Key result
The TEAMcare intervention improved quality of care and medical and psychiatric outcomes compared to usual care in patients with poorly controlled diabetes, heart disease, and depression.
Why the study?
Does the TEAMcare intervention improve disease control outcomes in patients with poorly controlled diabetes, coronary heart disease, and depression?
RCT (n=214)
Does the TEAMcare intervention improve disease control outcomes in patients with poorly controlled diabetes, coronary heart disease, and depression?
A collaborative care model (TEAMcare) improves medical and psychiatric outcomes in complex patients with coexisting depression, diabetes, and coronary heart disease.
Supports collaborative care adoption in primary settings for multimorbid patients; extends RCT evidence for integrated models in diabetes, CHD, and depression.
Patients with poorly controlled diabetes, coronary heart disease, and depression have an increased risk of adverse outcomes. In a randomized, controlled trial, we tested an intervention designed to improve disease control outcomes for diabetes and/or heart disease and coexisting depression. Patients with one or more parameters of poor medical disease control (ie, HbA1c ≥8.5, or SBP >140, or LDL >130) and a Patient Health Questionnaire-9 (PHQ-9) ≥10 were randomized to the TEAMcare intervention or usual care (N = 214). This article will describe the TEAMcare health services model that has been shown to improve quality of care and medical and psychiatric outcomes.
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McGregor et al. (2011) conducted an RCT in Poorly controlled diabetes, coronary heart disease, and depression (n=214). TEAMcare intervention vs. Usual care was evaluated on Quality of care and medical and psychiatric outcomes. The TEAMcare intervention improved quality of care and medical and psychiatric outcomes compared to usual care in patients with poorly controlled diabetes, heart disease, and depression.
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