference>
  <reference>
    <citation>Mira JJ, Nuno-Solinis R, Guilabert-Mora M, Solas-Gaspar O, Fernandez-Cano P, Gonzalez-Mestre MA, Contel JC, Del Rio-Camara M. Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care. Int J Integr Care. 2016 Aug 31;16(3):13. doi: 10.5334/ijic.2443.</citation>
    <PMID>28435422</PMID>
  </reference>
  <reference>
    <citation>Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ, Greene SM. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Med Care. 2005 May;43(5):436-44. doi: 10.1097/01.mlr.0000160375.47920.8c.</citation>
    <PMID>15838407</PMID>
  </reference>
  <reference>
    <citation>Rossom RC, Solberg LI, Vazquez-Benitez G, Crain AL, Beck A, Whitebird R, Glasgow RE. The effects of patient-centered depression care on patient satisfaction and depression remission. Fam Pract. 2016 Dec;33(6):649-655. doi: 10.1093/fampra/cmw068. Epub 2016 Aug 17.</citation>
    <PMID>27535330</PMID>
  </reference>
  <reference>
    <citation>Bolibar B, Fina Aviles F, Morros R, Garcia-Gil Mdel M, Hermosilla E, Ramos R, Rosell M, Rodriguez J, Medina M, Calero S, Prieto-Alhambra D; Grupo SIDIAP. [SIDIAP database: electronic clinical records in primary care as a source of information for epidemiologic research]. Med Clin (Barc). 2012 May 19;138(14):617-21. doi: 10.1016/j.medcli.2012.01.020. Epub 2012 Mar 22. No abstract available. Spanish.</citation>
    <PMID>22444996</PMID>
  </reference>
  <reference>
    <citation>Murray E, Treweek S, Pope C, MacFarlane A, Ballini L, Dowrick C, Finch T, Kennedy A, Mair F, O'Donnell C, Ong BN, Rapley T, Rogers A, May C. Normalisation process theory: a framework for developing, evaluating and implementing complex interventions. BMC Med. 2010 Oct 20;8:63. doi: 10.1186/1741-7015-8-63.</citation>
    <PMID>20961442</PMID>
  </reference>
  <reference>
    <citation>Serrano-Blanco A, Palao DJ, Luciano JV, Pinto-Meza A, Lujan L, Fernandez A, Roura P, Bertsch J, Mercader M, Haro JM. Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Soc Psychiatry Psychiatr Epidemiol. 2010 Feb;45(2):201-10. doi: 10.1007/s00127-009-0056-y. Epub 2009 May 19.</citation>
    <PMID>19452110</PMID>
  </reference>
  <reference>
    <citation>Gili M, Comas A, Garcia-Garcia M, Monzon S, Antoni SB, Roca M. Comorbidity between common mental disorders and chronic somatic diseases in primary care patients. Gen Hosp Psychiatry. 2010 May-Jun;32(3):240-5. doi: 10.1016/j.genhosppsych.2010.01.013. Epub 2010 Mar 1.</citation>
    <PMID>20430226</PMID>
  </reference>
  <reference>
    <citation>Community Preventive Services Task Force. Recommendation from the community preventive services task force for use of collaborative care for the management of depressive disorders. Am J Prev Med. 2012 May;42(5):521-4. doi: 10.1016/j.amepre.2012.01.010.</citation>
    <PMID>22516494</PMID>
  </reference>
  <reference>
    <citation>Thota AB, Sipe TA, Byard GJ, Zometa CS, Hahn RA, McKnight-Eily LR, Chapman DP, Abraido-Lanza AF, Pearson JL, Anderson CW, Gelenberg AJ, Hennessy KD, Duffy FF, Vernon-Smiley ME, Nease DE Jr, Williams SP; Community Preventive Services Task Force. Collaborative care to improve the management of depressive disorders: a community guide systematic review and meta-analysis. Am J Prev Med. 2012 May;42(5):525-38. doi: 10.1016/j.amepre.2012.01.019.</citation>
    <PMID>22516495</PMID>
  </reference>
  <reference>
    <citation>Coventry PA, Hudson JL, Kontopantelis E, Archer J, Richards DA, Gilbody S, Lovell K, Dickens C, Gask L, Waheed W, Bower P. Characteristics of effective collaborative care for treatment of depression: a systematic review and meta-regression of 74 randomised controlled trials. PLoS One. 2014 Sep 29;9(9):e108114. doi: 10.1371/journal.pone.0108114. eCollection 2014.</citation>
    <PMID>25264616</PMID>
  </reference>
  <reference>
    <citation>Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006 Nov 27;166(21):2314-21. doi: 10.1001/archinte.166.21.2314.</citation>
    <PMID>17130383</PMID>
  </reference>
  <reference>
    <citation>Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ. 2004 Nov;82(11):858-66. Epub 2004 Dec 14.</citation>
    <PMID>15640922</PMID>
  </reference>
  <reference>
    <citation>Pinto-Meza A, Fernandez A, Serrano-Blanco A, Haro JM. Adequacy of antidepressant treatment in Spanish primary care: a naturalistic six-month follow-up study. Psychiatr Serv. 2008 Jan;59(1):78-83. doi: 10.1176/ps.2008.59.1.78.</citation>
    <PMID>18182543</PMID>
  </reference>
  <reference>
    <citation>Wittchen HU, Holsboer F, Jacobi F. Met and unmet needs in the management of depressive disorder in the community and primary care: the size and breadth of the problem. J Clin Psychiatry. 2001;62 Suppl 26:23-8.</citation>
    <PMID>11775090</PMID>
  </reference>
  <reference>
    <citation>Fernandez A, Pinto-Meza A, Bellon JA, Roura-Poch P, Haro JM, Autonell J, Palao DJ, Penarrubia MT, Fernandez R, Blanco E, Luciano JV, Serrano-Blanco A. Is major depression adequately diagnosed and treated by general practitioners? Results from an epidemiological study. Gen Hosp Psychiatry. 2010 Mar-Apr;32(2):201-9. doi: 10.1016/j.genhosppsych.2009.11.015. Epub 2010 Jan 12.</citation>
    <PMID>20302995</PMID>
  </reference>
  <reference>
    <citation>Salvador-Carulla L, Bendeck M, Fernandez A, Alberti C, Sabes-Figuera R, Molina C, Knapp M. Costs of depression in Catalonia (Spain). J Affect Disord. 2011 Jul;132(1-2):130-8. doi: 10.1016/j.jad.2011.02.019. Epub 2011 Mar 12.</citation>
    <PMID>21402411</PMID>
  </reference>
  <reference>
    <citation>Sabes-Figuera R, Knapp M, Bendeck M, Mompart-Penina A, Salvador-Carulla L. The local burden of emotional disorders. An analysis based on a large health survey in Catalonia (Spain). Gac Sanit. 2012 Jan-Feb;26(1):24-9. doi: 10.1016/j.gaceta.2011.05.019. Epub 2011 Nov 9.</citation>
    <PMID>22078690</PMID>
  </reference>
  <reference>
    <citation>Gabilondo A, Rojas-Farreras S, Vilagut G, Haro JM, Fernandez A, Pinto-Meza A, Alonso J. Epidemiology of major depressive episode in a southern European country: results from the ESEMeD-Spain project. J Affect Disord. 2010 Jan;120(1-3):76-85. doi: 10.1016/j.jad.2009.04.016.</citation>
    <PMID>19428121</PMID>
  </reference>
  <verification_date>September 2017</verification_date>
  <study_first_submitted>September 12, 2017</study_first_submitted>
  <study_first_submitted_qc>September 14, 2017</study_first_submitted_qc>
  <study_first_posted type="Actual">September 18, 2017</study_first_posted>
  <last_update_submitted>September 14, 2017</last_update_submitted>
  <last_update_submitted_qc>September 14, 2017</last_update_submitted_qc>
  <last_update_posted type="Actual">September 18, 2017</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>depression</keyword>
  <keyword>Primary Health Care</keyword>
  <keyword>Health Plan Implementation</keyword>
  <keyword>Collaborative care</keyword>
  <keyword>Patient-Centered Care</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Depression</mesh_term>
    <mesh_term>Depressive Disorder</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03285659
org study id: P17/077
nct id: NCT03285659
lead sponsor: 
is fda regulated drug: No
is fda regulated device: No
Depression is one of the most common conditions among primary care patients. Nevertheless,
      there are several problems in depression diagnosis, clinical management and outcomes. The
      INDI study, which is based in a collaborative care model, aims to improve the management of
      depression in primary care patients. It is intended to be implemented in clinical practice
      within the context of primary care.
BACKGROUND Depression is one of the most common conditions among primary care patients.
      Nevertheless, there are several problems in its diagnosis, clinical management and outcomes.
      The INDI study, which is based in a collaborative care model, aims to improve the management
      of depression in primary care patients. INDI has been proved previously to be an efficient
      intervention showing clinical and socio-economic benefits. INDI is intended to be implemented
      in the clinical practice within the context of primary care.

      METHOD Aim: Test the feasibility and the impact of an implementation strategy of the INDI
      model for the management of depression in primary care.

      Design: This is a casi-experimental study within the context of primary care. Specific
      geographic areas will be identified to implement the INDI program (intervention group) and
      other areas with similar features will to be compared (control group.

      Participants: Patients diagnosed with depression will be invited to voluntarily participate
      in this study. Additionally, the investigators will also consider as participants the health
      professionals, the centres of primary care, as well as the health organizations of the
      geographic areas where the study will take place: Camp de Tarragona and Valles Occidental
      (Catalonia, Spain).

      Intervention: The INDI model is a health care program for improving the management of
      depression. INDI includes clinical, training and organizational interventions with the
      participation of nurses as care managers. An active strategy based on the Promoting Action on
      Research Implementation in Health Services's model (PARIHS) will be designed for the
      implementation.

      Evaluation: This study will use qualitative and quantitative methods to obtain data on the
      variables related to a successful implementation: feasibility, acceptability, and impact.

      Discussion: In this study, the investigators aim to test the feasibility of a clinical
      intervention INDI, based on a collaborative care model, in the management of depression in
      primary care setting. If the implementation of such intervention is successful, then the
      achieved data and experience will help to plan a strategy to generalize the INDI model to the
      Catalan health system. The investigators expect significant clinical benefits to the
      patients, the health system and to the society.
allocation: Non-Randomized
intervention model: Parallel Assignment
primary purpose: Health Services Research
masking: Single (Outcomes Assessor)
measure: degree of implementation and capacity for change of the collaborative care model (INDI)
time frame: 12 months
description: degree of implementation of the collaborative care model (INDI) in health organization and professionals using the Assessment of Readiness for Chronicity in Health Care Organizations (ARCHO)
measure: patient experience about the collaborative care model (INDI)
time frame: 12 months
description: how patients experience depression care according to the collaborative care model (INDI) using the Instrument for Evaluating Patient Experience of Chronic Illness Care (IEXPAC) scale
arm group label: Intervention: INDI Implementation
arm group type: Experimental
description: Primary care centres which will implement the collaborative (INDI) care model for depression
arm group label: Control: no INDI implementation
arm group type: No Intervention
description: Primary care centres in which the collaborative care strategy INDI will not be implemented, but will be compared in terms of their clinical practice towards depression
intervention type: Other
intervention name: Intervention: INDI Implementation
description: Implementation of a collaborative care model in the context of primary care to manage depression
arm group label: Intervention: INDI Implementation
other name: INDI
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: No
last name: Enric Aragonès, PhD
role: Principal Investigator
affiliation: Jordi Gol Fundation
last name: Catarina Pires, PhD
phone: 0034 652957478
email: jamnista@gmail.com
citation: Aragones E, Pinol JL, Labad A, Masdeu RM, Pino M, Cervera J. Prevalence and determinants of depressive disorders in primary care practice in Spain. Int J Psychiatry Med. 2004;34(1):21-35. doi: 10.2190/C25N-W4NY-BN8W-TXN2.
PMID: 15242139
citation: Aragones E, Pinol JL, Caballero A, Lopez-Cortacans G, Casaus P, Hernandez JM, Badia W, Folch S. Effectiveness of a multi-component programme for managing depression in primary care: a cluster randomized trial. The INDI project. J Affect Disord. 2012 Dec 15;142(1-3):297-305. doi: 10.1016/j.jad.2012.05.020. Epub 2012 Oct 11.
PMID: 23062747
citation: Aragones E, Caballero A, Pinol JL, Lopez-Cortacans G. Persistence in the long term of the effects of a collaborative care programme for depression in primary care. J Affect Disord. 2014 Sep;166:36-40. doi: 10.1016/j.jad.2014.05.003. Epub 2014 May 11.
PMID: 25012408
citation: Aragones E, Caballero A, Pinol JL, Lopez-Cortacans G, Badia W, Hernandez JM, Casaus P, Folch S, Basora J, Labad A; INDI research group. Assessment of an enhanced program for depression management in primary care: a cluster randomized controlled trial. The INDI project (Interventions for Depression Improvement). BMC Public Health. 2007 Sep 20;7:253. doi: 10.1186/1471-2458-7-253.
PMID: 17883845
citation: Aragones E, Lopez-Cortacans G, Sanchez-Iriso E, Pinol JL, Caballero A, Salvador-Carulla L, Cabases J. Cost-effectiveness analysis of a collaborative care programme for depression in primary care. J Affect Disord. 2014 Apr;159:85-93. doi: 10.1016/j.jad.2014.01.021. Epub 2014 Feb 13.
PMID: 24679395
citation: Aragones E, Comin E, Cavero M, Perez V, Molina C, Palao D. [A computerised clinical decision-support system for the management of depression in Primary Care]. Aten Primaria. 2017 Jun-Jul;49(6):359-367. doi: 10.1016/j.aprim.2016.09.011. Epub 2017 Jan 9. Spanish.
PMID: 28081896
citation: Aragones E, Pinol JL, Labad A. Depression and physical comorbidity in primary care. J Psychosom Res. 2007 Aug;63(2):107-11. doi: 10.1016/j.jpsychores.2007.05.008.
PMID: 17662745
citation: Solberg LI, Crain AL, Jaeckels N, Ohnsorg KA, Margolis KL, Beck A, Whitebird RR, Rossom RC, Crabtree BF, Van de Ven AH. The DIAMOND initiative: implementing collaborative care for depression in 75 primary care clinics. Implement Sci. 2013 Nov 16;8:135. doi: 10.1186/1748-5908-8-135.
PMID: 24238225
citation: Sighinolfi C, Nespeca C, Menchetti M, Levantesi P, Belvederi Murri M, Berardi D. Collaborative care for depression in European countries: a systematic review and meta-analysis. J Psychosom Res. 2014 Oct;77(4):247-63. doi: 10.1016/j.jpsychores.2014.08.006. Epub 2014 Aug 27.
PMID: 25201482
citation: Eccles MP, Armstrong D, Baker R, Cleary K, Davies H, Davies S, Glasziou P, Ilott I, Kinmonth AL, Leng G, Logan S, Marteau T, Michie S, Rogers H, Rycroft-Malone J, Sibbald B. An implementation research agenda. Implement Sci. 2009 Apr 7;4:18. doi: 10.1186/1748-5908-4-18.
PMID: 19351400
citation: Stetler CB, Damschroder LJ, Helfrich CD, Hagedorn HJ. A Guide for applying a revised version of the PARIHS framework for implementation. Implement Sci. 2011 Aug 30;6:99. doi: 10.1186/1748-5908-6-99.
PMID: 21878092
citation: Nuno-Solinis R, Fernandez-Cano P, Mira-Solves JJ, Toro-Polanco N, Carlos Contel J, Guilabert Mora M, Solas O. [Development of an instrument for the assessment of chronic care models]. Gac Sanit. 2013 Mar-Apr;27(2):128-34. doi: 10.1016/j.gaceta.2012.05.012. Epub 2012 Jul 24. Spanish.
PMID: 22832167
citation: Solberg LI, Asche SE, Margolis KL, Whitebird RR. Measuring an organization's ability to manage change: the change process capability questionnaire and its use for improving depression care. Am J Med Qual. 2008 May-Jun;23(3):193-200. doi: 10.1177/1062860608314942.
PMID: 18539980
citation: Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995 Jul 29;311(7000):299-302. doi: 10.1136/bmj.311.7000.299.
PMID: 7633241
citation: Mira JJ, Nuno-Solinis R, Guilabert-Mora M, Solas-Gaspar O, Fernandez-Cano P, Gonzalez-Mestre MA, Contel JC, Del Rio-Camara M. Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care. Int J Integr Care. 2016 Aug 31;16(3):13. doi: 10.5334/ijic.2443.
PMID: 28435422
citation: Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ, Greene SM. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Med Care. 2005 May;43(5):436-44. doi: 10.1097/01.mlr.0000160375.47920.8c.
PMID: 15838407
citation: Rossom RC, Solberg LI, Vazquez-Benitez G, Crain AL, Beck A, Whitebird R, Glasgow RE. The effects of patient-centered depression care on patient satisfaction and depression remission. Fam Pract. 2016 Dec;33(6):649-655. doi: 10.1093/fampra/cmw068. Epub 2016 Aug 17.
PMID: 27535330
citation: Bolibar B, Fina Aviles F, Morros R, Garcia-Gil Mdel M, Hermosilla E, Ramos R, Rosell M, Rodriguez J, Medina M, Calero S, Prieto-Alhambra D; Grupo SIDIAP. [SIDIAP database: electronic clinical records in primary care as a source of information for epidemiologic research]. Med Clin (Barc). 2012 May 19;138(14):617-21. doi: 10.1016/j.medcli.2012.01.020. Epub 2012 Mar 22. No abstract available. Spanish.
PMID: 22444996
citation: Murray E, Treweek S, Pope C, MacFarlane A, Ballini L, Dowrick C, Finch T, Kennedy A, Mair F, O'Donnell C, Ong BN, Rapley T, Rogers A, May C. Normalisation process theory: a framework for developing, evaluating and implementing complex interventions. BMC Med. 2010 Oct 20;8:63. doi: 10.1186/1741-7015-8-63.
PMID: 20961442
citation: Serrano-Blanco A, Palao DJ, Luciano JV, Pinto-Meza A, Lujan L, Fernandez A, Roura P, Bertsch J, Mercader M, Haro JM. Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Soc Psychiatry Psychiatr Epidemiol. 2010 Feb;45(2):201-10. doi: 10.1007/s00127-009-0056-y. Epub 2009 May 19.
PMID: 19452110
citation: Gili M, Comas A, Garcia-Garcia M, Monzon S, Antoni SB, Roca M. Comorbidity between common mental disorders and chronic somatic diseases in primary care patients. Gen Hosp Psychiatry. 2010 May-Jun;32(3):240-5. doi: 10.1016/j.genhosppsych.2010.01.013. Epub 2010 Mar 1.
PMID: 20430226
citation: Community Preventive Services Task Force. Recommendation from the community preventive services task force for use of collaborative care for the management of depressive disorders. Am J Prev Med. 2012 May;42(5):521-4. doi: 10.1016/j.amepre.2012.01.010.
PMID: 22516494
citation: Thota AB, Sipe TA, Byard GJ, Zometa CS, Hahn RA, McKnight-Eily LR, Chapman DP, Abraido-Lanza AF, Pearson JL, Anderson CW, Gelenberg AJ, Hennessy KD, Duffy FF, Vernon-Smiley ME, Nease DE Jr, Williams SP; Community Preventive Services Task Force. Collaborative care to improve the management of depressive disorders: a community guide systematic review and meta-analysis. Am J Prev Med. 2012 May;42(5):525-38. doi: 10.1016/j.amepre.2012.01.019.
PMID: 22516495
citation: Coventry PA, Hudson JL, Kontopantelis E, Archer J, Richards DA, Gilbody S, Lovell K, Dickens C, Gask L, Waheed W, Bower P. Characteristics of effective collaborative care for treatment of depression: a systematic review and meta-regression of 74 randomised controlled trials. PLoS One. 2014 Sep 29;9(9):e108114. doi: 10.1371/journal.pone.0108114. eCollection 2014.
PMID: 25264616
citation: Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006 Nov 27;166(21):2314-21. doi: 10.1001/archinte.166.21.2314.
PMID: 17130383
citation: Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ. 2004 Nov;82(11):858-66. Epub 2004 Dec 14.
PMID: 15640922
citation: Pinto-Meza A, Fernandez A, Serrano-Blanco A, Haro JM. Adequacy of antidepressant treatment in Spanish primary care: a naturalistic six-month follow-up study. Psychiatr Serv. 2008 Jan;59(1):78-83. doi: 10.1176/ps.2008.59.1.78.
PMID: 18182543
citation: Wittchen HU, Holsboer F, Jacobi F. Met and unmet needs in the management of depressive disorder in the community and primary care: the size and breadth of the problem. J Clin Psychiatry. 2001;62 Suppl 26:23-8.
PMID: 11775090
citation: Fernandez A, Pinto-Meza A, Bellon JA, Roura-Poch P, Haro JM, Autonell J, Palao DJ, Penarrubia MT, Fernandez R, Blanco E, Luciano JV, Serrano-Blanco A. Is major depression adequately diagnosed and treated by general practitioners? Results from an epidemiological study. Gen Hosp Psychiatry. 2010 Mar-Apr;32(2):201-9. doi: 10.1016/j.genhosppsych.2009.11.015. Epub 2010 Jan 12.
PMID: 20302995
citation: Salvador-Carulla L, Bendeck M, Fernandez A, Alberti C, Sabes-Figuera R, Molina C, Knapp M. Costs of depression in Catalonia (Spain). J Affect Disord. 2011 Jul;132(1-2):130-8. doi: 10.1016/j.jad.2011.02.019. Epub 2011 Mar 12.
PMID: 21402411
citation: Sabes-Figuera R, Knapp M, Bendeck M, Mompart-Penina A, Salvador-Carulla L. The local burden of emotional disorders. An analysis based on a large health survey in Catalonia (Spain). Gac Sanit. 2012 Jan-Feb;26(1):24-9. doi: 10.1016/j.gaceta.2011.05.019. Epub 2011 Nov 9.
PMID: 22078690
citation: Gabilondo A, Rojas-Farreras S, Vilagut G, Haro JM, Fernandez A, Pinto-Meza A, Alonso J. Epidemiology of major depressive episode in a southern European country: results from the ESEMeD-Spain project. J Affect Disord. 2010 Jan;120(1-3):76-85. doi: 10.1016/j.jad.2009.04.016.
PMID: 19428121
responsible party type: Sponsor
mesh term: Depression
mesh term: Depressive Disorder
sharing ipd: No