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

Susan Fletcher; Patty Chondros; Konstancja Densley; Elizabeth Murray; Christopher Dowrick; Amy Coe; Kelsey Hegarty; Sandra Davidson; Caroline Wachtler; Cathrine Mihalopoulos; Yong Yi Lee; Mary Lou Chatterton; Victoria J Palmer; Jane Gunn

Journal article

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

Susan Fletcher, Patty Chondros, Konstancja Densley, Elizabeth Murray, Christopher Dowrick, Amy Coe, Kelsey Hegarty, Sandra Davidson, Caroline Wachtler, Cathrine Mihalopoulos, Yong Yi Lee, Mary Lou Chatterton, Victoria J Palmer, Jane Gunn

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

DOI: 10.3399/BJGP.2020.0783

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 psycholog..

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University of Melbourne Researchers

Caroline Wachtler Author General Practice

Christopher Dowrick Author General Practice

Sandra Davidson Author General Practice

Elizabeth Murray Author General Practice

Konstancja Densley Author General Practice

Related Projects (4)

Diagnosis, Management and Outcomes of Depression in Primary care (DIAMOND) a longitudinal study

Depression is the single largest cause of disability for people in Australia. It is mainly managed in general practice, yet many people expe..

The diamond cohort study - long term outcomes of depressive symptoms in primary care

The diamond study follows what happens to almost 800 people with depressive symptoms whom attend general practice for care over 5 years of t..

The diamond cohort study- examining depressive symptoms in primary care

Depression is the single largest cause of disability for people in Australia. It is mainly managed in general practice-primary care, yet man..

The diamond cohort study - long term outcomes of depressive

Diamond began in 2005 to follow over 500 people with depressive symptoms to document and describe the nature and course of depression and it..

Grants

Awarded by National Health and Medical Research Council (NHMRC)

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.