StratCare-2

Evaluating the clinical and cost effectiveness of stratified care for depression.

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Background

Over a million NHS patients access psychological treatments in primary care each year, which are currently delivered in a stepped care model. This model does not always work, as recovery rates for depression treatments are approximately 50%. An alternative way to organise psychological treatments is using a stratified care model, based on principles of precision medicine, where patients are matched to the most appropriate treatment for their needs.


StratCare is a web-based computerised app that guides therapists on how to assess new patients and integrates seamlessly with the Talking Therapies assessment process. It asks a few questions about patient symptoms, personality and background, to make a recommendation about which treatment might be most effective for that person - either starting with brief therapy or with intensive therapy. The patient can discuss with their therapist and decide whether to accept the recommendation. StratCare uses a stratified care model, where patients are matched to the most appropriate treatment for their needs.


The StratCare-2 Trial

StratCare-2 builds on an earlier trial which found that ‘StratCare’ can help more people to recover from depression compared to the usual stepped care model. One group of patients receive a treatment recommendation made using the StratCare app. The treatment recommendation for the other group is made using usual shared decision making

StratCare-2 will evaluate the longer-term clinical- and cost-effectiveness of AI-driven stratified care versus usual stepped care for people with depression, by following up patients to 18 months after joining the trial. Eligible patients will be attending an assessment for Talking Therapies, be 18 or over, be suitable for treatment within the service, and have case level depression symptoms (PHQ-9≥10).


Project leadership group

Name

Role

Organisation

Prof. Jaime Delgadillo

Chief Investigator

СŷÊÓƵ

Prof. Michael Barkham

Joint Lead Applicant, Professor of Clinical Psychology

СŷÊÓƵ

Prof. Cindy Cooper

CTRU Oversight

СŷÊÓƵ

Katie Biggs

CTRU Joint Lead

СŷÊÓƵ

Cara Mooney

CTRU Support

СŷÊÓƵ

Prof. Stephen Walters

CTRU Senior Statistician

СŷÊÓƵ

Peter Bower

Professor of Health Services Research

СŷÊÓƵ

Isabelle Wilson

Statistician

СŷÊÓƵ

Jon Woodward

Trial Manager

СŷÊÓƵ

Joe Spencer

Research Assistant

СŷÊÓƵ

Tom Hutton

Trial Support Officer

СŷÊÓƵ

Tony Whiting

PPI Representative

N/A

Simon Gilbody

Professor of Psychological Medicine & Psychiatric Epidemiology

The СŷÊÓƵ of Manchester

Shehzad Ali

Public Health Economist

Western СŷÊÓƵ, Canada

Paulina Gonzalez

PDRA, CI Support

Rotherham Doncaster & South Humber NHS Foundation Trust

Jeannie Mckie

Research Governance Manager

Rotherham Doncaster & South Humber NHS Foundation Trust

Sarah Keeble

PWP / CSO Helping with recruitment etc

Rotherham Doncaster & South Humber NHS Foundation Trust

Jodie Keyworth

Head of Business Development

Rotherham Doncaster & South Humber NHS Foundation Trust

Jennie Smith

Communications Officer, PPI Lead

Rotherham Doncaster & South Humber NHS Foundation Trust

Oliver Davis

Clinical Studies Officer

Rotherham Doncaster & South Humber NHS Foundation Trust

Funder and Sponsor

This project is funded by the National Institute for Health Research, Health Technology Assessment (NIHR HTA) Programme. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Rotherham, Doncaster and South Humber NHS Foundation Trust (RDaSH) are the trial sponsor.

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