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Treatment for Post-Stroke Depression

Phase 4
Completed
Conditions
Stroke
Depression
Interventions
Other: case management
Registration Number
NCT00029172
Lead Sponsor
Indiana University
Brief Summary

The purpose of this study is to evaluate a program of education, medicine, and monitoring for the treatment of depression after a stroke.

Detailed Description

This trial will compare outcomes in depressed patients receiving the Activate-Initiate-Monitor (AIM) intervention vs. those receiving usual care, and will also compare outcomes in depressed and non-depressed stroke survivors. Patients are screened for depression 1 to 2 months post-stroke. Patients with depression are then randomized to the AIM intervention or control group. Patients without depression are also enrolled at the same time and are matched by hospital site to the depressed patients.

The AIM intervention is a 3-part program consisting of activating or educating the patient and his/her family about post-stroke depression, instituting treatment for depression, and monitoring antidepressant treatments for side effects, efficacy, and compliance. Control patients are evaluated and treated with usual care by their physicians. Patients without depression do not receive the intervention but complete the same assessments on the same schedule as the patients with depression.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
188
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Nurse Case managementcase management-
Primary Outcome Measures
NameTimeMethod
Twelve Week Depression OutcomesTwelve week

Depression remission was defined as HAM-D less than 8 or HAM-D decreased by 50%.

The Hamilton Rating Scale for Depression is measured on a scale from no depression - major depression, 0-52 units on a scale.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (4)

Roudebush VA Medical Center, Health Services Research and Development 11H, 1481 W. 10th Street

🇺🇸

Indianapolis, Indiana, United States

Indiana University Hospital, 550 N. University Blvd.

🇺🇸

Indianapolis, Indiana, United States

Methodist Hospital of Indiana, 1601 N. Capitol

🇺🇸

Indianapolis, Indiana, United States

Wishard Memorial Hospital, 1001 W. 10th Street

🇺🇸

Indianapolis, Indiana, United States

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