全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Prescribing ANtiDepressants Appropriately (PANDA): a cluster randomized controlled trial in primary care

DOI: 10.1186/1471-2296-14-6

Keywords: Depression , Anxiety , Composite International Diagnostic Interview (CIDI) , Randomized controlled trial , General practice , Depressive disorder , Anxiety disorders

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background Inappropriate use of antidepressants (AD), defined as either continuation in the absence of a proper indication or continuation despite the lack of therapeutic efficacy, applies to approximately half of all long term AD users. Methods/design We have designed a cluster randomized controlled clinical trial to assess the (cost-) effectiveness of an antidepressant cessation advice in the absence of a proper indication for maintenance treatment with antidepressants in primary care. We will select all patients using antidepressants for over 9 months from 45 general practices. Patients will be diagnosed using the Composite International Diagnostic Interview (CIDI) version 3.0, extended with questions about the psychiatric history and previous treatment strategies. General practices will be randomized to either the intervention or the control group. In case of overtreatment, defined as the absence of a proper indication according to current guidelines, a cessation advice is given to the general practitioner. In the control groups no specific information is given. The primary outcome measure will be the proportion of patients that successfully discontinue their antidepressants at one-year follow-up. Secondary outcomes are dimensional measures of psychopathology and costs. Discussion This study protocol provides a detailed overview of the design of the trial. Study results will be of importance for refining current guidelines. If the intervention is effective it can be used in managed care programs. Trial registration NTR2032

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133