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| Sponsor: | Department of Veterans Affairs |
|---|---|
| Information provided by: | Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT00317018 |
Purpose
Small contract VA Community Based Outpatient Clinics present unique challenges to implementation of collaborative care because of their distinct organizational characteristics and lack of on-site psychiatrists. A recent effectiveness study, successfully used telemedicine technologies to adapt the collaborative care model for small rural VA Community Based Outpatient Clinics. The purpose of the proposed study is to implement this telemedicine-based collaborative care model in small Contract VA Community Based Outpatient Clinics and determine its sustainability and cost-effectiveness.
| Condition | Intervention |
|---|---|
|
Depression |
Behavioral: Evidence-Based Quality Improvement |
| Study Type: | Interventional |
| Study Design: | Treatment, Non-Randomized, Open Label, Historical Control, Parallel Assignment, Efficacy Study |
| Official Title: | Implementing Telemedicine-Based Collaborative Care for MDD in Contract CBOCs |
| Estimated Enrollment: | 0 |
| Study Start Date: | May 2008 |
| Estimated Study Completion Date: | September 2009 |
| Estimated Primary Completion Date: | June 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1
Implementation Group
|
Behavioral: Evidence-Based Quality Improvement
The implementation intervention is known as Evidence-Based Quality Improvement (EBQI). EBQI is an adaptation of the Plan-Do-Study-Act cycles of Continuous Quality Improvement that emphasizes empirical evidence and the involvement of clinical and implementation experts (i.e., researchers). In the EBQI implementation intervention, both researchers (clinical and implementation experts) and local staff participate fully in the quality improvement process, with the researchers facilitating rather than dictating implementation efforts. Using EBQI methods, researchers and local staff adapt evidence-based practices for local resources, needs and preferences while maintaining fidelity to the evidence-base. PDSA cycles are used to continuously revise the adapted evidence-based practice based on feedback during pilot tests.
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2: No Intervention
Control Group
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Show Detailed Description Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Michael McCarther | (501) 257-1227 | Michael.McCarther@va.gov |
| Contact: Amanda K Davis, MS BA | (501) 257-1806 | amanda.davis2@va.gov |
| United States, Arkansas | |
| Central Arkansas VHS Eugene J. Towbin Healthcare Ctr, Little Rock | Recruiting |
| No. Little Rock, Arkansas, United States, 72114-1706 | |
| Contact: John C Fortney, PhD 501-257-1726 fortneyjohnc@uams.edu | |
| Contact: Jeffrey M Pyne, MD (501) 257-1083 pynejeffreym@uams.edu | |
| Principal Investigator: John C. Fortney, PhD | |
| Sub-Investigator: Jeffrey M. Pyne, MD | |
| Sub-Investigator: Jeffrey L. Smith, BS | |
| United States, California | |
| VA Medical Center, Loma Linda | Recruiting |
| Loma Linda, California, United States, 92357 | |
| Contact: Jay M Otero, MD 909-583-6044 Jay.Otero@va.gov | |
| Sub-Investigator: Jay M. Otero, MD | |
| VA Greater Los Angeles Healthcare System, West LA | Recruiting |
| West Los Angeles, California, United States, 90073 | |
| Contact: Susan Vivell, PhD susan.vivell@va.gov | |
| Principal Investigator: | John C. Fortney, PhD | Central Arkansas VHS Eugene J. Towbin Healthcare Ctr, Little Rock |
More Information
| Responsible Party: | Department of Veterans Affairs ( Fortney, John - Principal Investigator ) |
| Study ID Numbers: | IMV 04-360 |
| Study First Received: | April 19, 2006 |
| Last Updated: | June 17, 2009 |
| ClinicalTrials.gov Identifier: | NCT00317018 History of Changes |
| Health Authority: | United States: Federal Government |
|
depression quality improvement implementation translation evidence-based practice |
collaborative care adoption sustainability cost-effectiveness rural |
|
Depression Mental Disorders Mood Disorders Depressive Disorder Behavioral Symptoms |
