Health Care Management for the Elderly in Community Through Screening

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Hyeon Woo Yim, National Clinical Research Coordination Center, Seoul, Korea
ClinicalTrials.gov Identifier:
NCT01347138
First received: April 27, 2011
Last updated: March 14, 2013
Last verified: March 2013
  Purpose

Depression in late life has been associated with losses in functioning and quality of life, mortality, and increased health care costs. Although late life depression can be successfully treated with antidepressant medication or psychotherapy, few older adults receive adequate trials of such treatment in community in Korea. Barriers, such as loss of loved ones, medical illnesses, and social stigma associated with depression, lack of social and financial support, to effective treatment of depression can be especially problematic for older adult. Screening has been valuable in overcoming barriers to diagnosis. Over 60 year old community dwelling people will be screened for symptoms of four geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder). Those who will be screened positive for each condition will be refer to clinic for diagnosis. Among them only those cases confirmed as depression by psychiatrists will be enrolled in this study. Enrolled patients will be randomly assigned to either case management or usual care conditions.

The objective of the study is to test whether a system of screening, assessment, and follow-up provided by case manager improves in recognizing the target geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder) and healthcare outcomes.


Condition Intervention
Major Depressive Disorders
Senile; Depression
Other: case management

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Screening

Resource links provided by NLM:


Further study details as provided by National Clinical Research Coordination Center, Seoul, Korea:

Primary Outcome Measures:
  • Geriatric Depression Score [ Time Frame: 6 months after baseline ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • quality of life [ Time Frame: 6 months after baseline ] [ Designated as safety issue: No ]
  • treatment compliance [ Time Frame: 6 months after baseline ] [ Designated as safety issue: No ]
  • suicide ideation [ Time Frame: 6 months after baseline ] [ Designated as safety issue: No ]

Enrollment: 57
Study Start Date: May 2011
Study Completion Date: April 2012
Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: usual care
providing usual care
Other: case management
confirmation of hospital visit date, checking the adverse effect and treatment compliance

  Eligibility

Ages Eligible for Study:   60 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • over 60 year old
  • having medicare insurance

Exclusion Criteria:

  • dementia and other psychiatric disorders
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01347138

Locations
Korea, Republic of
City of Choongju public health center
Choongju, Choongchungbuk-Do, Korea, Republic of
Sponsors and Collaborators
National Clinical Research Coordination Center, Seoul, Korea
Investigators
Principal Investigator: Hyeon Woo Yim, MD. Ph.D. The Catholic University of Korea
  More Information

No publications provided

Responsible Party: Hyeon Woo Yim, Professor, National Clinical Research Coordination Center, Seoul, Korea
ClinicalTrials.gov Identifier: NCT01347138     History of Changes
Other Study ID Numbers: A102065
Study First Received: April 27, 2011
Last Updated: March 14, 2013
Health Authority: Korea: Ministry for Health, Welfare and Family Affairs

Keywords provided by National Clinical Research Coordination Center, Seoul, Korea:
Screening
depression
case management

Additional relevant MeSH terms:
Depression
Depressive Disorder
Depressive Disorder, Major
Behavioral Symptoms
Mood Disorders
Mental Disorders

ClinicalTrials.gov processed this record on April 15, 2014