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Because the participants, the primary care physicians, and care managers were aware of the treatment assignments, the researchers used blinded assessors to administer the three, six, and 12-month follow-up assessments.Those in the e CBT ISG cohort had access to an interactive web platform with discussion boards. The goal was to determine the diagnostic accuracy of depression screening instruments in adult consumers within three months of an ACS, and to determine the safety and effectiveness of drug treatment, and non-drug treatment for this group. The analysis is based on English-language studies which evaluated interventions for treating post-ACS consumers identified with depression that were published between January 1, 2003 and August 15, 2017.The program was provided by care managers who promoted patient engagement with the online programs.The care managers also gave progress reports to the referring primary care physicians.These findings were reported in “Diagnostic Accuracy of Screening and Treatment of Post–Acute Coronary Syndrome Depression: A Systematic Review” by John W. Each participant also completed the 12-Item Short-Form Health Survey (SF-12) to determine health-related quality of life, the fixed-length Patient-Reported Outcomes Measurement Information System (PROMIS) depression and anxiety measures to assess mood and anxiety symptoms, and the Primary Care Evaluation of Mental Disorders to provide an anxiety and mood disorder diagnosis.
However, the screenings have a high rate of false positives; they identify 50% more people as having depression than are confirmed in an clinical diagnosis. The researchers conducted intent-to-treat analyses from November 2015 to January 2017.
The participants were randomized to one of three groups: e CBT ISG (302 participants), e CBT alone (301 participants), or their primary care physicians’ usual care (101 participants).
The participants assigned to the usual care group and their primary care professionals were informed of their mood and anxiety symptom scores.
After six months of treatment, both the e CBT group and those who received usual care had lower PROMIS scores on both scales, indicating improvement, but those in the e CBT group had scores about two points lower than the scores for a control group that received usual care.
The improvement was determined by scores on the Patient-Reported Outcomes Measurement Information System (PROMIS) Depression scale, and the PROMIS Anxiety scale.