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Effectiveness of a Depression Care Management Initiative in Home Healthcare

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ClinicalTrials.gov Identifier: NCT01979302
Recruitment Status : Unknown
Verified July 2014 by Weill Medical College of Cornell University.
Recruitment status was:  Active, not recruiting
First Posted : November 8, 2013
Last Update Posted : July 10, 2014
Sponsor:
Information provided by (Responsible Party):
Weill Medical College of Cornell University

Brief Summary:
Depression in older home healthcare patients occurs very often, is typically not treated appropriately, and leads to poor health outcomes. This study tests an intervention, called "Depression Care for Patients at Home" or the Depression CAREPATH, designed to help home healthcare nurses work with the patients, their family, and their doctors in managing depression treat depression according to clinical guidelines and to manage its treatment over time. Patient outcomes, measured at 3, 6, and 12 months, include guideline-consistent changes in depression treatment and reduction in depressive symptoms.

Condition or disease Intervention/treatment Phase
Depression Other: Depression CAREPATH Other: Usual Care Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 310 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Effectiveness of a Depression Care Management Initiative in Home Healthcare
Study Start Date : January 2009
Actual Primary Completion Date : December 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: Depression CAREPATH
Patients receiving care from Nurses trained in depression care management
Other: Depression CAREPATH
Nurses receive training and agency support in depression assessment and depression care management
Usual Care
Patients under the care of nurses who were trained in depression assessment and usual care
Other: Usual Care
Nurses receive training in depression assessment and review of usual care procedures.



Primary Outcome Measures :
  1. Depression Severity [ Time Frame: 2 week ]
    Assessment of depression severity using the Hamilton Depression Rating Scale


Secondary Outcome Measures :
  1. Guideline Consistent change in depression treatment [ Time Frame: 60 Days ]
    Patient home healthcare records reviewed for evidence that patients received a change in depression treatment (e.g., antidepressant initiation, dose change, augmentation, switch)



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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • New home healthcare patient
  • Age 65 years or older
  • Depressed Mood or Anhedonia recorded by visiting nurse
  • English or Spanish speaking

Exclusion Criteria:

  • High suicide risk, i.e. intent or plan to attempt suicide in near future as defined by the suicide risk assessment.
  • Significant Cognitive Impairment: Mini-mental Status Exam below 20
  • Severe hearing impairment or aphasic
  • Life expectancy less than 6 months (CMS 485)

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): NCT01979302


Locations
United States, New York
Weill Cornell Medical College, Westchester Division
White Plains, New York, United States, 10605
Sponsors and Collaborators
Weill Medical College of Cornell University
Investigators
Principal Investigator: Martha L Bruce, PhD, MPH Weill Medical College of Cornell University

Additional Information:
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT01979302     History of Changes
Other Study ID Numbers: R01MH082425 ( U.S. NIH Grant/Contract )
First Posted: November 8, 2013    Key Record Dates
Last Update Posted: July 10, 2014
Last Verified: July 2014

Keywords provided by Weill Medical College of Cornell University:
Geriatric Depression
Depression Care Management
home healthcare
nurse training intervention

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