Table 6Summary of included studies for Comparison 5: Pure medication management versus standard care

StudyPopulationInterventionComparisonComments

Akerblad 2003

RCT

Sweden

N=665

Baseline severity: More severe

Mean age (years): 48.5

Sex (% female): 72

Ethnicity (% BME): NR

Pure medication management

Therapeutic drug monitoring (TDM). All patients were treated with sertraline. Plasma levels of sertraline and desmethylsertrali ne were determined at weeks 4 and 12 and reported back to the GP for continued discussion with the patients. Intervention included monitoring for side effects

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Aljumah 2015

RCT

Saudi Arabia

N=239

Baseline severity: More severe

Mean age (years): NR

Sex (% female): 55

Ethnicity (% BME): NR

Pure medication management

Pharmacist intervention involving assessing patients’ beliefs and knowledge about antidepressants and distribution of a decision aid to patients

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Depression symptomatology at 6 months
  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Rickles 2005

RCT

US

N=63

Baseline severity: Less severe

Mean age (years): 38

Sex (% female): 84

Ethnicity (% BME): 8

Pure medication management

Pharmacist-guided education and monitoring (PGEM) included assessing patient’s antidepressant knowledge and beliefs, adverse effects and other concerns, treatment goals, and how the medication was being used, reviewing of current adherence, and any new adverse effects and concerns

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Rubio-Valera 2013a

RCT

Spain

N=179

Baseline severity: Less severe

Mean age (years): 46.6

Sex (% female): 75

Ethnicity (% BME): NR

Pure medication management

Community pharmacist intervention included provision of an educational intervention aimed at improving patients’ knowledge of antidepressants and awareness of the importance of adherence, and monitoring of patient progress (improvement, appearance of side effects, or queries)

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Depression symptomatology at 6 months
  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Sirey 2010

RCT

US

N=70

Baseline severity: More severe

Mean age (years): 76

Sex (% female): 77

Ethnicity (% BME): 29

Pure medication management

Treatment Initiation and Participation (TIP) programme, included reviewing symptoms and antidepressant therapy regimen and conducting a barriers assessment, defining personal treatment goal, provision of education about depression and antidepressants, discussing barriers to adherence, creating an adherence strategy, and encouraging the patient to talk directly with the primary care physician about treatment

Standard care

Duration of programme contact (in months): 2

Outcomes:

  • Response at 6 months
  • Discontinuation at 6 months

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

From: Service delivery Models and settings for delivery of services

Cover of Service delivery Models and settings for delivery of services
Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A.
NICE Guideline, No. 222.
Copyright © NICE 2022.

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