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Investigating the Effectiveness of Telepsychiatry for Treating Major Depression in a Chinese American Nursing Home

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ClinicalTrials.gov Identifier: NCT00505518
Recruitment Status : Completed
First Posted : July 23, 2007
Results First Posted : September 17, 2013
Last Update Posted : September 17, 2013
Sponsor:
Information provided by (Responsible Party):
Albert Yeung, Massachusetts General Hospital

Brief Summary:
The current use of telepsychiatry, or psychiatric care using videoconferencing, is very limited. The present study investigates the use of this method with a depressed Chinese American population in a nursing home. It is believed that this population can benefit from telepsychiatric treatment when used in collaboration with the primary care they receive in the nursing home.

Condition or disease Intervention/treatment Phase
Major Depressive Disorder Drug: Psychotropic medication (at discretion of psychiatrist) Behavioral: Collaborative psychiatric and primary medical care Not Applicable

Detailed Description:
Individuals at the South Cove Manor nursing home will be referred to this study if they are experiencing depression. After meeting with the Principal Investigator (a psychiatrist), he will collaborate with the primary care physician and the nursing home staff to establish a treatment plan for the patient. Videoconferencing will be used by the P.I. for regular psychiatric visits with the patient as well as meetings with the nursing home staff to coordinate care for the patient. After collaboration between the two groups, treatment suggestions will be given to the patient's primary care physician (PCP) to implement in the primary care setting. The patient's symptomology, mood, satisfaction of life and side effects of medication will be recorded regularly to measure the effects of treatment for analysis.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 9 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Feasibility and Effectiveness of Telepsychiatry for Collaborative Management of Chinese Americans With Psychiatric Disorders in a Nursing Home
Study Start Date : September 2006
Actual Primary Completion Date : November 2007
Actual Study Completion Date : November 2007

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Nursing Homes
U.S. FDA Resources


Intervention Details:
    Drug: Psychotropic medication (at discretion of psychiatrist)
    Antidepressant medication, prescribed at discretion of psychiatrist
    Behavioral: Collaborative psychiatric and primary medical care
    Regular care visits from health workers


Primary Outcome Measures :
  1. Change in Mean Scores on Clinical Global Impressions [ Time Frame: Baseline, 30 days or 60 days (length depended on clinical needs of patients) ]
    Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome)

  2. Patient/Family Telepsychiatry Service Satisfaction Survey [ Time Frame: 30 days or 60 days (length depended on clinical needs of patients) ]
    Patients' (or their family members' for those who had severe cognitive deficits) satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."

  3. Nurse Telepsychiatry Services Satisfaction Questionnaire [ Time Frame: 30 days or 60 days (length depended on clinical needs of patients) ]
    The charge nurse's satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."



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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of Major Depressive Disorder
  • Patient at South Cove Manor Nursing Home
  • Referred by nursing staff for psychiatric consultation

Exclusion Criteria:

  • Not competent to participate in psychiatric interviews

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00505518


Locations
United States, Massachusetts
Depression and Clinical Research Program at Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
South Cove Manor
Boston, Massachusetts, United States, 02118
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
Principal Investigator: Albert Yeung, S., M.D. Massachusetts General Hospital

Additional Information:
Responsible Party: Albert Yeung, Principal Investigator, Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT00505518     History of Changes
Other Study ID Numbers: 2006-P-001508
First Posted: July 23, 2007    Key Record Dates
Results First Posted: September 17, 2013
Last Update Posted: September 17, 2013
Last Verified: July 2013

Keywords provided by Albert Yeung, Massachusetts General Hospital:
Major Depressive Disorder
Telepsychiatry
Chinese American
Nursing Home

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