Study | STEPS-UP | DESTRESS-PC | |||||
IC/CG | IG | CG | IG | CG | |||
Psychological intervention | Description of the intervention | STEP 3: | STEP 2: | STEP 1: | collaborative care without implementation of psychological therapies | CBT-based & stress inoculation training in a nurse-guided online patient self-management paradigm | low intensity CM and training of PCPs |
psychotherapy | CBT based self-management | care manage-ment (education, BA, MI) | |||||
who received the intervention | patients’ request, high risk patients, unresponsive to STEP 1 + 2, PCPs decision | patients who remain clinically symptomatic after 3–6 weeks | all patients | all patients | all patients | all patients | |
who delivered the intervention | local MHS | CM | CM, PCP | CM, PCP, MHS | CM/computer program | CM/PCP | |
method of delivery | in-person or via telephone | online or via telephone | via telephone, electronic messaging, in-person | via telephone, | online, via telephone, E-Mail, in-person | via telephone, E-Mail, in-person | |
duration of the intervention | not reported | 6–9 weeks | 12 months | 12 months | 6-max. 10 weeks | not reported | |
number of contacts | not reported | 3–9 | min. 12 | min. 12 | log in 3 times /week, number of CM-contacts not reported | 3 telephone check-ins, risk assessment at weeks 2/4/6 | |
strategies applied to sustain/ improve treatment adherence | CM were trained in BA, problem solving and MI | Adherence was monitored | not reported | not reported | |||
Pharmacological intervention | interventions for improved pharmacological treatment | see STEP 2 | Expert training in pharmacologic treatment for PCPs | not reported | Stepped pharmacological treatment | no intervention | no intervention |
who prescribed medication | PCP | PCP | not reported | not reported | |||
Study | CALM | PE-PC | |||||
IC/CG | IG | CG | IG | CG | |||
Psychological intervention | Description of the intervention | computer-assisted CBT program | usual care by PCP, referral to MHS possible | brief Prolonged Exposure for Primary Care | minimal contact group | ||
who received the intervention | patients could choose computer-assisted CBT medication, or both | all patients | all patients | all patients | |||
who delivered the intervention | CM (ACS) | PCP, MHS | PCP, MHS | PCP, MHS | |||
method of delivery | in-person (CBT), via telephone (follow-up) | in-person, via telephone | in-person | via telephone | |||
duration of the intervention | 10 to 12 weeks, symptomatic participants could receive up to 3 more steps (i.e., another 10–12 weeks) of treatment | not reported | 30 min appointments delivered over 4–6 weeks | 6 weeks | |||
number of contacts | CBT: 6 to 8 weekly sessions | not reported | 4 | 6 | |||
strategies applied to sustain or improve treatment adherence | ACS received didactics of MI | not reported | review by an independent clinician using adherence rating forms | not reported | |||
Pharmacological intervention | interventions for improved pharmacological treatment | single-session medication management training for PCPs using a simple algorithm, adherence monitoring by ACS for medication management | not reported | psychotropic medication should remain unchanged throughout the intervention | psychotropic medication should remain unchanged throughout the intervention | ||
who prescribed medication | PCP | PCP | not reported | not reported |