OxTalks will soon move to the new Halo platform and will become 'Oxford Events.' There will be a need for an OxTalks freeze. This was previously planned for Friday 14th November – a new date will be shared as soon as it is available (full details will be available on the Staff Gateway).
In the meantime, the OxTalks site will remain active and events will continue to be published.
If staff have any questions about the Oxford Events launch, please contact halo@digital.ox.ac.uk
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=950 eligible patients received either stratified (n=582) 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.
This seminar will present the findings of the StratCare Trial and discuss implications for theory and practice.
