Telepsychiatry to Improve the Management of Adolescent Depression in Primary Care
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|ClinicalTrials.gov Identifier: NCT01860443|
Recruitment Status : Terminated (Because there are enough data to present the conclusions)
First Posted : May 22, 2013
Last Update Posted : May 17, 2016
Background: Depression is common in adolescents and it is associated with serious consequences. In Chile, primary care team has a leading role in the management of depression in adolescents. Nevertheless, the majority of primary care professionals report not feeling adequately prepared to take on this responsibility and having difficulties referring patients to specialists. This situation is particularity complex in regions far away from the central zone. Telepsychiatry is a potential solution to an equitable access to specialized clinical expertise.
Purpose: The purpose of this study is to determine whether a telepsychiatry-based collaborative program is effective to improve the management of depression in adolescents between 13 and 19 years of age in 16 primary care clinics in the Araucanía Region, Chile.
Study design: A cluster-randomized clinical trial will be carried out with 237 adolescents. The efficacy, adherence, and acceptability of the telepsychiatry-based collaborative program will be evaluated.
|Condition or disease||Intervention/treatment||Phase|
|Depression||Other: Telepsychiatry collaborative program Other: Usual care||Not Applicable|
General aim To carry out a randomized controlled trial to compare the efficacy of telepsychiatry intervention versus usual care to treat depression in adolescents in primary care clinics in the Araucanía Region, Chile.
- To compare the level of depressive symptoms of adolescents suffering depression participating in a telepsychiatry program versus usual care in primary care clinics.
- To compare the level of health-related quality of life (HRQoL) of adolescents suffering depression participating in a telepsychiatry program versus usual care in primary care clinics.
- To compare adolescents' adherence with a telepsychiatry program versus usual care in primary care clinics.
- To evaluate adolescents' satisfaction with a telepsychiatry program.
- To evaluate health staff's satisfaction with a telepsychiatry program.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||143 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Telepsychiatry-Based Collaborative Program to Improve the Management of Adolescent Depression in Primary Care Clinics in the Araucanía Region, Chile: A Randomized Controlled Trial|
|Study Start Date :||June 2013|
|Actual Primary Completion Date :||January 2016|
|Actual Study Completion Date :||February 2016|
Experimental: Telepsychiatry collaborative program
Other: Telepsychiatry collaborative program
The intervention includes:
Active Comparator: Usual care
Other: Usual care
- Change from baseline in Beck Depression Inventory (BDI) [ Time Frame: Baseline and 12 weeks ]
- Change from baseline in KIDSCREEN-27 [ Time Frame: Baseline and 12 weeks ]Health-related quality of life questionnaire
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): NCT01860443
|CESFAM Alemania, CESFAM Huequén, CESFAM Piedra de Águila|
|CESFAM Dr. Cristóbal Sáenz Cerda|
|CESFAM Nueva Imperial|
|Nueva Imperial, Chile|
|CESFAM Amanecer, CESFAM Labranza, CESFAM Pedro de Valdivia, CESFAM Pueblo Nuevo, CESFAM Santa Rosa, CESFAM Villa Alegre, Consultorio Miraflores|
|Hospital de Vilcún|
|Principal Investigator:||Vania Martínez-Nahuel, Dr.med.||University of Chile|