Table 1 The SMS approach contrasted with the original MPI

Target group

Chronic patients with mild or non-severe major depression

Chronic patients with emotional distress and problems of daily functioning

Providers

Research nurses not involved in usual care

Practice nurses providing usual chronic care

Diagnostic approach

For research purposes. Using an extensive diagnostic interview, following strict psychiatric criteria

As part of daily care. Using simple tools, following a stepped care approach that fits the primary care setting

Self-management support intervention

1. cognitive therapy (reattribution)

1. problem solving

2. problem solving

2. cognitive therapy (reattribution)