Remote Supervision for Implementing Collaborative Care for Perinatal Depression (MInD-I)
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT02976025|
Recruitment Status : Recruiting
First Posted : November 29, 2016
Last Update Posted : May 11, 2018
|Condition or disease||Intervention/treatment||Phase|
|Perinatal Depression||Other: Longitudinal Remote Consultation Other: Collaborative Care||Not Applicable|
Depression is a common and serious disorder among pregnant women but few from low income groups receive effective treatment. The highly evidence based collaborative care (CC) model for depression has been shown to work for women in pregnancy but has not been widely implemented in this population. The proposed study targets improving dissemination of the evidence based CC treatment model for pregnant and postpartum women with depression, a common disorder of the perinatal period (pregnancy and the first year following birth). Longitudinal remote consultation (LRC) is an implementation strategy that has been have shown to improve fidelity to evidence-based practices and patient outcomes for mental health innovations. The investigators believe LRC can be used with equal benefit for complex interventions such as CC.
The purpose of this study is to compare two implementation strategies for Collaborative Care depression treatment: 1) standard implementation and 2) standard implementation + Longitudinal Remote Consultation (LRC). This research is being done in order to assess implementation and patient outcomes in sites receiving a standard implementation approach with and without LRC. The results of the proposed study will provide information on the benefits and relative value of ongoing consultation, such as LRC, for implementation of complex interventions like collaborative care.
The proposed study will involve twenty health centers providing prenatal care which are part of the national OCHIN Network or other health center network. All sites will receive a standard implementation approach. After pre-implementation training ten of the sites will be randomly selected to receive LRC. Implementation and clinical outcomes as well as costs will be compared between the study conditions after a 12 month implementation period and a 13-21 month sustainment period. The results of the proposed study will provide critical generalizable knowledge regarding the benefits of ongoing consultation for implementation of complex interventions like collaborative care.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||20 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Remote Supervision for Implementing Collaborative Care for Perinatal Depression|
|Actual Study Start Date :||April 1, 2017|
|Estimated Primary Completion Date :||June 2020|
|Estimated Study Completion Date :||March 2021|
Experimental: Longitudinal Remote Consultation
This is the active treatment arm consisting of 10 cluster randomized federally qualified health centers receiving both training in collaborative care and longitudinal remote consultation (LRC) support.
Other: Longitudinal Remote Consultation
Longitudinal Remote Consultation utilizes video conferencing to efficiently link providers to consultants who provide timely feedback and training in collaborative care. LRC will be provided in addition to standard collaborative care training and support
Other Name: LRC
Active Comparator: Collaborative Care
This comparator arm will consist of 10 cluster randomized federally qualified health centers who receive training in collaborative care.
Other: Collaborative Care
Standard collaborative care implementation training and support
Other Name: CC
- Clinical depression outcomes [ Time Frame: 12 months post-initiation of collaborative care ]Patient Health Questionnaire-9 (PHQ-9); level of depression symptomatology and functional impairment
- Implementation Outcomes [ Time Frame: 12 month post implementation of collaborative care ]To assess the degree to which sites in the two conditions complete implementation, the investigators will use the Stages of Implementation Completion tool tailored for collaborative care, SIC-CC
- Cost and cost-effectiveness [ Time Frame: 12-month post-implementation of collaborative care ]For a cost-benefit analysis, the investigators will use of the Cost of Implementing New Strategies (COINS) method to assess costs in the two conditions. This methodology takes advantage of the SIC-CC instrument as a costing template to map the use of resources and associated costs to these to study conditions. Costs associated with implementation in each of these conditions will be carried out for all 20 health centers included in the study.
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): NCT02976025
|Contact: Mindy Vredevoogd, MSemail@example.com|
|United States, Washington|
|University of Washington||Recruiting|
|Seattle, Washington, United States, 98195|
|Contact: Ian Bennett|
|Principal Investigator:||Ian Bennett||University of Washington|