Patient Preference in Primary Care Depression Treatment
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 60
- Locations
- 4
- Primary Endpoint
- treatment initiation
Study Overview
Brief Summary
This study will determine the effectiveness of offering primary care patients their preferred treatment versus one that is less desirable in improving treatment adherence and outcome.
Detailed Description
This study investigates whether offering primary care patients treatment that is congruent with their preferred first choice improves adherence and outcomes, in comparison to offering treatment that is not congruent with their preferred first choice. All subjects are offered a treatment with demonstrated efficacy, namely either the antidepressant medication escitalopram or Interpersonal Psychotherapy for 5 months. We hypothesize that patients who receive congruent treatment will be more likely to initiate treatment, adhere to treatment, and achieve depression remission.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 21 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •age 21-99
- •English-speaking
- •DSM-IV criteria for major depression
Exclusion Criteria
- •unable to give informed consent
- •DSM-IV diagnosis of bipolar disorder, psychotic disorder, current alcohol or substance abuse
- •active suicide ideation
- •acute or severe medical illness
- •currently receiving either antidepressant medication or psychotherapy
Outcomes
Primary Outcomes
treatment initiation
treatment adherence
Secondary Outcomes
- depressive symptomatology