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Implementing Telemedicine-Based Collaborative Care for MDD in Contract CBOCs

This study has been withdrawn prior to enrollment.
(This study was withdrawn prior to enrollment.)
Sponsor:
ClinicalTrials.gov Identifier:
NCT00317018
First Posted: April 21, 2006
Last Update Posted: April 28, 2014
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. Read our disclaimer for details.
Information provided by (Responsible Party):
VA Office of Research and Development
  Purpose
Small contract VA Community Based Outpatient Clinics present unique challenges to implementation of collaborative care because of their distinct organizational characteristics and lack of on-site psychiatrists. A recent effectiveness study, successfully used telemedicine technologies to adapt the collaborative care model for small rural VA Community Based Outpatient Clinics. The purpose of the proposed study is to implement this telemedicine-based collaborative care model in small Contract VA Community Based Outpatient Clinics and determine its sustainability and cost-effectiveness.

Condition Intervention
Depression Behavioral: Evidence-Based Quality Improvement

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Implementing Telemedicine-Based Collaborative Care for MDD in Contract CBOCs

Further study details as provided by VA Office of Research and Development:

Primary Outcome Measures:
  • Reach, Effectiveness, Adoption, Implementation, and Maintenance, percent screening positive for depression, specialty mental health visits, antidepressant medication possession ratio, VA depression performance measure [ Time Frame: 12 months ]

Secondary Outcome Measures:
  • cost-effectiveness [ Time Frame: 12 months ]

Enrollment: 0
Study Start Date: May 2008
Study Completion Date: September 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm 1
Implementation Group
Behavioral: Evidence-Based Quality Improvement
The implementation intervention is known as Evidence-Based Quality Improvement (EBQI). EBQI is an adaptation of the Plan-Do-Study-Act cycles of Continuous Quality Improvement that emphasizes empirical evidence and the involvement of clinical and implementation experts (i.e., researchers). In the EBQI implementation intervention, both researchers (clinical and implementation experts) and local staff participate fully in the quality improvement process, with the researchers facilitating rather than dictating implementation efforts. Using EBQI methods, researchers and local staff adapt evidence-based practices for local resources, needs and preferences while maintaining fidelity to the evidence-base. PDSA cycles are used to continuously revise the adapted evidence-based practice based on feedback during pilot tests.
No Intervention: Arm 2
Control Group

  Show Detailed Description

  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • veteran
  • depression
  • patient at Little Rock VAMC, Loma Linda VAMC, or Greater Los Angeles VAMC

Exclusion Criteria:

  • veteran
  • depression
  • patient at Little Rock VAMC, Loma Linda VAMC, or Greater Los Angeles VAMC
  Contacts and Locations
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): NCT00317018


Locations
United States, California
VA Medical Center, Loma Linda
Loma Linda, California, United States, 92357
VA Greater Los Angeles Healthcare System, West LA
West Los Angeles, California, United States, 90073
Sponsors and Collaborators
VA Office of Research and Development
Investigators
Principal Investigator: John C. Fortney, PhD Central Arkansas Veterans Healthcare System (North Little Rock)
  More Information

Publications:
Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT00317018     History of Changes
Other Study ID Numbers: IMV 04-360
First Submitted: April 19, 2006
First Posted: April 21, 2006
Last Update Posted: April 28, 2014
Last Verified: April 2014

Keywords provided by VA Office of Research and Development:
depression
quality improvement
implementation
translation
evidence-based practice
collaborative care
adoption
sustainability
cost-effectiveness
rural

Additional relevant MeSH terms:
Depression
Behavioral Symptoms