Increasing the Efficiency of Depression-screening Using Patient-targeted Feedback: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,151
- 试验地点
- 4
- 主要终点
- Level of depression one month after screening (Patient Health Questionnaire-9)
研究概览
简要总结
Out-patients with coronary heart disease or hypertension will fill out a depression screening questionnaire while waiting in a cardiac clinic. Using a randomised-controlled study design half of the patients will receive a patient-targeted written screening feedback. This feedback contains information about depression in general, depression-severity adapted treatment guidelines and contact-information for treatment. Patients in the control group receive no direct screening-feedback but their cardiologist will be informed about the screening result. All patients with a positive screening-result will be contacted after one month and six months and asked for symptoms of depression, and their use of health care. The aim of this study is to evaluate the efficiency of this minimal intervention on the course of depressive symptom in patients with known coronary heart disease or hypertension.
详细描述
The aim of this study is to evaluate the efficiency of a minimal intervention on the course of depressive symptoms in patients with known coronary heart disease (CHD) or hypertension. By means of a depression screening and individual patient-targeted feedback the level of depression should decrease, the percentage of treated depressed patients should increase and health economic costs should be lowered. The main hypothesis is that screening plus targeted feedback results in a greater reduction of depression than screening only.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Screening
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Gender: Both, male and female
- •Minimum Age: 18 Years
- •Maximum Age: no maximum age
- •Attendance in a cardiac clinic;
- •Clinical diagnosis of coronary heart disease or hypertension;
- •Age ≥ 18 years;
- •Sufficient language skills;
- •Informed consent
排除标准
- •Life threatening health status;
- •Severe somatic or/and psychological disorder that needs urgent treatment;
- •Acute suicidal tendency;
- •Severe cognitive or/and visual difficulties;
- •Not being able to fill out questionnaires
结局指标
主要结局
Level of depression one month after screening (Patient Health Questionnaire-9)
时间窗: One month after depression screening
次要结局
- Level of depression six months after screening (Patient Health Questionnaire-9)(One month and six months after screening)
- Proportion of patients treated for depression.(One month and six months after screening)
- Direct and indirect health costs(One month and six months after screening)
- Quality-adjusted years of life and quality of life (EuroQol-5D)(One month and six months after screening)