StratCare: A randomised controlled trial of stratified care for depression

For questions about registration and other financial/administrative matters, please contact the SPR UK president, Naomi Moller:naomi.moller@open.ac.uk

SPR UK Chapter Local Council

StratCare: A multi-site randomised controlled trial of stratified care for depression
1 hour online seminar with Q&A

Clinical guidelines for the management of depression recommend psychological treatments organised in a stepped care pathway, where patients can access progressively intensive treatments in a sequential way. Stratified care follows principles of precision medicine, and involves selecting the intensity of treatment in a personalised way, based on each patient’s characteristics and expected prognosis.The StratCare Trial involved 30 clinicians working across four IAPT psychological therapy teams; and they were randomly assigned to a stratified (n=15) or stepped care (treatment as usual, n=15) group. All clinicians used the same interview schedule to conduct assessments with patients seeking treatment for common mental health problems, but those in the stratified care group received a personalised treatment recommendation for each patient – generated by a prognostic machine learning algorithm. In total, n=951 eligible patients received either stratified (n=583) or stepped (n=368) care. The proportions of cases with a full remission of depression (PHQ-9) symptoms were compared between groups. Cost-effectiveness analysis compared treatment costs relative to patient-reported health outcomes. Results show that stratified care improves treatment outcomes.This seminar will present the findings of the StratCare Trial and discuss implications for theory and practice guided by the following questions:•	How we can identify and treat complex cases?•	How can we match patients to available treatments?•	Is clinical judgement good enough to decide which treatment to offer?•	Is treatment matching cost-effective and affordable for health services?Presenter:Dr Jaime Delgadillo is a senior lecturer in clinical psychology at the University of Sheffield and director of psychological therapies research at RDaSH NHS Trust. He has twenty years of clinical experience and has published over 80 scientific papers and book chapters in the field of mental health. He has been a principal investigator in clinical trials of psychotherapy and digital health interventions, supporting people with problems such as depression, anxiety, addictions, and occupational burnout. He is a member of the Society for Psychotherapy Research and an associate editor of the society’s journal, Psychotherapy Research.You will be emailed the Zoom link a few days before the event.

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StratCare: A randomised controlled trial of stratified care for depression

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StratCare: A randomised controlled trial of stratified care for depression

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