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A cluster randomized clinical trial of a stepped care intervention for depression in primary care (STEPCARE)- study protocol

Overview of attention for article published in BMC Psychiatry, July 2015
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  • Above-average Attention Score compared to outputs of the same age (56th percentile)
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1 Facebook page

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188 Mendeley
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Title
A cluster randomized clinical trial of a stepped care intervention for depression in primary care (STEPCARE)- study protocol
Published in
BMC Psychiatry, July 2015
DOI 10.1186/s12888-015-0542-6
Pubmed ID
Authors

Oye Gureje, Bibilola Damilola Oladeji, Ricardo Araya, Alan A. Montgomery

Abstract

Depression constitutes a significant public health burden and is associated is with high level of individual suffering. Insufficient human and material resources impede the provision of adequate care for persons with the condition in low- and middle-income countries. It is commonly recognized that, to bridge this treatment gap, it is essential to integrate the treatment of depression into primary health care system. STEPCARE is a two-arm parallel cluster randomized controlled trial to compare a stepped-care intervention package for depression in primary health care with care as usual in Nigeria. Randomization was conducted at the level of the participating primary health care clinics, while interventions are delivered to consenting individual participants who screen positive on the 9-item patient health questionnaire (PHQ-9 score ≥ 11) and fulfil the DSM-IV criteria for major depression. Intervention delivered by trained primary health care workers (PHCW) supported by general physicians and psychiatrists as needed is in 3 steps determined by response to treatment. Each step consists of psychological interventions (including psychoeducation, activity scheduling, social network reactivation and problem solving treatment) offered to all participants and, depending on severity and response, medication. Primary outcome, assessed at 12 months following recruitment into the trial, is recovery from depression as shown by a PHQ-9 score of less than 6. Secondary outcomes include changes in disability, quality of life and service utilization assessed at 6 and 12 months. The stepped care model examines the effectiveness of an intervention package for depression in which the intensity of treatment is determined by the clinical need of the patients. This approach is designed to make the most efficient use of available resources. ISRCTN46754188 (ISRTCN registry at isrtcn.com; registered 23 September 2013).

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 188 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 188 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 33 18%
Student > Master 29 15%
Student > Ph. D. Student 21 11%
Student > Postgraduate 17 9%
Student > Bachelor 14 7%
Other 36 19%
Unknown 38 20%
Readers by discipline Count As %
Medicine and Dentistry 52 28%
Psychology 38 20%
Nursing and Health Professions 15 8%
Social Sciences 11 6%
Economics, Econometrics and Finance 6 3%
Other 12 6%
Unknown 54 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 July 2015.
All research outputs
#12,736,411
of 22,816,807 outputs
Outputs from BMC Psychiatry
#2,595
of 4,690 outputs
Outputs of similar age
#112,944
of 262,285 outputs
Outputs of similar age from BMC Psychiatry
#46
of 78 outputs
Altmetric has tracked 22,816,807 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,690 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.9. This one is in the 44th percentile – i.e., 44% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 262,285 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 56% of its contemporaries.
We're also able to compare this research output to 78 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.