Screening for Mental Health Concerns for at-Risk Community Living Chinese Seniors

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. Identifier: NCT00433238
Recruitment Status : Unknown
Verified February 2007 by Mount Sinai Hospital, Canada.
Recruitment status was:  Not yet recruiting
First Posted : February 9, 2007
Last Update Posted : February 9, 2007
Information provided by:
Mount Sinai Hospital, Canada

Brief Summary:

The study is designed to answer the following research questions:

  1. Evaluate the acceptability of mental health screening and of the instruments used in a sample of community living Chinese seniors;
  2. Determine rates of mental health service utilization in individuals identified at screening as having psychological disturbance;
  3. Determine if identifying mental illness and informing participants of screening results and with treatment alternatives alters help-seeking pathways.

The study hypotheses are:

  1. This community sample of Chinese seniors will show a higher prevalence of psychological disturbance than their counterparts in the general population;
  2. Emotional well-being will be positively correlated with individuals' physical health and social support network.

Condition or disease Intervention/treatment Phase
Major Depressive Disorder Dementia Behavioral: Participants will be screened for depression and cognitive impairment, then receive screening results. Phase 1

Detailed Description:

A convenience sample will be drawn from 6 Congregate Dining (CD) groups in the Chinese community. There are six groups of CD programs run by Yee Hong Centre for Geriatric Care run at different locations in the Greater Toronto Area. The screening will be offered on site at regular CD meetings to participants who have given informed, written consent. All participants will attend a private post-screening interview. Those who score above the threshold for depression and/or cognitive impairment, and who have not previously been diagnosed or treated for these conditions, will be randomly assigned to one of two groups: an intervention group and a usual care group. Participants in the intervention group will receive their screening results at the post-screening interviews and will also be provided with suggestions for possible follow-up. They will be given the option of receiving further psychiatric assessment at the Wellness Centre, or seeking care with their family physician and assisted to obtain further care, if desired. Participants in the intervention group will attend an appointment 3 months after receiving screening results and follow-up options during which the rate of help seeking, rate of confirmed psychiatric diagnoses and types of intervention received will be determined. Participants in the usual care group will not be given screening results at the post-screening interview but will instead attend an appointment 3 months post screening to receive their results and information about follow-up options.

The results of this research will: demonstrate whether community living Chinese elders are at greater risk of psychiatric disorders and demonstrate the need for screening in older Chinese adults living in the community; aid in the development of systematic and targeted community-based screening and outreach to at-risk members of the target population; and help determine if identification of mental health issues and education about treatment resources has any effect on help-seeking for those conditions.

Study Type : Interventional  (Clinical Trial)
Enrollment : 100 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Screening
Official Title: Screening for Mental Health Concerns for at-Risk Community Living Chinese Seniors - a Feasibility Study
Study Start Date : March 2007

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Primary Outcome Measures :
  1. Rate of help seeking in intervention group
  2. Rate of confirmed psychiatric diagnoses in intervention group
  3. Type of intervention received

Information from the National Library of Medicine

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Ages Eligible for Study:   55 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • capable of providing informed consent
  • informed consent

Exclusion Criteria:

  • Individuals who are unable to fully understand the nature of the study, its possible risks and benefits and the consequences of providing or withholding consent, and who are, therefore, not capable of providing informed consent will be excluded from the study.

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 identifier (NCT number): NCT00433238

Contact: K.C. Chan 416-291-3883 ext 225
Contact: Joel Sadavoy, M.D. 416-586-4800 ext 5262

Canada, Ontario
Wellness Centre Not yet recruiting
Toronto, Ontario, Canada, M1V5L6
Principal Investigator: K.C. Chan         
Sponsors and Collaborators
Mount Sinai Hospital, Canada
Principal Investigator: Joel Sadavoy, M.D. Mt. Sinai Hospital, Toronto, Canada Identifier: NCT00433238     History of Changes
Other Study ID Numbers: WCMSH
First Posted: February 9, 2007    Key Record Dates
Last Update Posted: February 9, 2007
Last Verified: February 2007

Keywords provided by Mount Sinai Hospital, Canada:
community living
Geriatric Depression Scale

Additional relevant MeSH terms:
Depressive Disorder
Depressive Disorder, Major
Mood Disorders
Mental Disorders
Behavioral Symptoms
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Neurocognitive Disorders