Improving primary care treatment of depression among patients with diabetes mellitus: the design of the pathways study.
This paper describes the methodology of a population based study of primary care patients with diabetes mellitus enrolled in a health maintenance organization. The first goal was to determine the prevalence and impact of depression in patients with diabetes. The second goal was to randomize approximately 300 patients with diabetes and major depression and/or dysthymia in a trial to test the effectiveness of a collaborative care intervention in improving quality of care and health outcomes among patients with diabetes and depression.
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195-6580, USA. wkaton@u.washington.edu
Wayne
W
Katon
Michael
M
Von Korff
Elizabeth
E
Lin
Greg
G
Simon
Evette
E
Ludman
Terry
T
Bush
Ed
E
Walker
Paul
P
Ciechanowski
Carolyn
C
Rutter
D003865:Major Depressive Disorder / Q000209:etiology* / Q000628:therapy*; D003920:Diabetes Mellitus / Q000523:psychology*; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008605:Mental Health Services / Q000592:standards* / Q000600:supply & distribution; D008875:Middle Aged; D010348:Patient Care Team; D011320:Primary Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires; D014481:United States