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Lifestyle modification plus medication more effective than medication alone
A new study shows that treatment with a lifestyle modification program of diet, exercise and behavioral therapy when used in combination with the weight loss medication sibutramine (Meridia.) resulted in significantly greater weight loss among obese adults than treatment with the medication alone.


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Adherence to Maintenance-Phase Antidepressant Medication as a Function of Patient Beliefs About Medication
Annals of Family Medicine article at Medscape - "Patients given maintenance anti depressants vary widely in adherence. This variation is primarily explained by the balance between their perceptions of need and harmfulness of antidepressant medication, in that adherence is lowest when perceived harm exceeds perceived need, and highest when perceived need exceeds perceived harm.We speculate on ways to tailor adherence strategies to patient beliefs.Subsequent research should determine whether patients' perceptions about medication predict depression outcomes, can be used to improve clinical management, and respond to behavioral intervention." "med"


Major depressive disorder: percent of patient episodes with a new diagnosis of depression and receiving a new prescription for antidepressant medication who have adequate medication for at least 84 treatment days during the acute phase.
This measure assesses the percent of patient episodes with a new diagnosis of depression and receiving a new prescription for antidepressant medication who have adequate medication for at least 84 treatment days during the acute phase.


Antidepressant medication management (optimal practitioner contacts for medication management): percentage of members who had three or more outpatient follow-up visits or day/night treatment with a non-mental health practitioner or mental health practitioner within 84 days (12 weeks) after new
This measure assesses the percentage of members 18 years and older as of the 120th day of the measurement year, who were diagnosed with a new episode of depression and treated with antidepressant medication, and who had at least three follow-up contacts with a non-mental health practitioner or mental health practitioner coded with a mental health diagnosis during the 84-day (12-week) acute treatment phase. At least one of the three follow-up contacts must be with a prescribing practitioner (e.g., licensed physician, physician assistant, or other practitioner with prescribing privileges). This process measure assesses the adequacy of clinical management of new treatment episodes for adult members with a major depressive disorder.

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