Collaborative and stepped care for mental disorders: Results of a cluster-randomized controlled trial in outpatient care (the COMET study)
We found no superiority of the COMET model for the mental disorders addressed. Methodological issues, including differences at baseline and high dropout rates, make these findings challenging to interpret. Future studies should ensure comparability of groups, allocate resources for quality management, and investigate more suitable outcome measures, paying attention to factors of implementation.
Authors
- Angelika Weigel (ORCID: https://orcid.org/0000-0001-6820-8316)
- Olaf von dem Knesebeck (ORCID: https://orcid.org/0000-0001-6310-5879)
- Judith Dams (ORCID: https://orcid.org/0000-0002-6922-434X)
- Amra Pepić (ORCID: https://orcid.org/0000-0002-9266-4554)
- Martin Härter (ORCID: https://orcid.org/0000-0001-7443-9890)
- Martin Scherer (ORCID: https://orcid.org/0000-0003-3448-9679)
- Karl Wegscheider (ORCID: https://orcid.org/0000-0003-2974-3142)
- Kerstin Maehder (ORCID: https://orcid.org/0000-0003-4032-0933)
- Tharanya Seeralan (ORCID: https://orcid.org/0000-0003-4431-0310)
- Ingo Schäfer (ORCID: https://orcid.org/0000-0002-9711-3559)
- Bernd Schulte (ORCID: https://orcid.org/0000-0003-1139-030X)
- Anne Daubmann (ORCID: https://orcid.org/0000-0003-0156-0926)
- Antonia Zapf (ORCID: https://orcid.org/0000-0002-8467-0508)
- Thomas Grochtdreis (ORCID: https://orcid.org/0000-0002-0176-7989)
- Jörg Dirmaier
- Bernd Löwe (ORCID: https://orcid.org/0000-0003-4220-3378)
- Daniela Heddaeus (ORCID: https://orcid.org/0000-0002-0717-9539)
- Sarah Porzelt (ORCID: https://orcid.org/0000-0002-8549-4622)
- Moritz Rosenkranz (ORCID: https://orcid.org/0000-0002-0851-6330)
- Thomas Philipp Zimmermann (ORCID: https://orcid.org/0000-0002-2047-9907)
- Silke Werner
- Hans‐Helmut König (ORCID: https://orcid.org/0000-0001-5711-6862)
Institutions
- Universität Hamburg (DE)
- University Medical Center Hamburg-Eppendorf (DE)
Publication Details
- Journal
- Deutsches Ärzteblatt international
- Published
- 2025-03-06
- DOI
- https://doi.org/10.3238/arztebl.m2025.0011
- Citations
- 2
- Primary Topic
- Mental Health Treatment and Access
- Type
- article
- Field-Weighted Citation Impact
- 4.88