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STEPS study: to find out if and how to carry out a large clinical trial on stepped care treatment for depression.

Not Applicable
Completed
Conditions
Major Depressive Disorder (Depression)
Mental and Behavioural Disorders
Registration Number
ISRCTN66346646
Lead Sponsor
niversity of Exeter (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
75
Inclusion Criteria

1. Age >17 years
2. Fulfilling criteria for DSM Major Depressive Disorder identified by standard clinical interview
3. Willing to receive either stepped care or intensive psychological therapy alone for depression
4. Registered with Improving Access to Psychological Therapies (IAPT)

Exclusion Criteria

1. Alcohol or drug dependence
2. Presenting at acute risk of suicide
3. Cognitively impaired determined by a brief assessment of cognitive function
4. A diagnosis of bipolar disorder, psychosis and/or psychotic symptoms

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
A variety of patient-related data will be collected at baseline and 6 months post randomisation: <br>1. Severity of depressive symptoms (BDI-I)<br>2. Health-related quality of life (Short Form Health Survey-36) <br>3. Worry and anxiety (Generalised Anxiety Disorder-7)<br>In addition, we will collect data on the flow of participants through the trial (i.e., numbers of participants at each step) and patients' pathway through and adherence to treatment.
Secondary Outcome Measures
NameTimeMethod
Qualitative data from semi-structured interviews on what people think of our trial methods and procedures and their views of stepped care.
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