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Health Care Management for the Elderly in Community Through Screening

This study has been completed.
Information provided by (Responsible Party):
Hyeon Woo Yim, National Clinical Research Coordination Center, Seoul, Korea Identifier:
First received: April 27, 2011
Last updated: March 10, 2016
Last verified: March 2016

Depression in late life has been associated with losses in functioning and quality of life, mortality, and increased health care costs. Although late life depression can be successfully treated with antidepressant medication or psychotherapy, few older adults receive adequate trials of such treatment in community in Korea. Barriers, such as loss of loved ones, medical illnesses, and social stigma associated with depression, lack of social and financial support, to effective treatment of depression can be especially problematic for older adult. Screening has been valuable in overcoming barriers to diagnosis. Over 60 year old community dwelling people will be screened for symptoms of four geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder). Those who will be screened positive for each condition will be refer to clinic for diagnosis. Among them only those cases confirmed as depression by psychiatrists will be enrolled in this study. Enrolled patients will be randomly assigned to either case management or usual care conditions.

The objective of the study is to test whether a system of screening, assessment, and follow-up provided by case manager improves in recognizing the target geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder) and healthcare outcomes.

Condition Intervention
Major Depressive Disorders
Senile; Depression
Other: case management

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Screening

Further study details as provided by National Clinical Research Coordination Center, Seoul, Korea:

Primary Outcome Measures:
  • Geriatric Depression Score [ Time Frame: 6 months after baseline ]

Secondary Outcome Measures:
  • quality of life [ Time Frame: 6 months after baseline ]
  • treatment compliance [ Time Frame: 6 months after baseline ]
  • suicide ideation [ Time Frame: 6 months after baseline ]

Enrollment: 57
Study Start Date: May 2011
Study Completion Date: April 2012
Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: case management
case management regulary
Other: case management
confirmation of hospital visit date, checking the adverse effect and treatment compliance
No Intervention: Control
usual care


Ages Eligible for Study:   60 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • over 60 year old
  • having medicare insurance

Exclusion Criteria:

  • dementia and other psychiatric disorders
  Contacts and Locations
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, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01347138

Korea, Republic of
City of Choongju public health center
Choongju, Choongchungbuk-Do, Korea, Republic of
Sponsors and Collaborators
National Clinical Research Coordination Center, Seoul, Korea
Principal Investigator: Hyeon Woo Yim, MD. Ph.D. The Catholic University of Korea
  More Information

Responsible Party: Hyeon Woo Yim, Professor, National Clinical Research Coordination Center, Seoul, Korea Identifier: NCT01347138     History of Changes
Other Study ID Numbers: A102065
Study First Received: April 27, 2011
Last Updated: March 10, 2016

Keywords provided by National Clinical Research Coordination Center, Seoul, Korea:
case management

Additional relevant MeSH terms:
Depressive Disorder
Depressive Disorder, Major
Behavioral Symptoms
Mood Disorders
Mental Disorders processed this record on May 25, 2017