Improving quality of primary care reduces depression and improves quality of life in adolescents
Bibliographic record
Abstract
Asarnow JR, Jaycox LH, Duan N, et al . Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial. JAMA 2005;293:311–19.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Q What are the effects of improving quality of primary care in adolescents with depression? ### ![Graphic][5] Design: Randomised controlled trial. ### ![Graphic][6] Allocation: Concealed. ### ![Graphic][7] Blinding: Unblinded. ### ![Graphic][8] Follow up period: Six months. ### ![Graphic][9] Setting: Six primary care centres in the US: two public sector; two managed care; two academic health programmes. ### ![Graphic][10] Patients: 418 adolescents aged 13–21 years, presenting at clinic with either of two criteria: endorsed “stem items” for major depression or dysthymia from 12 month Composite International Diagnostic Interview (CIDI-12), one week or more of depressive symptoms in the past month, and a total Center for Epidemiological Studies Depression Scale (CES-D) score of ⩾16; or a CES-D score of ⩾24. Exclusion criteria were: not English-speaking, clinician not … [1]: {openurl}?query=rft.jtitle%253DJAMA%26rft.stitle%253DJAMA%26rft.aulast%253DAsarnow%26rft.auinit1%253DJ.%2BR.%26rft.volume%253D293%26rft.issue%253D3%26rft.spage%253D311%26rft.epage%253D319%26rft.atitle%253DEffectiveness%2Bof%2Ba%2BQuality%2BImprovement%2BIntervention%2Bfor%2BAdolescent%2BDepression%2Bin%2BPrimary%2BCare%2BClinics%253A%2BA%2BRandomized%2BControlled%2BTrial%26rft_id%253Dinfo%253Adoi%252F10.1001%252Fjama.293.3.311%26rft_id%253Dinfo%253Apmid%252F15657324%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1001/jama.293.3.311&link_type=DOI [3]: /lookup/external-ref?access_num=15657324&link_type=MED&atom=%2Febmental%2F8%2F3%2F76.atom [4]: /lookup/external-ref?access_num=000226358400025&link_type=ISI [5]: /embed/inline-graphic-1.gif [6]: /embed/inline-graphic-2.gif [7]: /embed/inline-graphic-3.gif [8]: /embed/inline-graphic-4.gif [9]: /embed/inline-graphic-5.gif [10]: /embed/inline-graphic-6.gif
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".