|
Effectiveness of Team Treatment of Depression in Primary Care Clinical Trials Facts presented on Clinical Trials Search is not designed to be a substitute for certified medical advice, travels to or treatment with a real dr.. We aren't doctors. Always consult your mD on Effectiveness of Team Treatment of Depression in Primary Care conditions. Clinical Trials Search.org is a website dedicated to listing clinical research studies in human subjects. Effectiveness of Team Treatment of Depression in Primary Care Clinical research trials and Effectiveness of Team Treatment of Depression in Primary Care medical trials occur in many of places across the U.S.A.. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials generally assess the effectiveness of new does drugs. The role of the studies / undertakings is to figure out certain human healthcare questions. Clinical trials are a popular means for doctors, government agencies, and private sector corporations to locate treatments for all forms of circumstances, including Effectiveness of Team Treatment of Depression in Primary Care. Effectiveness of Team Treatment of Depression in Primary Care Clinical Trials and other clinical trials permit volunteers to get medical treatment options before they are available to the masses. Most times the human subjects acquire treatment for free of charge, and sometimes they are paid for their time. Occasionally there is a cost for a Effectiveness of Team Treatment of Depression in Primary Care clinical trial. Participants oftentimes recieve the finest healthcare available for their Effectiveness of Team Treatment of Depression in Primary Care condition. Dangers are a reality, nonetheless, and might include extra or frequent physician calls, health hazards (potentially life-endangering), and/or the treatment being ineffectual. Trials are federally regulated with strict guidelines to protect clinical trials subjects.
|
|
|
|
|
|
|
Home > "E" Clinical Trials Conditions > Effectiveness of Team Treatment of Depression in Primary Care  Effectiveness of Team Treatment of Depression in Primary Care
Effectiveness of Team Treatment of Depression in Primary Care
For Condition: Depression
Status: Completed
Sponsor(s): Department of Veterans Affairs , Department of Veterans Affairs Health Services Research and Development Service
Synopsis: Depression is the second most prevalent medical condition in the VA and has a worse impact on function and quality of life than other common chronic conditions. Most depression treatment takes place in primary care, where, in spite of improvement efforts, the condition continues to be under-detected and under-treated. In other managed care settings, a collaborative care model based on principles of managing chronic illness has been successful in improving care. This effectiveness study adapted collaborative care to the VA primary care setting and compared the resulting innovative integrated team care approach (team) with traditional consult-liaison treatment (CL). Patients within a VA primary care clinic were randomly assigned by firm to the two interventions. In the CL intervention, the primary care provider referred study patients to Psychiatry residents in-clinic for treatment. In the team intervention, a team of psychiatrist, psychologist, and social workers developed a treatment plan, based on an initial assessment, and provided the plan to the primary care provider. Primary care providers' treatment efforts were then supported by patient education materials followed by brief Social Work telephone calls designed to support adherence, address treatment barriers, and monitor symptomatology. Treatment results were systematically reviewed and suggestions for treatment modification were fed back to the primary providers. In both treatment arms, if initial treatment efforts were ineffective, patients could be referred to Mental Health specialty clinics. Several screening methods including mailed and in-clinic surveys and provider referral were used to recruit 168 team and 188 CL study patients who met criteria for major depression and/or dysthymia based on structured interview. Patients were excluded only if they required immediate inpatient care, had a pending mental health specialty clinic appointment, had primary alcohol abuse, or were too impaired to participate in the screening interview. Outcome data on the SCL-20 depression symptomatology measure, SF-36V, and Sheehan functional impairment measure were collected at baseline, 3 and 9 months.
Details:
Eligibility:
Study Type: Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Several screening methods including mailed and in-clinic surveys and provider referral were used to recruit 168 team and 188 CL study patients who met criteria for major depression and/or dysthymia based on structured interview. Patients were excluded only if they required immediate inpatient care, had a pending mental health specialty clinic appointment, had primary alcohol abuse, or were too impaired to participate in the screening interview. Outcome data on the SCL-20 depression symptomatology measure, SF-36V, and Sheehan functional impairment measure were collected at baseline, 3 and 9 months.
Total Enrollment: 360
Location and Contact Information:
Seattle Medical Center
Seattle, Washington, 98108
United States
Seattle Medical Center
Seattle, Washington, 98109
United States
Seattle Medical Center
Seattle, Washington, 98109
United States
Seattle Medical Center
Seattle, Washington, 98108
United States
Additional Information:
Study ID Numbers: IIR 95-097;
Study Start Date: June 1997
Record last reviewed: January 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00012766
Other Depression Studies:
1. Reducing Symptoms of Depression in Low-Income Mothers
2. Multiphase Efficacy Study of venlafaxine ER to Treat Recurrent Depression
3. Preventing Post-Stroke Depression
4. Sertraline Compared With Hypericum Perforatum (St. John's Wort) in Treating Mild to Moderate Depression in Patients With Cancer
5. Clinical Trial of Memantine for Major Depression
Related Studies:
Other Depression Clinical Trials
Other Washington Clinical Trials
Other Seattle Clinical Trials
Effectiveness of Team Treatment of Depression in Primary Care
|
|
|
|
|
|
|
|
