Effectiveness of the follow-up of depressed patients by nurses

Completed

Conditions: Major depression
Mental and Behavioural Disorders

Registration Number: ISRCTN08808171

Lead Sponsor: Jordi Gol i Gurina Primary Care Research Institute (IDIAP Jordi Gol i Gurina) (Spain)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 460

Inclusion Criteria

1. Patients between 25 and 70 years of age
2. Rating of 20 or more points in the Beck Depression Inventory Scale (BDI)
3. Whose family practitioner thinks they suffer from depression and they need to initiate anti-depressant treatment

Exclusion Criteria

1. Pregnancy or breastfeeding
2. Background of severe psychiatric disorders: psychosis, paranoia, severe personality disorders, delusional thoughts
3. Existence of suicidal ideation or attempts
4. Two or more episodes of major depression, or one or more episodes that might require hospitalization
5. Patients who have received antidepressant medication in the past year
6. Patients with mental health problems who have been referred to psychiatric specialists for these reasons
7. Substance abuse and/or drugs
8. Treatment for Parkinson's disease or epilepsy
9. Temporal residents (plan to move in the next six months)
10. Unable to communicate in Spanish or Catalan languages

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Differences between groups in the average of decrease in depression symptoms, measured by BDI at 6 months<br>2. Increase in quality of life, measured by the 12-item Short Form health survey (SF-12) at 6 months<br>3. Increase in satisfaction with the professional, measured by the satisfaction questionnaire of Baker at 6 months

Secondary Outcome Measures

Name	Time	Method
1. Percentage of acceptance of the intervention (comparison of the two groups): patient satisfaction and losses that occur at different times of follow-up<br>2. Average of differences between the two groups with respect to:<br>2.1. Frequency and duration of visits<br>2.2. Referrals<br>2.3. Drug treatment<br>3. Comparison of adherence to treatment between the two groups