Cost-effectiveness of a stepped-care program for depression among primary care patients with type 2 diabetes mellitus and/or coronary heart disease and subthreshold depression.
- Conditions
- 10027946depressive complaintssubthreshold depressive disorder
- Registration Number
- NL-OMON39877
- Lead Sponsor
- Vrije Universiteit
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 236
- 18 years and older
- diagnosis of diabetes mellitus type 2 and/or coronary heart disease
- in primary care
- subthreshold depression (scoring 6 points or more on PHQ-9 in combination with the absence of a diagnosis on the Mini International Neuropsychiatric Interviw (MINI)
- bipolar disorder
- cognitive impairment or dementia
- psychotic illnes
- terminal illnes
- currently taking antidepressant medication
- a history of suicide attempts
- insufficient Dutch language skills
- visual impairments or illiteracy
- loss of significant other < previous six months
- pregnancy
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The cumulative incidence of depression after 12 months according to an<br /><br>independent Mini International Neuropsyciatric Interview (MINI)<br /><br>Severity of depression symptoms<br /><br>Quality of life</p><br>
- Secondary Outcome Measures
Name Time Method <p>HbA1C<br /><br>bloodpressure<br /><br>LDL cholesterol</p><br>