Organized Self-Management Support Services for Chronic Depression

Phase 3

Completed

• Conditions: Depression
• Interventions: Behavioral: organized care program for chronic or recurrent depression

• Registration Number: NCT01139060
• Lead Sponsor: Kaiser Permanente

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2009-08
• Study First Submitted: 2010-06-04
• Study First Submitted QC: 2010-06-07
• Study First Posted: 2010-06-08
• Primary Completion: 2013-04
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-11
• Last Update Posted: 2017-10-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 302

Inclusion Criteria

• all patients will meet criteria for recurrent major depression or dysthymia

Exclusion Criteria

• bipolar disorder or psychotic disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention Group	organized care program for chronic or recurrent depression	18-month organized treatment program focused on outreach and engagement for chronic or recurrent depression

Primary Outcome Measures

Name	Time	Method
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)	18 months

Secondary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (2)

Group Health Research Insitute; 🇺🇸 Seattle, Washington, United States

Swedish Cherry Hill Clinic; 🇺🇸 Seattle, Washington, United States