Improving Depression Care for Elders: Coordinating Center

Not Applicable

Completed

• Conditions: Major Depression; Dysthymic Disorder; Both Major Depression and Dysthymic Disorder
• Interventions: Other: IMPACT

• Registration Number: NCT01561105
• Lead Sponsor: University of California, Los Angeles

Brief Summary

Purpose: To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment(IMPACT) collaborative care management program for late-life depression.

Detailed Description

This study tested an organized method of delivering care for late life depression in primary care. Specifically, the investigators evaluated the effectiveness of this intervention as compared to 'care as usual'. The investigators studied the effect of the intervention on clinical outcomes such as depressive symptoms, functional status, health related quality of life. They also determined the cost-effectiveness of the intervention compared to care as usual.

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Study Start: 1999-01
• Primary Completion: 2004-06
• Study Completion: 2004-06
• Status Verified: 2012-03
• Study First Submitted: 2012-03-20
• Study First Submitted QC: 2012-03-20
• Study First Posted: 2012-03-22
• Last Update Submitted: 2012-03-26
• Last Update Posted: 2012-03-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1801

Inclusion Criteria

• Major depression or dysthymia as diagnosed by a structured diagnostic interview.
• Patient plans to receive primary care at the study clinic for the next year.

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Exclusion Criteria

• Age under 60.
• Current symptoms or history of psychosis or mania as determined by structured diagnostic interview.
• Cognitive impairment as defined by a score less than 23 on a Mini Mental Status Examination.
• Terminal illness - defined as having a life expectancy of less than 6 months.
• Active alcohol abuse as determined by a screening interview.
• High suicide risk as determined by current plan for suicide or a history of more than 3 prior suicide attempts in the past 10 years.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
IMPACT	IMPACT	-

Primary Outcome Measures

Name	Time	Method
Severity of depression symptoms		Severity measured by the 21-item Hopkins Symptom Checklist.

Secondary Outcome Measures

Name	Time	Method
Functioning		measured by the Sheehan Health-Related Functioning Index