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The presenter explicitly encouraged employers to explore purchasing a high quality depression product and offered free unbiased technical assistance.
The purpose of this randomized controlled trial was to test an intervention to encourage employers to purchase a high quality depression product for their workforce.
Intervention (EB) Presentation – Piloted and refined before its implementation, the 25 minute EB presentation educated employers about high quality depression care and its evidence-based impact on clinical and work outcomes [ 12, 20].
Employers can purchase high quality depression products that provide the type, intensity and duration of depression care management shown to improve work outcomes sufficiently for many employers to achieve a return on investment.
Each participant received a company-specific ROI generated by a calculator that the research team developed in earlier studies translating scientifically derived estimates of the impact of high quality depression care on absenteeism and productivity at work to a monetized savings in lost work days, varying pertinent employee, organizational, and vendor characteristics [ 21].
The research team used randomization blocked by company size to assign eligible employers to: (1) a presentation encouraging employers to purchase a high quality depression product accompanied by a scientifically-derived return on investment estimate, or (2) a presentation encouraging employers to work with their most subscribed health plan to improve depression treatment quality indicators.
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Although our measure of minimally adequate treatment has not been directly linked to outcomes, it is concordant with guideline recommendations for high-quality depression treatment [ 19].
Previous studies reported that clinicians with greater knowledge about treatment of depression were more likely to care for patients with depression and to deliver high-quality depression care [ 70, 71].
After learning that only one of 14 depression product vendors sold a product delivering the four critical components of depression disease management at the recommended intensity/duration [ 14], the research team expanded the intervention to provide free technical consulting to employers on how to purchase a 'high quality' depression disease management product.
Clearly there is a need for high quality training in depression recognition and management in age-care settings.
5 While high quality care for depression in primary care settings is important to minimize its clinical and economic impact on patients and society as a whole, the identification and treatment of depression in primary care is often suboptimal and has been a target for improvement in recent years.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com