Organized Self-Management Support Services for Chronic Depression
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 302
- 试验地点
- 3
- 主要终点
- Evaluate the program's effectiveness, i.e., the effects of the intervention on patient outcomes (depressive symptoms, functional impairment, and disability/lost productivity) and process of care (self-efficacy and self-management behaviors)
研究概览
简要总结
The purpose is to test the effectiveness of an organized care program for chronic or recurrent depression. Using a two-arm design, the investigators will randomly assign 300 participants with chronic or recurrent depression to one of two conditions: continued usual care (UC); or an 18-month organized treatment program focused on outreach and engagement, including a weekly group self-management training program, monthly visits with a psychotherapist (in-person or by telephone), and optional one-on-one visits with a peer support specialist. All intervention components are intended as adjuncts to any existing depression treatment (usually antidepressant medication) provided by participants' regular providers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all patients will meet criteria for recurrent major depression or dysthymia
排除标准
- •bipolar disorder or psychotic disorder
研究组 & 干预措施
Intervention Group
18-month organized treatment program focused on outreach and engagement for chronic or recurrent depression
干预措施: organized care program for chronic or recurrent depression (Behavioral)
Usual Care
结局指标
主要结局
Evaluate the program's effectiveness, i.e., the effects of the intervention on patient outcomes (depressive symptoms, functional impairment, and disability/lost productivity) and process of care (self-efficacy and self-management behaviors)
时间窗: 18 months
次要结局
- Examination of moderators of treatment response(18 months)
- An estimate of the program's costs and effect on the costs of treatment for depression(18 months)