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Table 2 Characteristics of collaborative care interventions for anxiety disorders

From: Collaborative care for anxiety disorders in primary care: a systematic review and meta-analysis

Study no. Study (first author, year) Professionals involved Professional training Interventions used No. contacts with professionals Collaboration between professionals Monitoring Follow-up / relapse prevention
1 Roy-Byrne et al. 2001 PCP Psychiatrist PCP: 1-h didactic, medication algorithm Medication management (paroxetine) and encouragement of adherence and exposure by psychiatrist Educational patient video 2 visits and 2 phone calls by psychiatrist The PCP received a typed consultation note after each psychiatric visit. No information provided 5 follow-up calls by psychiatrist
2 Roy-Byrne et al. 2005 PCP, Psychiatrist CM PCP: 1-h didactic on, medication algorithm CM: treatment protocol, six videotapes, 1 day long workshop in care management and CBT Face-to-face CBT Antidepressant medication according to algorithm by PCP Educational video and workbook 6 sessions by CM Weekly caseload supervision of CM by psychiatrist 2-way communication of CM and PCP by telephone, fax, and e-mail. Recommendations as needed from a consulting psychiatrist to the PCP via the CM No information provided Intended were 6 telephone follow-up contacts during 10 months after the active treatment phase by CM
3 Rollman et al. 2005 PCP, Psychiatrist CM PCP: 1-h conference and individual meeting of study investigators with PCPs, medication algorithm CM: study protocol and self-management workbooks, attending lectures at the University CBT based guided self-help Antidepressant medication according to algorithm by PCP Referral to a community mental health specialist 7 telephone contacts by CM Weekly caseload supervision of CM by psychiatrist Advice from the psychiatrist to the PCP and patient via CM Communication facilitated through an ambulatory EMR system Monitoring by CM with PDSS / GADSS Telephone contacts every 1–3 months after the acute phase to monitor symptoms
4 König et al.2009 PCP, Psychiatrist/ Clinical psychologist PCP: 10 h training and two additional sessions on counseling skills and CBT Counseling by PCP, including CBT techniques No information provided As needed consultation by psychiatrist/clinical psychologist at PCPs’ practices No information provided No information provided
5 Roy-Byrne et al. 2010 PCP, Psychiatrist CM PCP: single-session training, medication algorithm CM: treatment protocol, 6 half days of didactics in care management and CBT Face-to-face CBT by CM supported by computer program Antidepressant medication according to algorithm by PCP 6–8 sessions by CM Weekly caseload supervision of CM by psychiatrist/psychologist “Regular” interaction between PCP and CM in person and by telephone As needed consultation of PCP by psychiatrist Communication facilitated through a webbased monitoring system Monitoring with OASIS by CM Monthly follow-up telephone calls by CM
6 Oosterbaan et al. 2013 PCP Psychiatrist/ CBT specialist CM PCP: one educational session, medication algorithm CM: treatment protocol, 2-day training session in basic CBT strategies Stepped care (according to severity): 1. CBT based guided self-help with support by CM (face-to-face) with antidepressant medication according to algorithm by PCP for patients with a moderate disorder 2. CBT and antidepressants in specialised mental health service Step 1: 5 sessions by CM Step 2: No information provided 2-weekly supervision of CM by CBT specialist As needed consultation of PCP by psychiatrist Monitoring with CGI by CM No information provided
7 Muntingh et al. 2014 PCP Psychiatrist/ CBT specialist CM PCP: 3 h workshop, medication algorithm CM: treatment protocol, 3-day workshop in care management and CBT strategies Stepped care: 1. CBT based guided self-help with support by CM (face-to-face) 2. CBT by CM 3. Antidepressant medication according to algorithm by PCP Step 1: 5 sessions by CM Step 2: 6 sessions by CM Intended was 3-weekly supervision of CM by psychiatrist/ CBT specialist GP and CM were “instructed to frequently discuss treatment progress” As needed consultation of PCP by psychiatrist Monitoring with BAI by CM Monthly follow-up telephone calls by CM
  1. Abbreviations: CBT cognitive behavioral therapy, CM care manager, PCP primary care phyisican