Article
Medicine, General & Internal
Carolyn A. McCarty, Douglas F. Zatzick, Lyscha A. Marcynyszyn, Jin Wang, Robert Hilt, Thomas Jinguji, Celeste Quitiquit, Sara P. D. Chrisman, Frederick P. Rivara
Summary: This randomized clinical trial examined the effectiveness of collaborative care treatment for adolescents with persistent postconcussive symptoms in improving symptoms, quality of life, anxiety, and depressive symptoms over 1 year compared to usual care. The findings suggest that collaborative care intervention led to fewer symptoms and better quality of life for adolescents over the course of 1 year. Additionally, delivering the intervention through telehealth broadened the reach of treatment.
Article
Health Care Sciences & Services
Peter M. Yellowlees, Michelle Burke Parish, Alvaro D. Gonzalez, Steven R. Chan, Donald M. Hilty, Byung-Kwang Yoo, J. Paul Leigh, Robert M. McCarron, Lorin M. Scher, Andres F. Sciolla, Jay Shore, Glen Xiong, Katherine M. Soltero, Alice Fisher, Jeffrey R. Fine, Jennifer Bannister, Ana-Maria Iosif
Summary: This study aimed to compare the impact of asynchronous telepsychiatry (ATP) and synchronous telepsychiatry (STP) on clinical outcomes for primary care patients. Results showed that ATP did not outperform STP in clinician-rated primary outcomes, but both groups showed significant improvements in secondary outcomes. Dropout rates were higher than predicted.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Endocrinology & Metabolism
Marisa E. Hilliard, Carrie Tully, Maureen Monaghan, Tom Hildebrandt, Christine H. Wang, John R. Barber, Lauren Clary, Katherine Gallagher, Wendy Levy, Fran Cogen, Celia Henderson, Lefkothea Karaviti, Randi Streisand
Summary: This study evaluated a stepped-care behavioral intervention (First STEPS) designed to support parental adjustment and promote glycemic outcomes for young children with type 1 diabetes. The results showed that the intervention improved parental mood, but there were no significant differences in HbA1c levels.
Article
Medicine, General & Internal
Bruce L. Rollman, Amy M. Anderson, Scott D. Rothenberger, Kaleab Z. Abebe, Ravi Ramani, Matthew F. Muldoon, John M. Jakicic, Bea Herbeck Belnap, Jordan F. Karp
Summary: Depression is often overlooked in patients with heart failure, but a blended collaborative care approach showed some improvements in clinical outcomes, particularly in mental health-related quality of life and mood.
JAMA INTERNAL MEDICINE
(2021)
Article
Psychology, Developmental
Abigail Schlesinger, Sourav Sengupta, Larry Marx, Robert Hilt, D. Richard Martini, David R. DeMaso, Negar Beheshti, Breck Borcherding, Aleiya Butler, Elise Fallucco, Katrina Fletcher, Elizabeth Homan, Karen Lai, Karen Pierce, Aditi Sharma, Marian Earls, Carol Rockhill, Oscar G. Bukstein, A. Reese Abright, Timothy Becker, John Diamond, Munya Hayek, Helene Keable, Roma A. Vasa, Heather J. Walter
Summary: The objective of this Clinical Update is to review the principles, structures, processes, and outcomes of collaborative mental health care in the pediatric primary care setting. The collaborative care approach aims to extend behavioral health care to primary care and can be delivered in various models. Integrated care, a multidisciplinary team-based approach, has the strongest evidence base in improving clinical outcomes and patient satisfaction. Challenges to implementation include lack of mental health education, reimbursement constraints, and ongoing specialty mental health care availability.
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
(2023)
Article
Psychiatry
Graciela Rojas, Pablo Martinez, Viviana Guajardo, Solange Campos, Pablo Herrera, Paul A. Vohringer, Victor Gomez, Wilsa Szabo, Ricardo Araya
Summary: The study aims to compare the effectiveness of two treatment methods for depressed patients with hypertension and/or diabetes in primary care clinics in Santiago, Chile. It will provide evidence for the effectiveness of a collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease in Latin American primary care settings.
Article
Surgery
Douglas Zatzick, Gregory Jurkovich, Patrick Heagerty, Joan Russo, Doyanne Darnell, Lea Parker, Michelle K. Roberts, Rddhi Moodliar, Allison Engstrom, Jin Wang, Eileen Bulger, Lauren Whiteside, Deepika Nehra, Lawrence A. Palinkas, Kathleen Moloney, Ronald Maier
Summary: The study found that a brief stepped collaborative care intervention targeting PTSD symptoms was significantly effective in reducing symptoms at 6 months, but not at 12 months. Patients with higher baseline PTSD risk factors and treatment at trauma centers with good or excellent protocol implementation showed greater treatment effects. However, intervention effects on secondary outcomes were not statistically significant.
Article
Health Care Sciences & Services
Laura Richardson, Elizabeth Oshrin Parker, Chuan Zhou, Julie Kientz, Elizabeth Ozer, Carolyn McCarty
Summary: This study aimed to test the efficacy of electronic risk behavior screening with integrated patient-facing feedback on the delivery of adolescent-reported clinician counseling and risk behaviors. The results showed that while electronic screening improved clinician counseling delivery, its impact on risk behaviors was modest and not significantly different from usual care. More research is needed to identify effective strategies to reduce risk behaviors in the context of well-care.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Pediatrics
Kyung E. Rhee, Lourdes Herrera, David Strong, Eastern Kang-Sim, Yuyan Shi, Kerri N. Boutelle
Summary: This study compares the effects of two treatment models on attendance and child weight status. It finds that a less intense guided self-help program (GSH) can be implemented in primary care settings and reduces attrition risk. The intervention shows some improvements in child weight, although there is a slight increase during the follow-up period.
Article
Psychiatry
Christopher G. Kemp, Leslie C. M. Johnson, Rajesh Sagar, Subramani Poongothai, Nikhil Tandon, Ranjit Mohan Anjana, Sosale Aravind, Gumpeny R. Sridhar, Shivani A. Patel, Karl Emmert-Fees, Deepa Rao, K. M. Narayan, Viswanathan Mohan, Mohammed K. Ali, Lydia A. Chwastiak
Summary: The collaborative care intervention led to significant reductions in anxiety symptoms at 6 and 12 months, but the effects were not sustained at 18 and 24 months. Participant characteristics at baseline had minimal moderation effects on the results, and the effects were not mediated by anti-depressant use.
GENERAL HOSPITAL PSYCHIATRY
(2022)
Article
Clinical Neurology
Carolyn A. Schniering, Danielle Einstein, Jessica J. L. Kirkman, Ronald M. Rapee
Summary: This study evaluated the efficacy of an online cognitive behavior therapy program for adolescents with comorbid anxiety and mood disorders. The results showed that treated participants experienced greater reduction in the number of disorders and were more likely to remit from all anxiety and mood disorders compared to the waiting participants. However, there was no significant improvement in life interference.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Medicine, General & Internal
Marilyn M. Schapira, Rebecca A. Hubbard, Jeff Whittle, Anil Vachani, Dana Kaminstein, Sumedha Chhatre, Keri L. Rodriguez, Lori A. Bastian, Jeffrey D. Kravetz, Onur Asan, Jason M. Prigge, Jessica Meline, Susan Schrand, Jennifer V. Ibarra, Deborah A. Dye, Julie B. Rieder, Jemimah O. Frempong, Liana Fraenkel
Summary: This study aimed to evaluate the impact of an LCS Decision Tool on the quality of decision-making and LCS uptake. The results showed that the LCSDecTool group had higher scores in LCS knowledge and higher LCS uptake, but there was no significant difference in decisional conflict at 1 month.
Article
Medicine, General & Internal
Paul M. Darden, Ann M. Davis, Jeannette Y. Lee, Milan Bimali, Alan E. Simon, Andrew M. Atz, Crystal S. Lim, Thao-Ly T. Phan, James R. Roberts, Russell J. McCulloh, Lee Pyles, Michelle Shaffer, Jessica N. Snowden
Summary: This study evaluated the feasibility of two recruitment methods for enrolling rural children with overweight or obesity into a clinical trial. The results showed that the active approach, in collaboration with local primary care clinics, was effective in recruiting participants from rural communities.
Article
Medicine, General & Internal
Sheryl Spithoff, Lana Mogic, Susan Hum, Rahim Moineddin, Christopher Meaney, Tara Kiran
Summary: In this randomized clinical trial conducted in Ontario, Canada, it was found that family physicians were less likely to accept patients with opioid use disorder as new patients compared to those with diabetes. Efforts to address this disparity may include improving policies for accepting new patients, enhancing compensation, and providing anti-oppression training for clinicians.
Article
Clinical Neurology
Amy K. Liu, Katherine L. Possin, Kristen M. Cook, Shalini Lynch, Sarah Dulaney, Jennifer J. Merrilees, Tamara Braley, Rachel E. Kiekhofer, Stephen J. Bonasera, Isabel E. Allen, Winston Chiong, Amy M. Clark, Julie Feuer, Joan Ewalt, Elan L. Guterman, Rosalie Gearhart, Bruce L. Miller, Kirby P. Lee
Summary: This study evaluated the effect of the Care Ecosystem (CE) collaborative dementia care program on medication use among community-dwelling persons living with dementia (PLWD). The results showed that the CE program significantly reduced the use of potentially inappropriate medications (PIMs), as well as the total number of medications and specific medication classes.
ALZHEIMERS & DEMENTIA
(2023)