%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 }