Collaborative Care for Depressed Elderly in Korea

Not Applicable

Completed

• Conditions: Elderly; Collaborative Care; Korean; Depression
• Interventions: Other: care management

• Registration Number: NCT01626716
• Lead Sponsor: National Clinical Research Coordination Center, Seoul, Korea

Brief Summary

Late-life depression is associated with physical limitations, greater functional impairment, increased utilization and cost of health care, and suicide. Collaborative care, linking primary and mental health specialty care, has been shown to be effective for the treatment of late-life depression in primary care settings in Western countries. The primary aim of this project is to implement a depression care management intervention, and examine its effectiveness on the depressive symptoms of older patients in Korean primary care settings. Based on chronic disease management theory and previous Collaborative care management studies in western countries, we propose to test a Depression Care Management intervention,which includes care manager to support a primary care physician of depression in their old patients. Care manager'd role are monitoring the progress of treatment, supporting patient's adherence, educating patients/ family and facilitate communication between providers. Also psychiatrists provide consultation and supervision of care managers. Using a randomized controlled design, we will examine whether the Depression care management is an effective treatment for patients with late life depression in rural Korea. The primary outcome would be the improvement of depressive symptoms of patients in primary care setting.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-06
• Study First Submitted: 2012-06-20
• Study First Submitted QC: 2012-06-22
• Study First Posted: 2012-06-25
• Primary Completion: 2013-12
• Study Completion: 2013-12
• Status Verified: 2016-03
• Last Update Submitted: 2016-03-10
• Last Update Posted: 2016-03-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• 60 year or older
• diagnosed depression based on DSM-IV criteria

Exclusion Criteria

• impairment of hearing
• dementia
• other psychiatric disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
case management	care management	patients who assigned to the intervention group will take 7 times phone calls from case manager

Primary Outcome Measures

Name	Time	Method
Reduced depression symptoms	3 months	HAMD (Hamilton Depression Ratind Scale) Difference HAMD score between the intervention and control group from baseline to 3 month follow-up

Secondary Outcome Measures

Name	Time	Method
Depression response and remissionhealth related quality of life	3months and 6months	HAMD (Hamilton Depression Ratind Scale) Depression response is defined by improvement 50% or more HAMD scores from baseline to each follow-up periods.; Depression remission is defined by 7 or less of HAMD score at each follow-up periods
Reduced suicide ideation	3 months and 6 months	SSI (Beck's suicide ieation scale) Difference total SSI scores Between the two groups from baseline to each follow-up periods
Improvement of Quality of life	3 months and 6 months	EQ5D Difference EQ5D scores Between the two groups from baseline to each follow-up periods

Trial Locations

Locations (1)

Chungju community health care center; 🇰🇷 Chungju, ChoongBuk, Korea, Republic of