Health Care Management for the Elderly in Community Through Screening

Not Applicable

Completed

• Conditions: Senile; Depression; Major Depressive Disorders
• Interventions: Other: case management

• Registration Number: NCT01347138
• Lead Sponsor: National Clinical Research Coordination Center, Seoul, Korea

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2011-04-27
• Study Start: 2011-05
• Study First Submitted QC: 2011-05-03
• Study First Posted: 2011-05-04
• Primary Completion: 2012-04
• Study Completion: 2012-04
• Status Verified: 2016-03
• Last Update Submitted: 2016-03-10
• Last Update Posted: 2016-03-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 57

Inclusion Criteria

• over 60 year old
• having medicare insurance

Exclusion Criteria

• dementia and other psychiatric disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
case management	case management	case management regulary

Primary Outcome Measures

Name	Time	Method
Geriatric Depression Score	6 months after baseline

Secondary Outcome Measures

Name	Time	Method
suicide ideation	6 months after baseline
quality of life	6 months after baseline
treatment compliance	6 months after baseline

Trial Locations

Locations (1)

City of Choongju public health center; 🇰🇷 Choongju, Choongchungbuk-Do, Korea, Republic of