INTRODUCTION Greater understanding of the impact of low intensity psychosocial interventions delivered by behavioral health clinicians (BHCs) working in an integrated care program (ICP) may promote better depression care. METHOD In a randomized controlled trial, 153 participants identified as depressed by their primary care provider (PCP) were assigned to ICP or usual care (UC, management by PCP, including specialty referral). In the ICP condition, BHCs worked collaboratively with PCPs and liaison psychiatrists. RESULTS ICP participants with lower and higher severity symptoms reported significantly greater use of coping strategies than UC participants at the 1-month follow up (lower: p = .002; higher: p = .016). ICP participants with lower severity continued to report significantly greater use of coping strategies than UC participants at the 4-month (p = .024), and 7-month (p = .012) follow ups. ICP participants were more likely to be following relapse preventions plans at the 4-month follow up (lower: 89.5% vs. 50%, p = .0.000; higher 74.1% vs. 33%, p = .0001). ICP participants also reported use of antidepressant medications on more days than UC participants at the 4-month follow up (lower: 21.27 vs. 14.49 days, p = .049; higher: 24.61 vs. 17.08 days, p = .035). Patient retention in the ICP was high, and ICP participants were significantly more satisfied with depression care than UC participants at follow-up assessments. DISCUSSION Delivery of low intensity psychosocial interventions by BHCs was associated with improvements to behavior charge targets. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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初级保健行为健康服务对患者行为的影响：一项随机对照试验。

简介对在综合护理计划（ICP）中工作的行为健康临床医生（BHC）提供的低强度心理社会干预措施的影响的更多了解可能会促进更好的抑郁症护理。方法在一项随机对照试验中，将153名被其初级保健提供者（PCP）抑郁的参与者指定为ICP或常规护理（UC，由PCP管理，包括专科转诊）。在ICP情况下，BHC与PCP和联络精神病医生合作。结果严重程度较低和较高症状的ICP参与者在1个月的随访中报告的应对策略的使用率明显高于UC参与者（较低：p = .002；较高：p = .016）。在4个月（p = .024）和7个月（p = .012）的随访中，严重程度较低的ICP参与者继续报告使用应对策略的人数明显多于UC参与者。ICP参与者在四个月的随访中更有可能遵循预防复发的计划（较低：89.5％vs. 50％，p = .0.000；较高的74.1％vs. 33％，p = .0001）。ICP参与者还报告说，在4个月的随访中，抗抑郁药的使用天数比UC参与者多（较低：21.27 vs. 14.49天，p = .049；较高：24.61 vs. 17.08天，p = .035）。在ICP中，患者在ICP中的保留率很高，并且在随访评估中，与UC参与者相比，ICP参与者对抑郁护理的满意度明显更高。讨论BHC提供的低强度心理干预与改善行为收费目标有关。