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Trial record 27 of 134 for:    "Depressive Disorder" [DISEASE] | ( Map: Arkansas, United States )

Implementation Trial of Evidence Based Practices for Mood Disorders

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ClinicalTrials.gov Identifier: NCT02150577
Recruitment Status : Completed
First Posted : May 30, 2014
Last Update Posted : December 8, 2017
Sponsor:
Information provided by (Responsible Party):
University of Arkansas

Brief Summary:
The objective of this Implementation Trial is to evaluate the implementation of evidence based practices for Bipolar Disorder and Treatment Resistant Depression in small rural Federally Qualified Health Centers. The evidence based practices chosen and adapted by Health Center providers and patients in consultation with clinical experts include: screening for and diagnosing Bipolar Disorder, prescribing mood stabilizers, on-line cognitive behavioral therapy, on-line peer support, collaborative care management and tele-psychiatry consultation. A quasi-experimental study design will be used, with each of the six participating Federally Qualified Health Centers choosing one implementation clinic and one control clinic. Implementation outcomes include: reach, adoption, implementation-fidelity and effectiveness. Providers and patients may choose to use all, any or none of the evidence based practices based on their needs and preferences. Data will be collected from chart review and patient surveys will be administered by an Interactive Voice Response telephone system.

Condition or disease Intervention/treatment Phase
Bipolar Disorder Treatment Resistant Depression Behavioral: Evidence Based Quality Improvement Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 291 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Partnership for Implementation of Evidence-Based Practices in Rural Primary Care
Actual Study Start Date : May 1, 2014
Actual Primary Completion Date : November 1, 2017
Actual Study Completion Date : November 1, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bipolar Disorder

Arm Intervention/treatment
Experimental: Implementation
Evidence Based Quality Improvement
Behavioral: Evidence Based Quality Improvement
Facilitation of the identification, adoption, adaption and implementation of evidence based practices.

No Intervention: Control
Usual Quality Improvement



Primary Outcome Measures :
  1. Patient Reach [ Time Frame: 3 months ]
    For patients in the Bipolar Depression Sample and Treatment Resistant Depression Sample, we will measure psychotherapy reach defined as the percentage of patients who report using the on-line cognitive behavioral therapy computer program. We will measure peer support reach defined as the percentage of patients who report using the Depression and Bipolar Support Alliance website chat room. We will measure tele-psychiatry reach as the percentage of patients who report seeing a tele-psychiatrist. For the Bipolar Depression Sample, we will measure diagnostic reach defined as the percentage of patients who are assigned a Bipolar Disorder diagnosis and mood stabilizer reach as the percentage of patients who are prescribed a mood stabilizer. For the Treatment Resistant Depression Sample, we will measure antidepressant prescription change reach as the percentage of patients who are prescribed a different antidepressant than the one prescribed when they screened positive for depression.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 100 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Full sample - screening positive for depression Bipolar Disorder sample - screening positive for depression, screening positive for bipolar disorder, not currently in a manic state Treatment Resistant Depression - screening positive for depression, screening negative for bipolar disorder, currently prescribed an antidepressant by primary care provider

Exclusion Criteria:

Full sample - none Bipolar Disorder sample - currently in a manic state Treatment Resistant Depression - none


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): NCT02150577


Locations
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United States, Arkansas
Mainline Health Systems Inc.
Eudora, Arkansas, United States
Boston Mountain Rural Health Center
Huntsville, Arkansas, United States
Lee County Cooperative Clinic
Marianna, Arkansas, United States
ARcare
Melbourne, Arkansas, United States
Jefferson Comprehensive Care System
Pine Bluff, Arkansas, United States
East Arkansas Family Health Center
West Memphis, Arkansas, United States
Sponsors and Collaborators
University of Arkansas
Investigators
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Principal Investigator: Geoffrey Curran, PhD University of Arkansas

Publications:
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Responsible Party: University of Arkansas
ClinicalTrials.gov Identifier: NCT02150577     History of Changes
Other Study ID Numbers: MH085104
First Posted: May 30, 2014    Key Record Dates
Last Update Posted: December 8, 2017
Last Verified: December 2017

Keywords provided by University of Arkansas:
Screening
Mood Stabilizers
Computer delivered psychotherapy
Peer Support
Telepsychiatry
Implementation
Rural

Additional relevant MeSH terms:
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Bipolar Disorder
Depressive Disorder, Treatment-Resistant
Bipolar and Related Disorders
Mental Disorders
Depressive Disorder
Mood Disorders