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Depression Management at the Workplace (DMW)

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ClinicalTrials.gov Identifier: NCT01013220
Recruitment Status : Completed
First Posted : November 13, 2009
Last Update Posted : December 16, 2014
Sponsor:
Collaborators:
Colorado Business Group on Health
University of South Florida
Information provided by (Responsible Party):
Florida State University

Brief Summary:

Randomized trials demonstrate that depression management products can improve clinical and organizational outcomes sufficiently for selected employers to realize a return on investment. Rather than usual care marketing which uses voltage-enhanced promises to sell voltage-diminished products, the investigators designed an evidence-based (EB) intervention to encourage employers to purchase a depression management product that offers the type, intensity and duration of care shown to provide clinical and organizational value. In an RCT designed to examine employer benefit purchasing behavior of depression products in 360 employer members of over 20 regional business coalitions, the research team proposes: (a) to compare the impact of evidence-based (EB) to usual care (UC) presentations on employer benefit purchasing behavior, and (b) to identify mediators and organizational moderators of intervention impact on employer benefit purchasing behavior.

This study addresses what policy analysts argue is one of the most pivotal problems in the translation of evidence-based care to 'real world' settings: whether purchasers can be influenced to buy health care products on the basis of value rather than cost. In the likely event that EB > UC, the study will provide encouragement to use an evidence-based approach to market new health care products to private payers on the basis of the product's clinical and organizational value. UC may achieve comparable outcomes to EB if the limiting factors in benefit purchasing are organizational, purchasing group and vendor constraints that no intervention can meaningfully modify. Support for this scenario would encourage the targeted marketing of new products to coalition members with empirically identified organizational, purchasing group and vendor characteristics, using usual care strategies.


Condition or disease Intervention/treatment Phase
Depression Other: Depression Product Detailing Other: Depression HEDIS detailing Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 293 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Influencing Employer Purchasing Behavior
Study Start Date : January 2009
Actual Primary Completion Date : September 2014
Actual Study Completion Date : September 2014

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: Depression Product Detailing
Employers receive education on how to purchase high quality depression management products to improve the quality of depression treatment depressed employees receive. Materials delivered in this arm of the study are available at www.caremanagementfordepression.org
Other: Depression Product Detailing
  1. two hour academic detailing of depression management products to employees with responsibility for purchasing health care benefits
  2. technical assistance in purchasing high quality depression management products
Placebo Comparator: Depression HEDIS Detailing
Employers receive education on how to obtain and use HEDIS depression indicators to encourage health plans to improve the quality of depression treatment depressed employees receive
Other: Depression HEDIS detailing
  1. academic detailing to employees responsible for purchasing health care benefits on how to use HEDIS indicators for depression to assure their depressed employees receive high quality care for the condition
  2. technical assistance



Primary Outcome Measures :
  1. employer purchase of depression management product [ Time Frame: two years after intervention ]

Secondary Outcome Measures :
  1. fidelity of depression management model purchased to evidence-based models [ Time Frame: two years after intervention ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Coalitions who belong to the National Business Coalition on Health are eligible if:

    • they have 30+ employer purchasers/affiliates as members
    • they act as more than purchasing agents
    • (3)they did not participate in the research team's preliminary studies on this topic.
  • Employers of participating coalitions are eligible if:

    • they are a public or private organization providing health care benefits to 100+ domestic employees
    • they have not purchased a depression management product in the past two years.

Exclusion Criteria:


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): NCT01013220


Locations
United States, Colorado
Colorado Business Group on Health
Denver, Colorado, United States, 80226
Sponsors and Collaborators
Florida State University
Colorado Business Group on Health
University of South Florida
Investigators
Principal Investigator: Kathryn Rost, PhD Florida State University College of Medicine

Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Florida State University
ClinicalTrials.gov Identifier: NCT01013220     History of Changes
Other Study ID Numbers: R01MH076227 ( U.S. NIH Grant/Contract )
First Posted: November 13, 2009    Key Record Dates
Last Update Posted: December 16, 2014
Last Verified: December 2014

Keywords provided by Florida State University:
depression
depression care management
financing
absenteeism
presenteeism
employer decisions to purchase health care benefits

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