Matching depression management to severity prognosis in primary care: Results of the target-D randomised controlled trial

S Fletcher; P Chondros; K Densley; E Murray; C Dowrick; A Coe; K Hegarty; S Davidson; C Wachtler; C Mihalopoulos; YY Lee; ML Chatterton; VJ Palmer; J Gunn

Journal article

Matching depression management to severity prognosis in primary care: Results of the target-D randomised controlled trial

S Fletcher, P Chondros, K Densley, E Murray, C Dowrick, A Coe, K Hegarty, S Davidson, C Wachtler, C Mihalopoulos, YY Lee, ML Chatterton, VJ Palmer, J Gunn

British Journal of General Practice | ROYAL COLL GENERAL PRACTITIONERS | Published : 2021

DOI: 10.3399/BJGP.2020.0783

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Abstract

Background Mental health treatment rates are increasing, but the burden of disease has not reduced. Tools to support efficient resource distribution are required. Aim To investigate whether a person-centred e-health (Target-D) platform matching depression care to symptom severity prognosis can improve depressive symptoms relative to usual care. Design and setting Stratified individually randomised controlled trial in 14 general practices in Melbourne, Australia, from April 2016 to February 2019. In total, 1868 participants aged 18–65 years who had current depressive symptoms; internet access; no recent change to antidepressant; no current antipsychotic medication; and no current psychologica..

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University of Melbourne Researchers

Patty Chondros Author

Konstancja Densley Author

Amy Coe Author

Kelsey Hegarty Author

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Grants

Awarded by National Health and Medical Research Council

Funding Acknowledgements

Target-D was funded by a grant from the National Health and Medical Research Council (NHMRC) (reference: 1059863, 2014-2018). The funding body had no role in the design and conduct of the study; collection, management analysis, and interpretation of the data; preparation, review or approval of the manuscript; or decision to submitthe manuscript for publication.