临床试验/NCT01561105

NCT01561105已完成不适用

This Was a Five-year Seven-site Trial to Study the Cost-effectiveness of a Population Based Disease Management Program for Late Life Depression in Primary Care.

University of California, Los Angeles0 个研究点目标入组 1,801 人开始时间: 1999年1月1日最近更新: 2012年3月28日

适应症

干预措施

试验速览

阶段: 不适用
状态: 已完成
发起方: University of California, Los Angeles
入组人数: 1,801
主要终点: Severity of depression symptoms

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者记录与标识符相似试验

研究概览

简要总结

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

详细描述

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.

研究设计

研究类型: Interventional
分配方式: Randomized
干预模型: Parallel
主要目的: Treatment
盲法: Single (Outcomes Assessor)

入排标准

年龄范围: 60 Years 至 —（Adult, Older Adult）
性别: All
接受健康志愿者: 否

入选标准

•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.

排除标准

•Age under
•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.

研究组 & 干预措施

IMPACT

Experimental

干预措施: IMPACT (Other)

Care as Usual

No Intervention

Patients received all depression care available to them as part of care as usual in the participating primary care clinics.

结局指标

主要结局

Severity of depression symptoms

Severity measured by the 21-item Hopkins Symptom Checklist.

次要结局

Functioning

研究者

发起方

University of California, Los Angeles

申办方类型

Other

责任方

Principal Investigator

主要研究者

Jurgen Unutzer, MD, MPH

Professor and Vice-Chair of Psychiatry, Psychiatry and Behavioral Sciences

University of Washington

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