Table 2Summary of included studies for Comparison 1: Collaborative care (simple or complex) versus standard care/enhanced standard care

StudyPopulationInterventionComparisonComments

Aragones 2012

RCT

Spain

N=360

Baseline severity: More severe

Mean age (years): 47.6

Sex (% female): 79

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): NR

Outcomes:

  • Depression symptomatology at 6 months
  • Depression symptomatology at 12 months
  • Response at 6 months
  • Response at 12 months
  • Remission at 6 months
  • Remission at 12 months
  • Antidepressant use at 6 months
  • Antidepressant use at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Araya 2003

RCT

Chile

N=240

Baseline severity: More severe

Mean age (years): 42.6

Sex (% female): 100

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 7

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Response at 6 months
  • Remission at 6 months
  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Berghofer 2012

RCT

Germany

N=63

Baseline severity: More severe

Mean age (years): 49.7

Sex (% female): 73

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 10

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Response at 6 months
  • Response at 12 months

Bjorkelund 2018

RCT

Sweden

N=385

Baseline severity: Less severe

Mean age (years): 41.2

Sex (% female): 71

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Remission at 6 months
  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Bosanquet 2017

RCT

UK

N=485

Baseline severity: Less severe

Mean age (years): 72.2

Sex (% female): 62

Ethnicity (% BME): 2

Simple collaborative care

Collaborative care component score: 8

Enhanced standard care

Duration of programme contact (in months): 2

Outcomes:

  • Depression symptomatology at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Bruce 2004

RCT

US

N=598

Baseline severity: More severe

Mean age (years): NR (>60)

Sex (% female): 72

Ethnicity (% BME): 28

Simple collaborative care

Collaborative care component score: 11.5

Enhanced standard care

Duration of programme contact (in months): 12

Outcomes:

  • Depression symptomatology at 12 months
  • Response at 12 months
  • Remission at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Buszewicz 2016

RCT

UK

N=558

Baseline severity: More severe

Mean age (years): 48.4

Sex (% female): 75

Ethnicity (% BME): 12

Simple collaborative care

Collaborative care component score: 11

Standard care

Duration of programme contact (in months): 24

Outcomes:

  • Depression symptomatology at 6 months
  • Depression symptomatology at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Capoccia 2004

RCT

US

N=74

Baseline severity: NR

Mean age (years): 38.7

Sex (% female): 77

Ethnicity (% BME): 22

Simple collaborative care

Collaborative care component score: 8

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Chen 2015

RCT

China

N=326

Baseline severity: More severe

Mean age (years): NR (>60)

Sex (% female): 63

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 12

Enhanced standard care

Duration of programme contact (in months): 4

Outcomes:

  • Depression symptomatology at 6 months
  • Depression symptomatology at 12 months
  • Response at 6 months
  • Response at 12 months
  • Remission at 6 months
  • Remission at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Curth 2020

RCT

Denmark

N=325

Baseline severity: Less severe

Mean age (years): 39

Sex (% female): 67

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 11

Standard care

Duration of programme contact (in months): 4

Outcomes:

  • Depression symptomatology at 6 months
  • Discontinuation at 6 months

Dobscha 2006

RCT

US

N=375

Baseline severity: Less severe

Mean age (years): 56.8

Sex (% female): 7

Ethnicity (% BME): 3

Simple collaborative care

Collaborative care component score: 9

Enhanced standard care

Duration of programme contact (in months): 12

Outcomes:

  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Ell 2007

RCT

US

N=311

Baseline severity: NR

Mean age (years): NR (>60)

Sex (% female): 72

Ethnicity (% BME): 27

Simple collaborative care

Collaborative care component score: 10.5

Enhanced standard care

Duration of programme contact (in months): 12

Outcomes:

  • Response at 12 months
  • Remission at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Finley 2003

RCT

US

N=125

Baseline severity: NR

Mean age (years): 54.3

Sex (% female): 85

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 6.5

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Fortney 2007

RCT

US

N=395

Baseline severity: More severe

Mean age (years): 59.2

Sex (% female): 8

Ethnicity (% BME): 25

Complex collaborative care

Collaborative care component score: 13

Enhanced standard care

Duration of programme contact (in months): 12

Outcomes:

  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Gensichen 2009

RCT

Germany

N=626

Baseline severity: More severe

Mean age (years): 51.1

Sex (% female): 76

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 7

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Depression symptomatology at 12 months
  • Response at 12 months
  • Remission at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Gilbody 2017/Lewis 2017

RCT

UK

N=705

Baseline severity: Less severe

Mean age (years): 77.3

Sex (% female): 58

Ethnicity (% BME): 1

Simple collaborative care

Collaborative care component score: 10

Standard care

Duration of programme contact (in months): 2

Outcomes:

  • Depression symptomatology at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Harter 2018

RCT

Germany

N=779

Baseline severity: Less severe

Mean age (years): 42.9

Sex (% female): 73

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 11

Standard care

Duration of programme contact (in months): NR

Outcomes:

  • Depression symptomatology at 6 months
  • Depression symptomatology at 12 months
  • Response at 12 months
  • Remission at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Holzel 2018

RCT

Germany

N=248

Baseline severity: Less severe

Mean age (years): 71.4

Sex (% female): 77

Ethnicity (% BME): NR

Complex collaborative care

Collaborative care component score: 14

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Depression symptomatology at 12 months
  • Response at 12 months
  • Remission at 12 months

Huang 2018

RCT

China

N=280

Baseline severity: More severe

Mean age (years): 47.4

Sex (% female): 85

Ethnicity (% BME): 100

Simple collaborative care

Collaborative care component score: 10

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Depression symptomatology at 6 months
  • Discontinuation at 6 months

Huijbregts 2013

RCT

Netherlands

N=150

Baseline severity: Less severe

Mean age (years): 48.7

Sex (% female): 73

Ethnicity (% BME): 29

Complex collaborative care

Collaborative care component score: 13

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Response at 6 months
  • Response at 12 months
  • Remission at 6 months
  • Remission at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Jarjoura 2004

RCT

US

N=61

Baseline severity: More severe

Mean age (years): 45.5

Sex (% female): 69

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 6

Enhanced standard care

Duration of programme contact (in months): NR

Outcomes:

  • Antidepressant use at 12 months

Jeong 2013

RCT

Korea

N=57

Baseline severity: More severe

Mean age (years): NR (>60)

Sex (% female): 58

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 7

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Remission at 6 months
  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Katon 1999

RCT

US

N=228

Baseline severity: NR

Mean age (years): 47

Sex (% female): 75

Ethnicity (% BME): 20

Simple collaborative care

Collaborative care component score: 6

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Remission at 6 months
  • Antidepressant use at 6 months

Katzelnick 2000

RCT

US

N=407

Baseline severity: More severe

Mean age (years): 45.5

Sex (% female): 77

Ethnicity (% BME): 21

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): 7

Outcomes:

  • Response at 12 months
  • Remission at 12 months
  • Discontinuation at 12 months

Landis 2007

RCT

US

N=45

Baseline severity: More severe

Mean age (years): 39.7

Sex (% female): 96

Ethnicity (% BME): 28

Simple collaborative care

Collaborative care component score: 9

Enhanced standard care

Duration of programme contact (in months): 6

Outcome:

  • Depression symptomatology at 6 months

Ludman 2007

RCT

US

N=52

Baseline severity: NR

Mean age (years): 50.3

Sex (% female): 69

Ethnicity (% BME): 13

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): NR

Outcomes:

  • Remission at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Morris 2016

RCT

UK

N=187

Baseline severity: More severe

Mean age (years): 46.5

Sex (% female): 61

Ethnicity (% BME): NR

Complex collaborative care

Collaborative care component score: 14

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Depression symptomatology at 12 months
  • Response at 12 months
  • Remission at 12 months
  • Discontinuation at 12 months

Ng 2020

RCT

Singapore

N=274

Baseline severity: Less severe

Mean age (years): 73.5

Sex (% female): 56

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Depression symptomatology at 6 months
  • Depression symptomatology at 12 months
  • Response at 6 months
  • Response at 12 months
  • Remission at 6 months
  • Remission at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Oladeji 2015

RCT

Nigeria

N=234

Baseline severity: Less severe

Mean age (years): 43.2

Sex (% female): 80

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 12

Enhanced standard care

Duration of programme contact (in months): 6

Outcomes:

  • Depression symptomatology at 6 months
  • Discontinuation at 6 months

Richards 2013/2016

RCT

UK

N=581

Baseline severity: More severe

Mean age (years): 44.8

Sex (% female): 72

Ethnicity (% BME): 15

Simple collaborative care

Collaborative care component score: 12

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Depression symptomatology at 12 months
  • Response at 12 months
  • Remission at 12 months
  • Antidepressant use at 12 months
  • Discontinuation at 12 months

Simon 2004 (CM)

RCT

US

N=402

Baseline severity: Less severe

Mean age (years): 44.5

Sex (% female): 75

Ethnicity (% BME): 20

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): 5

Outcomes:

  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Simon 2004 (CM + psych)

RCT

US

N=393

Baseline severity: Less severe

Mean age (years): 44.4

Sex (% female): 76

Ethnicity (% BME): 23

Complex collaborative care

Collaborative care component score:13

Standard care

Duration of programme contact (in months): 5

Outcomes:

  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Simon 2006

RCT

US

N=207

Baseline severity: Less severe

Mean age (years): 43

Sex (% female): 65

Ethnicity (% BME): 11

Simple collaborative care

Collaborative care component score: 9

Standard care

Duration of programme contact (in months): 3

Outcomes:

  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Smit 2006

RCT

Netherlands

N=267

Baseline severity: Less severe

Mean age (years): 42.8

Sex (% female): 64

Ethnicity (% BME): NR

Simple collaborative care

Collaborative care component score: 9.5

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Remission at 6 months
  • Antidepressant use at 6 months
  • Discontinuation at 6 months

Swindle 2003

RCT

US

N=268

Baseline severity: Less severe

Mean age (years): 56.3

Sex (% female): 3

Ethnicity (% BME): 15

Simple collaborative care

Collaborative care component score: 8

Enhanced standard care

Duration of programme contact (in months): 2

Outcomes:

  • Depression symptomatology at 12 months
  • Discontinuation at 12 months

Unutzer 2002/Arean 2005

RCT

US

N=1901

Baseline severity: NR

Mean age (years): 71.2

Sex (% female): 65

Ethnicity (% BME): 23

Complex collaborative care

Collaborative care component score: 14.5

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Antidepressant use at 6 months
  • Antidepressant use at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Wells 2000

RCT

US

N=1356

Baseline severity: NR

Mean age (years): 43.7

Sex (% female): 71

Ethnicity (% BME): 43

Simple collaborative care

Collaborative care component score: 8.5

Standard care

Duration of programme contact (in months): 12

Outcomes:

  • Remission at 6 months
  • Remission at 12 months
  • Discontinuation at 6 months
  • Discontinuation at 12 months

Yeung 2010

RCT

US

N=100

Baseline severity: More severe

Mean age (years): 49

Sex (% female): 68

Ethnicity (% BME): 100

Simple collaborative care

Collaborative care component score: 8

Standard care

Duration of programme contact (in months): 6

Outcomes:

  • Response at 6 months
  • Remission at 6 months

Yeung 2016

RCT

US

N=190

Baseline severity: More severe

Mean age (years): 50

Sex (% female): 63

Ethnicity (% BME): 100

Simple collaborative care

Collaborative care component score: 8

Enhanced standard care

Duration of programme contact (in months): 6

Outcomes:

  • Response at 6 months
  • Remission 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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