Organized Self-Management Support Services for Chronic Depression
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Depression
- Sponsor
- Kaiser Permanente
- Enrollment
- 302
- Locations
- 2
- Primary Endpoint
- 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)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •all patients will meet criteria for recurrent major depression or dysthymia
Exclusion Criteria
- •bipolar disorder or psychotic disorder
Outcomes
Primary Outcomes
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)
Time Frame: 18 months
Secondary Outcomes
- 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)