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Q In patients with depression after stroke, does a care management intervention improve depression outcomes more than usual care?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Neurology ★★★★★★☆ Psychiatry ★★★★★☆☆ Internal medicine ★★★★★☆☆
randomised controlled trial.
blinded (outcome assessor).*
Follow up period:
4 hospitals in Indianapolis, Indiana, USA.
188 patients ⩾18 years of age (mean age 60 y, 54% women) who had major (74%) or minor (26%) depression after ischaemic stroke (patients were identified at the time of stroke and screened for depression 1–2 mo later), no severe language or cognitive impairment, and a life expectancy ⩾6 months. Exclusion criteria included active psychosis, suicidality, substance abuse, use of a monoamine oxidase inhibitor, and pregnancy.
the “Activate–Initiate–Monitor” care management intervention (n = 94) or usual care (n = 94). The intervention, conducted by nurse care …
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