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Health Care Management for the Elderly in Community Through Screening

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ClinicalTrials.gov Identifier: NCT01347138
Recruitment Status : Completed
First Posted : May 4, 2011
Last Update Posted : March 11, 2016
Information provided by (Responsible Party):

Study Description
Brief Summary:

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 or disease Intervention/treatment
Major Depressive Disorders Senile; Depression Other: case management

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 57 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Screening
Study Start Date : May 2011
Primary Completion Date : April 2012
Study Completion Date : April 2012
Arms and Interventions

Arm Intervention/treatment
Experimental: case management
case management regulary
Other: case management
confirmation of hospital visit date, checking the adverse effect and treatment compliance
No Intervention: Control
usual care

Outcome Measures

Primary Outcome Measures :
  1. Geriatric Depression Score [ Time Frame: 6 months after baseline ]

Secondary Outcome Measures :
  1. quality of life [ Time Frame: 6 months after baseline ]
  2. treatment compliance [ Time Frame: 6 months after baseline ]
  3. suicide ideation [ Time Frame: 6 months after baseline ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • over 60 year old
  • having medicare insurance

Exclusion Criteria:

  • dementia and other psychiatric disorders
Contacts and Locations

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): NCT01347138

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
Principal Investigator: Hyeon Woo Yim, MD. Ph.D. The Catholic University of Korea
More Information

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
First Posted: May 4, 2011    Key Record Dates
Last Update Posted: March 11, 2016
Last Verified: March 2016

Keywords provided by Hyeon Woo Yim, National Clinical Research Coordination Center, Seoul, Korea:
case management

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