The aim of the study Collabri Flex is to: * Develop a Danish model for collaborative care for patients with anxiety in general practice, based on past experience gained in the Collabri Project. * Examine the impact of this model compared with liaison-consultation for people with anxiety in a randomized controlled design from selected endpoints.
The Collabri Flex model for Collaborative Care takes point of departure in the earlier study Collabri. It is changed according to gathered information under the first study of the Collabri model in order to achieve a Danish Collaborative Care model easier to implement. The aims of Project Collabri Flex are to: * Develop a flexible model for collaborative care (the Collabri Flex model) for patients with anxiety. * Study the effects of this Collabri Flex model against consultation liaison in a randomized design on selected outcomes. In Collabri the treatment is in line with a set of general treatment principles relevant for collaborative care interventions. The patients in the intervention group are offered cognitive behavioral therapy (CBT), psychoeducation and medication according to at stepped care model by a care manager refering to the general practitioner. The Collabri Flex study is set up as a researcher-blinded individually randomized controlled trial with participation of an intervention group (treatment according to the Collabri Flex model) and a consultation liaison group. This study will contribute with new knowledge on collaborative care interventions in a Scandinavian context.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
302
Collaborative care provided by the general practitioner and the care manager. Treatment modalities: Cognitive-behavior Therapy, psychoeducation, medication according to a stepped care model
Consultation-Liaison provided by general practitioner involving a educational relationship with the Collabri Flex team (care manager and psychiatrist).
Mental Health Centre Copenhagen
Copenhagen, Denmark
Self-reported degree of anxiety
Measured by Beck Anxiety Inventory (BAI)
Time frame: 6 months
Self-reported degree of depression
Measured by Beck Depression Inventory (BDI-II)
Time frame: 6 months
Self-reported pychological stress
Measured by the Symptom Checklist SCL-90-R
Time frame: 6 months
Self-reported functional impairment
Measured by Sheehan Disability Scale (SDS)
Time frame: 6 months
Self-reported quality of life/well-being
Measured by WHO-5
Time frame: 6 months
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