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Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A. London: National Institute for Health and Care Excellence (NICE); 2022 Jun. (NICE Guideline, No. 222.)

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Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A.

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Table 5Summary of included studies for Comparison 4: Stepped care versus standard care for relapse prevention

StudyPopulationInterventionComparisonComments

Apil 2012

RCT

Netherlands

N=136

Baseline severity: Less severe

Mean age (years): 65.6

Sex (% female): 72

Ethnicity (% BME): NR

Stepped care relapse prevention programme

Step 1: Watchful waiting for 6 weeks (no intervention offered)

Step 2: Cognitive bibliotherapy for 6 weeks

Step 3: Individual coping with depression course (12x weekly sessions of 45 mins)

Step 4: Indicated treatment (referred to a physician/psychot herapist and treatment could consist of any intervention considered necessary)

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Relapse at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

BME: black minority ethnic; N: number; NR: not reported; RCT: randomised controlled trial

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