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Implementation of Brief Dynamic Interpersonal Therapy at the VA (DIT)

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ClinicalTrials.gov Identifier: NCT03945136
Recruitment Status : Recruiting
First Posted : May 10, 2019
Last Update Posted : May 10, 2019
Sponsor:
Information provided by (Responsible Party):
Cory K. Chen, PhD, VA New York Harbor Healthcare System

Brief Summary:
The goal of the proposed project is to collect data from clinician files and the electronic medical record to describe the clinical implementation of Brief Dynamic Interpersonal Therapy (DIT), an individual psychotherapy for depression and anxiety, at the VA through psychology staff and trainees between 2012-present.

Condition or disease Intervention/treatment
Depression Anxiety Behavioral: Dynamic Interpersonal Therapy

Detailed Description:

The goal of the proposed project is to collect data from clinician files and the electronic medical record to describe the clinical implementation of Brief Dynamic Interpersonal Therapy (DIT), an individual psychotherapy for depression and anxiety, at the VA through psychology staff and trainees between 2012-present. The study will collect data on patient characteristics (e.g. demographics, diagnoses, reasons for referral, etc.), attendance, and treatment outcome of depression, anxiety and psychosocial functioning to evaluate and describe the feasibility of implementing DIT at the VA.

Medical records of veterans who were provided with DIT treatment between 2012-present will be reviewed and data on patient characteristics (which will include demographic information, diagnoses, reasons for referral, etc.), treatment compliance, and treatment outcome as measured by changes in depression, anxiety, and psychosocial functioning during the treatment period and up to the present will be collected. The investigators estimate that approximately 100 Veterans have been offered and/or provided DIT since 2012 by psychology trainees and staff. This study will provide preliminary data on the feasibility of implementing DIT treatment at the VA. The first trial of DIT for MDD in the VHA is currently being conducted by the PI and the information from the retrospective chart review would help to provide additional data as part of a proposal for a larger scale RCT of DIT.


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Study Type : Observational
Estimated Enrollment : 150 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Implementation of Brief Dynamic Interpersonal Therapy at the VA
Actual Study Start Date : March 15, 2016
Estimated Primary Completion Date : July 31, 2019
Estimated Study Completion Date : December 31, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety


Intervention Details:
  • Behavioral: Dynamic Interpersonal Therapy
    Dynamic Interpersonal Therapy is a time-limited, manualized, interpersonal and affect-focused psychodynamic treatment that is frequently used to target depression and anxiety.


Primary Outcome Measures :
  1. Patient Health Questionnaire (PHQ-9) [ Time Frame: Total score collected at each weekly session of DIT, up to 16 weeks. ]
    The PHQ-9 is used to assess depressive symptom severity in patients.

  2. Generalized Anxiety Disorder Scale - 7 Item (GAD-7) [ Time Frame: Total score collected at each weekly session of DIT, up to 16 weeks. ]
    The GAD-7 is used to assess anxiety symptom severity in patients.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Veterans that have received DIT treatment for clinically indicated depression and/or anxiety at VANYHHS (Manhattan) between 2012 to present.
Criteria

Inclusion Criteria:

- receive DIT treatment at VANYHHS between 2012-present

Exclusion Criteria:

- was not referred for, or did not receive at least 1 DIT session at VANYHHS between 2012-present


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): NCT03945136


Contacts
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Contact: Cory K Chen, PhD 212-686-7500 ext 4002 cory.chen@va.gov
Contact: Lauren Wash, MA 212-686-7500 ext 3003 lauren.wash@va.gov

Locations
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United States, New York
VA New York Harbor Healthcare System Recruiting
New York, New York, United States, 10010
Contact: Stanley John, MD    212-686-7500 ext 4455      
Principal Investigator: Cory K. Chen, PhD         
Sponsors and Collaborators
VA New York Harbor Healthcare System
Investigators
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Principal Investigator: Cory K Chen, PhD VA New York Harbor Healthcare System

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Responsible Party: Cory K. Chen, PhD, Director - Psychotherapy Research and Development Program, VA New York Harbor Healthcare System
ClinicalTrials.gov Identifier: NCT03945136     History of Changes
Other Study ID Numbers: VANYHH
First Posted: May 10, 2019    Key Record Dates
Last Update Posted: May 10, 2019
Last Verified: May 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Cory K. Chen, PhD, VA New York Harbor Healthcare System:
veterans
depression
anxiety
psychodynamic
psychotherapy
treatment

Additional relevant MeSH terms:
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Depression
Behavioral Symptoms