Improving Outcomes of Depression in Primary Care
DEP-PC
1 other identifier
interventional
400
1 country
1
Brief Summary
Depression is common in primary care settings, and associated with substantial physical and psychosocial impairment and increased healthcare utilization. Despite efforts to educate primary care providers, depression is often undetected or undertreated in primary care settings. The main objective of this study was to determine the impact of a low-intensity, care management intervention on depression treatment outcomes of patients in a VA primary care setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable depression
Started Jul 2002
Longer than P75 for not_applicable depression
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2004
CompletedFirst Submitted
Initial submission to the registry
March 16, 2005
CompletedFirst Posted
Study publicly available on registry
March 17, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedApril 7, 2015
March 1, 2009
2.3 years
March 16, 2005
April 6, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Symptom Checklist SCL-20 score
SCL-20 score over 12 months
Study Arms (2)
Arm 1
EXPERIMENTALMultifaceted collaborative intervention for depression based in primary care
Arm 2
NO INTERVENTIONTreatment as usual
Interventions
Multifaceted collaborative intervention for depression based in primary care
Eligibility Criteria
You may qualify if:
- Primary care patients of eligible providers with depression (Patient Health Questionnaire \[PHQ-9\] depression scores of 10 to 25 or Hopkins Symptom Checklist-20 \[SCL-20\] scores \>= 1.0)
You may not qualify if:
- Patients who had received treatment from mental health specialists within the previous 6 months; who had received a diagnosis of psychotic disorder, dementia, or bipolar disorder; or who were considered to be terminally ill
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Portland Health Care System, Portland, OR
Portland, Oregon, 97239, United States
Related Publications (11)
Snyder K, Dobscha SK, Ganzini L, Hoffman WF, Delorit MA. Clinical outcomes of integrated psychiatric and general medical care. Community Ment Health J. 2008 Jun;44(3):147-54. doi: 10.1007/s10597-007-9117-4. Epub 2007 Dec 11.
PMID: 18071900RESULTWilliams JW Jr, Gerrity M, Holsinger T, Dobscha S, Gaynes B, Dietrich A. Systematic review of multifaceted interventions to improve depression care. Gen Hosp Psychiatry. 2007 Mar-Apr;29(2):91-116. doi: 10.1016/j.genhosppsych.2006.12.003.
PMID: 17336659RESULTDobscha SK, Corson K, Pruitt S, Crutchfield M, Gerrity MS. Measuring depression and pain with home health monitors. Telemed J E Health. 2006 Dec;12(6):702-6. doi: 10.1089/tmj.2006.12.702.
PMID: 17250493RESULTDobscha SK, Corson K, Hickam DH, Perrin NA, Kraemer DF, Gerrity MS. Depression decision support in primary care: a cluster randomized trial. Ann Intern Med. 2006 Oct 3;145(7):477-87. doi: 10.7326/0003-4819-145-7-200610030-00005.
PMID: 17015865RESULTGerrity MS, Corson K, Dobscha SK. Screening for posttraumatic stress disorder in VA primary care patients with depression symptoms. J Gen Intern Med. 2007 Sep;22(9):1321-4. doi: 10.1007/s11606-007-0290-5. Epub 2007 Jul 17.
PMID: 17634781RESULTDobscha SK, Corson K, Gerrity MS. Depression treatment preferences of VA primary care patients. Psychosomatics. 2007 Nov-Dec;48(6):482-8. doi: 10.1176/appi.psy.48.6.482.
PMID: 18071094RESULTDobscha SK, Winterbottom LM, Snodgrass LS. Reducing drug costs at a Veterans Affairs hospital by increasing market-share of generic fluoxetine. Community Ment Health J. 2007 Feb;43(1):75-84. doi: 10.1007/s10597-006-9062-7. Epub 2006 Sep 22.
PMID: 17029000RESULTCorson K, Gerrity MS, Dobscha SK. Screening for depression and suicidality in a VA primary care setting: 2 items are better than 1 item. Am J Manag Care. 2004 Nov;10(11 Pt 2):839-45.
PMID: 15609737RESULTDobscha SK, Corson K, Solodky J, Gerrity MS. Use of videoconferencing for depression research: enrollment, retention, and patient satisfaction. Telemed J E Health. 2005 Feb;11(1):84-9. doi: 10.1089/tmj.2005.11.84.
PMID: 15785225RESULTDobscha SK, Anderson TA, Hoffman WF, Winterbottom LM, Turner EH, Snodgrass LS, Hauser P. Strategies to decrease costs of prescribing selective serotonin reuptake inhibitors at a VA Medical Center. Psychiatr Serv. 2003 Feb;54(2):195-200. doi: 10.1176/appi.ps.54.2.195.
PMID: 12556600RESULTDobscha SK, Gerrity MS, Corson K, Bahr A, Cuilwik NM. Measuring adherence to depression treatment guidelines in a VA primary care clinic. Gen Hosp Psychiatry. 2003 Jul-Aug;25(4):230-7. doi: 10.1016/s0163-8343(03)00020-3.
PMID: 12850654RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Steven K. Dobscha, MD
VA Portland Health Care System, Portland, OR
- PRINCIPAL INVESTIGATOR
Martha S. Gerrity, MD MPH PhD
VA Portland Health Care System, Portland, OR
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 16, 2005
First Posted
March 17, 2005
Study Start
July 1, 2002
Primary Completion
November 1, 2004
Study Completion
December 1, 2008
Last Updated
April 7, 2015
Record last verified: 2009-03