About this trial
The goal of this project is to evaluate the effectiveness of a collaborative care model for primary care patients at Kaiser Permanente Colorado (KPCO) with depression and/or anxiety. Collaborative care uses evidence-based short-term treatments delivered to patients over the phone. We will explore the use of cost-efficient automated processes for patient outreach and follow-up, such as care pools of patients and using patient portal messaging, risk-based results routing to providers, and electronic health record (EHR) tools for patient tracking and outcome assessment. Using a cluster randomized design, we will compare results between clinics that are offering collaborative care to those that are not.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
18+
Current membership and active on patient portal
Depression Diagnosis in the prior year
High Risk: Last PHQ9 screener was completed greater than 4 months ago AND total Score is greater than or equal 10 or item 9 is greater than 0.
Disqualifiers
Psychosis
Dementia
Bipolar
Personality Disorders
Trial population
Patients with depression and/or anxiety.
Trial design
Cohort
Prospective
Treatments tested in this trial
Collaborative Care
BehavioralCollaborative care components include patient-centered team care, population-based care, measurement-based treatment to target, evidence-based care, and accountable care.
Treatment groups
Trial outcomes
Primary outcomes
Patient Health Questionnaire 9-item (PHQ-9) score
Change in Patient Health Questionnaire 9-item (PHQ-9) scores before and after Collaborative Care intervention. The score ranges from 0 to 27, with lower numbers indicating improvement in depression symptoms.
Generalized Anxiety Disorder 7-item (GAD-7)
Generalized Anxiety Disorder 7-item (GAD-7) questionnaire scores before and after Collaborative Care intervention. The score ranges from 0 to 21, with lower numbers indicating improvement in anxiety symptoms.
Sponsors and contacts
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Kaiser Permanente
Lead sponsor
Garfield Memorial Fund
Collaborator