At a glance
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Collaborative and Stepped Care in Mental Health by Overcoming Treatment Sector Barriers: A Cluster-randomized Controlled Trial (COMET)
In Brief
A clinical study evaluating collaborative and stepped care model for Depressive Disorder and 3 related conditions. Completed, enrolled 615 participants across 1 site.
Detailed Summary
The aims of COMET are the implementation and evaluation of effectiveness and cost-effectiveness as well as processes of a collaborative and stepped care model for depressive, anxiety, somatoform and/or alcohol abuse disorders within a multiprofessional network in comparison to routine care. In a cluster-randomized controlled effectiveness trial 570 patients will be recruited by 38 general practitioner practices and followed with a prospective survey at four time points. The primary outcome is the change in health-related quality of life from baseline to 6-months follow-up. Secondary outcomes include disorder-specific symptom burden, response, remission, functional quality of life, cost-effectiveness, evaluation of processes and other clinical and psychosocial variables.
Study Details
Timeline
Interventions
Including elements: * collaborative and stepped care of patients with mental disorders * treatment in a multiprofessional network consisting of primary care physicians, psychologists, psychiatrists and inpatient facilities * initial training of participating health care providers * formalized and standardized screening procedure for early recognition of depressive, anxiety, somatoform and alcohol abuse disorders * formalized ICD-diagnostics * guideline-oriented treatment recommendations * bibliotherapy or internet-based self-help for patient with mild to moderate disorders * online referral platform * case management for patients with severe disorders * systematic and regular monitoring * regular quality circles for participating health care providers