Disease management reduced hospitalisations for cardiac or pulmonary conditions other than COPD by 49%, hospitalisations for all causes by 28%, and ED visits for all causes by 27% (p < 0.05 for all). Oslin et al. (2003) RCT, Veterans with depression and/or Telephone-based disease Primary outcome: response to US drinking management (TDM) program for the treatment Mental wellbeing follow-up Mean age: 61.1 acute management of depression Secondary outcome: severity of and/or at-risk drinking depressive symptoms TDM comprised regular contacts by a behavioural health specialist to assist in assessment, education, support, and treatment planning. Findings: Overall response to treatment favoured those assigned to TDM compared with those assigned to usual care (39.1% responded vs. 17.6%, p = 0.022). Comparing depression severity using the HDRS, the patients treated using TDM had significantly greater improvement in symptoms compared with those randomised to usual care. Response rates within the separate diagnostic groups also favoured TDM, but this was only significant for those with depressive disorders. At-risk drinking did not improve. Oslin et al. (2004) RCT Significant anxiety symptoms, Psychogeriatric Biopsychosocial Mental Health Inventory (MHI) and US significant depressive symptoms, Evaluation and Treatment (UPBEAT) for at risk drinking trial the Alcohol Alcohol use and/or at-risk drinking Program, an interdisciplinary mental Use Disorders Identification Test Mental wellbeing Age: health care management program (AUDIT) Intervention: x̅ = 69.72 [SD 6.56] SF-36 Usual care: x̅ = 69.74 [SD 6.70] Findings: Participant nonadherence to the protocol was common and is a major limitation. There were no differences between UPBEAT and usual care patients on symptom or functional outcomes at any follow-up point. Exploratory analyses suggested that among participants with more physical health problems, there were greater improvements in depressive symptoms in those assigned to UPBEAT care. Despite a theoretical and practically sound intervention, participation was low and treatment outcomes, while generally good, appeared unaffected by the addition of the program.
Disease management reduced hospitalisations for cardiac or pulmonary conditions other than COPD by 49%, hospitalisations for all causes by 28%, and ED visits for all causes by 27% (p < 0.05 for all). Oslin et al. (2003) US Mental wellbeing RCT, follow-up Veterans with depression and/or drinking Mean age: 61.1 Telephone-based disease management (TDM) program for the acute management of depression and/or at-risk drinking TDM comprised regular contacts by a behavioural health specialist to assist in assessment, education, support, and treatment planning. Primary outcome: response to treatment Secondary outcome: severity of depressive symptoms Findings: Overall response to treatment favoured those assigned to TDM compared with those assigned to usual care (39.1% responded vs. 17.6%, p = 0.022). Comparing depression severity using the HDRS, the patients treated using TDM had significantly greater improvement in symptoms compared with those randomised to usual care. Response rates within the separate diagnostic groups also favoured TDM, but this was only significant for those with depressive disorders. At-risk drinking did not improve. Oslin et al. (2004) US Alcohol use Mental wellbeing RCT Significant anxiety symptoms, significant depressive symptoms, and/or at-risk drinking Age: Intervention: x̅ = 69.72 [SD 6.56] Usual care: x̅ = 69.74 [SD 6.70] Psychogeriatric Biopsychosocial Evaluation and Treatment (UPBEAT) Program, an interdisciplinary mental health care management program Mental Health Inventory (MHI) and for at risk drinking the Alcohol Use Disorders Identification Test (AUDIT) SF-36 Findings: Participant nonadherence to the protocol was common and is a major limitation. There were no differences between UPBEAT and usual care patients on symptom or functional outcomes at any follow-up point. Exploratory analyses suggested that among participants with more physical health problems, there were greater improvements in depressive symptoms in those assigned to UPBEAT care. Despite a theoretical and practically sound intervention, participation was low and treatment outcomes, while generally good, appeared unaffected by the addition of the program. trial
ARP1702_HealthyAgeing_REA_EP_June2018.docx