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- Page navigation anchor for A pilot randomized controlled trial for the integration of depression and hypertension treatmentA pilot randomized controlled trial for the integration of depression and hypertension treatment
We appreciate the interest in our work. We agree and believe that the integration of mental health and physical illness in primary care is particularly important for older adults.
Competing interests: None declared
Competing Interests: None declared. - Page navigation anchor for Integrated care is important for chronic illnessIntegrated care is important for chronic illnessShow More
To me, this investigation can be looked at in 2 ways: either as the successful integration of mental health care into primary care, or the successful integrative care of 2 chronic conditions within primary care. Both are important. In either event this investigation is a great step towards illustrating a primary care practice in which a) depression and anxiety are recognized as common and important comorbidities in patie...
Competing Interests: None declared. - Page navigation anchor for A pilot randomized controlled trial for the integration of depression and hypertension treatmentA pilot randomized controlled trial for the integration of depression and hypertension treatment
We appreciate the ongoing discussion and interest in our work.
Competing interests: None declared
Competing Interests: None declared. - Page navigation anchor for Depression, Hypertention, and the Holy GrailDepression, Hypertention, and the Holy GrailShow More
Bogner and de Vries’ paper is both well-done and thought provoking.1 They have put teeth into Engel’s idea that a biopsychosocial model was needed to better understand and manage disease states.2 At a large primary care practice, the authors identified a cohort of older adults suffering both depression and hypertension. Cohort members were randomly assigned to integrated care v. usual care. Integrated care used a mid...
Competing Interests: None declared. - Page navigation anchor for A pilot randomized controlled trial for the integration of depression and hypertension treatmentA pilot randomized controlled trial for the integration of depression and hypertension treatmentShow More
We appreciate the interest in our work. Below, we have tried to answer the questions raised that we could not address in the paper due to space limitations. Our goal was to pilot test an integrated approach to improving treatment for depression and hypertension that might facilitate its deployment in real world practices with limited resources and competing demands.
The participants’ adherence was monitored f...
Competing Interests: None declared. - Page navigation anchor for Integrated care for mental and physical aspects of healthIntegrated care for mental and physical aspects of healthShow More
In this pilot study, an integrated approach to improving treatment for depressive symptoms and elevated blood pressure resulted in improved adherence to treatment, and in improved depressive symptoms and blood pressure at 6 weeks. If the approach and outcomes are confirmed in larger RCTs, integrated care management for multiple medical problems would hold great potential for acceptance by health care systems and patients...
Competing Interests: None declared.