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CBT-Based and eHealth-Supported Case Management for Patients with Panic Disorder or Depression in Primary Care: Results of a Proof of Concept.
- Source :
-
International Journal of Cognitive Therapy . Sep2024, Vol. 17 Issue 3, p369-387. 19p. - Publication Year :
- 2024
-
Abstract
- Evaluation of a team-based intervention in primary care that includes cognitive behavioural therapy elements and case management and was supported by eHealth components in patients with panic disorder with or without agoraphobia (PD ± AG) and/or depression. In a two-armed cluster-randomised controlled trial (cRCT), mental health conditions were assessed by the Mental Health Index (MHI-5), Patient Health Questionnaire (PHQ-9), Overall Anxiety Severity and Impairment Scale (OASIS), Panic and Agoraphobia Scale (PAS), Mobility Inventory for Agoraphobia (MIA), and Patient Assessment of Chronic Illness Care (PACIC) at baseline (T0), after 6 months (T1), and after 12 months (T2). Scores were analysed as differences from baseline using a mixed linear model with general practitioner (GP) as a random intercept and treatment, time point, and respective baseline value as fixed factors. The majority of participants (mean age 54 years, SD 12.8 years) were women (n = 40, 67.8%). We found consistent mean effects in favour of the intervention group (MHI-5 index, 6.66 [−7.38; 20.70]; PACIC, 15.92 [4.58; 27.26]; PHQ-9, −3.43 [−5.71; −1.14]; OASIS, −2.89 [−5.41; −0.37]). A cautious interpretation indicates promising effects of the intervention. Obstacles to recruitment included the workload for GPs and medical assistants (MAs), potential reservations regarding eHealth, and the onset of the COVID-19 pandemic. Trial registration: The study was registered at the German Clinical Trials Register (DRKS00016622) on February 22nd, 2019. https://drks.de/search/de/trial/DRKS00016622. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANXIETY treatment
*PANIC disorder treatment
*CHRONIC disease treatment
*TEAMS in the workplace
*MENTAL health
*HEALTH status indicators
*MEDICAL quality control
*MEDICAL case management
*AGORAPHOBIA
*PRIMARY health care
*STATISTICAL sampling
*QUESTIONNAIRES
*TREATMENT effectiveness
*RANDOMIZED controlled trials
*DESCRIPTIVE statistics
*TELEMEDICINE
*COMBINED modality therapy
*COGNITIVE therapy
*MENTAL depression
*PHYSICAL mobility
*EMPLOYEES' workload
Subjects
Details
- Language :
- English
- ISSN :
- 19371209
- Volume :
- 17
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- International Journal of Cognitive Therapy
- Publication Type :
- Academic Journal
- Accession number :
- 179738579
- Full Text :
- https://doi.org/10.1007/s41811-023-00195-9