Integrated Depression Care Project
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- Intervention integration
研究概览
简要总结
The Integrated DEpression CAre (IDECA) Programme is a multi-faceted intervention strategy aiming to improve guideline adherence and shared care practices for depression management in both providers and patients, as measured through a set of process and clinical outcome indicators (primary outcome measure).
详细描述
The following deliverables apply:
- Development and implementation of a shared care protocol for depression management involving primary, secondary and tertiary care levels;
- Training module for physicians and other care providers in population health management for patients with depression;
- Training module for case managers/integration of a case management function into existing depression service offerings;
- A patient education module for depression self-management;
- A financing model for integrated depression care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
盲法说明
Investigators, care providers, and participants will know treatment arm allocation.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •persons between 18-65
- •presenting to the general practitioner's office
- •with depressive symtomatology
排除标准
- •Severe depression warranting direct referral to specialized services
- •Inclusion criteria are kept broad on purpose as it's one of the research questions to define for which patients the intervention (namely the case management) is appropriate.
研究组 & 干预措施
Integrated care arm
Case management in primary care setting (integration at general practitioners' practices), Depression and population management education for general practitioners, shared care guidance protocol including a medication path (drug classes, no specific drugs specified, based on available depression guidelines in Belgium).
干预措施: Integrated care (Other)
结局指标
主要结局
Intervention integration
时间窗: 14 months
Nomad questionnaire (4 monthly), followed by focus groups following Balint method, and individual interviews.
次要结局
- Resource use(12 months)
- Health literacy(12 months)
- Medication adherence and self-efficacy(12 months)
- Health-related Quality of Life(12 months)
- Depression(12 months)
- Depression and anxiety(12 months)