Background: Depressive symptoms occur in approximately one-third of stroke patients. We sought to evaluate whether an integrated model of stroke care and secondary prevention reduced depressive symptomatology in stroke survivors. Methods: The integrated care (IC) model is a multifaceted program that provides ongoing collaboration between a specialist stroke service and primary care physicians, using telephone tracking, a bi-directional information feedback loop, management of vascular risk factors, and regular screening for depressive symptoms. Results: Patients exposed to the IC model exhibited significantly fewer depressive symptoms than controls at 12 months post stroke (as measured by the PHQ-9 screening tool; p = 0.006). At 12 months, 30/91 (33%) of the treatment group had depressive symptoms, compared to 52/95 (55%) of the control group (p = 0.003). With other variables adjusted for, the major associates of being depressed at 12 months were group allocation and physical disability. Conclusion: The integrated care approach provides a framework for detecting and monitoring depressive symptoms, and appears to be protective against post-stroke depression.
%0 Journal Article
%1 Joubert+08
%A Joubert, J.
%A Joubert, L.
%A Reid, C.
%A Barton, D.
%A Cumming, T.
%A Mitchell, P.
%A House, M.
%A Heng, R.
%A Meadows, G.
%A Walterfang, M.
%A others,
%D 2008
%I Karger Publishers
%J Cerebrovascular Diseases
%K integration
%N 2
%P 199--205
%T The positive effect of integrated care on depressive symptoms in stroke survivors
%V 26
%X Background: Depressive symptoms occur in approximately one-third of stroke patients. We sought to evaluate whether an integrated model of stroke care and secondary prevention reduced depressive symptomatology in stroke survivors. Methods: The integrated care (IC) model is a multifaceted program that provides ongoing collaboration between a specialist stroke service and primary care physicians, using telephone tracking, a bi-directional information feedback loop, management of vascular risk factors, and regular screening for depressive symptoms. Results: Patients exposed to the IC model exhibited significantly fewer depressive symptoms than controls at 12 months post stroke (as measured by the PHQ-9 screening tool; p = 0.006). At 12 months, 30/91 (33%) of the treatment group had depressive symptoms, compared to 52/95 (55%) of the control group (p = 0.003). With other variables adjusted for, the major associates of being depressed at 12 months were group allocation and physical disability. Conclusion: The integrated care approach provides a framework for detecting and monitoring depressive symptoms, and appears to be protective against post-stroke depression.
@article{Joubert+08,
abstract = {Background: Depressive symptoms occur in approximately one-third of stroke patients. We sought to evaluate whether an integrated model of stroke care and secondary prevention reduced depressive symptomatology in stroke survivors. Methods: The integrated care (IC) model is a multifaceted program that provides ongoing collaboration between a specialist stroke service and primary care physicians, using telephone tracking, a bi-directional information feedback loop, management of vascular risk factors, and regular screening for depressive symptoms. Results: Patients exposed to the IC model exhibited significantly fewer depressive symptoms than controls at 12 months post stroke (as measured by the PHQ-9 screening tool; p = 0.006). At 12 months, 30/91 (33%) of the treatment group had depressive symptoms, compared to 52/95 (55%) of the control group (p = 0.003). With other variables adjusted for, the major associates of being depressed at 12 months were group allocation and physical disability. Conclusion: The integrated care approach provides a framework for detecting and monitoring depressive symptoms, and appears to be protective against post-stroke depression.},
added-at = {2010-08-20T20:09:26.000+0200},
author = {Joubert, J. and Joubert, L. and Reid, C. and Barton, D. and Cumming, T. and Mitchell, P. and House, M. and Heng, R. and Meadows, G. and Walterfang, M. and others},
biburl = {https://www.bibsonomy.org/bibtex/28b439b490fe1ade7cecbca971026e00d/referrator},
interhash = {8f878b6799722c2edd8c38e5319ec229},
intrahash = {8b439b490fe1ade7cecbca971026e00d},
journal = {Cerebrovascular Diseases},
keywords = {integration},
number = 2,
pages = {199--205},
publisher = {Karger Publishers},
timestamp = {2010-08-20T20:09:26.000+0200},
title = {The positive effect of integrated care on depressive symptoms in stroke survivors},
volume = 26,
year = 2008
}