TY - JOUR T1 - A care management intervention improved depression after stroke JF - Evidence Based Medicine JO - Evid Based Med SP - 139 LP - 139 DO - 10.1136/ebm.12.5.139 VL - 12 IS - 5 A2 - , Y1 - 2007/10/01 UR - http://ebm.bmj.com/content/12/5/139.abstract N2 - Williams LS, Kroenke K, Bakas T, et al. Care management of poststroke depression: a randomized, controlled trial. Stroke 2007;38:998–1003.OpenUrlAbstract/FREE Full Text 
 
 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 ★★★★★☆☆ Design: randomised controlled trial. Allocation: concealed.* Blinding: blinded (outcome assessor).* Follow up period: 12 weeks. Setting: 4 hospitals in Indianapolis, Indiana, USA. Patients: 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. Intervention: the “Activate–Initiate–Monitor” care management intervention (n = 94) or usual care (n = 94). The intervention, conducted by nurse care … ER -