Navigation Links
Online messaging delivers follow-up care for depression
Date:3/16/2011

SEATTLEOnline messaging can deliver organized follow-up care for depression effectively and efficiently, according to a randomized controlled trial of 208 Group Health patients that the Journal of General Internal Medicine e-published in advance of print.

After five months, compared to the half of the patients randomly assigned to receive usual care, the half who had three online care management contacts with a trained psychiatric nurse were significantly more likely to feel less depressed, take their antidepressant medication as prescribed, and be "very satisfied" with their treatment for depression. The patients in the trial were starting antidepressant medication that their primary care providers prescribed.

"While more Americans are taking antidepressants, the quality of care for depression remains among the lowest scores on the U.S. health care report card," said Gregory E. Simon, MD, MPH, a Group Health psychiatrist and Group Health Research Institute senior investigator. "Especially in primary care, where most treatment for depression starts, not enough patients receive follow-up contact or take their antidepressant medication as prescribed."

In previous studies, Dr. Simon and his colleagues have successfully delivered organized care for depression using telephone calls. Organized depression care means systematically reaching out to patients, assessing their depression and whether they are taking their antidepressant medication as prescribed, and following guidelines for evidence-based care. One such guideline is suggesting that the primary care provider change the doseor add or switch to another medicationif depression or side effects bother a patient after a standard trial period. The bottom line: persistently tailoring treatment to boost each individual's response.

Why try pursuing these same goals using online messaging instead of phone calls?

"Recently, for each phone contact with a patient, we've wasted a half hour on playing 'phone tag,'" Dr. Simon said. Unlike phone calls, online messages require no simultaneous live contact, so they may boost the convenience and affordability of follow-up care. He and his colleagues have found that secure, asynchronous messages within Group Health's existing electronic medical record can improve care of chronic conditionsand that patients being treated for depression are particularly likely to use online communication with their health care providers.

"We worried that patients might need live voice contact in real time to be understood and feel supported," Dr. Simon said. "But this online care management helped these patients, even though they never met the trained psychiatric nurse in person or talked with her on the phone. And because she spent only one hour per patient to deliver this intervention, it promises to make high-quality depression care more affordable."


'/>"/>

Contact: Rebecca Hughes
hughes.r@ghc.org
206-287-2055
Group Health Research Institute
Source:Eurekalert  

Related medicine news :

1. JCI online early table of contents: March 14, 2011
2. JCI online early table of contents: March 7, 2011
3. Study Finds Drop in Online Sales of Cigarettes
4. JCI online early table of contents: Feb. 14, 2011
5. New online tool predicts probability of death from stroke
6. JCI online early table of contents: Feb. 7, 2011
7. Online registration opens for 14th World Conference on Lung Cancer in Amsterdam
8. Online, Mail Reminders Improve Colon Cancer Screening Rates
9. JCI online early table of contents: Dec. 6, 2010
10. JCI online early table of contents: Dec. 1, 2010
11. Elsevier launches innovative online radiology board review product
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Online messaging delivers follow-up care for depression
(Date:5/27/2016)... New York, NY (PRWEB) , ... May 27, 2016 , ... ... the factors of a stroke, which we as a society can control and change. ... a stroke occurs nearly every 40 seconds within the United States. Plus, with an ...
(Date:5/27/2016)... ... May 27, 2016 , ... Beleza Medspa has initiated ... regulations. This is the first time that Coolsculpting is being used for for ... six months to ensure they meet the prescribed body-fat standard, measured by the circumference-based ...
(Date:5/27/2016)... ... May 27, 2016 , ... Each year ... complementary medicine. Allison Outerbridge is this year’s Life University winner of ... at the university’s Student Leadership Awards ceremony. , Outerbridge is approaching her last ...
(Date:5/26/2016)... ... , ... There are many ways to cook a hot dog, but new ... prefer their dogs straight off the grill. Of the 90 percent of Americans who ... cook a hot dog, far outpacing other cooking methods such as steaming (12 percent), ...
(Date:5/26/2016)... Louis, Missouri (PRWEB) , ... May 26, 2016 ... ... cost, quality and clinical outcomes, hosted members and suppliers for its inaugural Member ... a focus on their mission of elevating the operational health of America’s healthcare ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... 25, 2016 MedDay, a biotechnology company ... an oral presentation entitled "High doses of biotin in progressive ... be given by Professor Ayman Tourbah , Principal Investigator ... the European Academy of Neurology (EAN) in Copenhagen, ... 3" will take place on Sunday, 29 May 2016 from ...
(Date:5/24/2016)... AMSTERDAM , May 24, 2016 ... auf den Markt gebracht, die es Ärzten erlaubt, ... überall zu behandeln: MDLinking kombiniert Live Streaming mit ... sicheren Umfeld zu kommunizieren. Mediziner in Europa, Afrika, ... haben sich bereits für die Plattform registriert. ...
(Date:5/24/2016)... 24, 2016   , ... in overall bowel cleansing and superiority in ... leansing of the ascending ... , Norgine B.V. today announced new positive data from ... ascorbate bowel preparation) versus standard 2 litre PEG with ascorbate. The ...
Breaking Medicine Technology: