Telephone Care as a Substitute for Routine Psychiatric Medication

NCT00105885 | Completed

• 1 other identifier: TEL 01-146
• Study Type: interventional
• Target: 324
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to answer the following questions: (1) Does substituting brief, scheduled, clinician-initiated telephone calls (telephone care) for routine psychiatric medication management visits reduce overall healthcare utilization? (2) Is substituting brief, scheduled, clinician-initiated telephone calls (telephone care) for routine psychiatric medication management visits as effective as routine care?

Conditions

Major Depression; Posttraumatic Stress Disorders; Anxiety Disorders

Keywords

Telephone; Telemedicine; Psychopharmacology

Outcome Measures

Primary Outcomes (1)

• Healthcare utilization (VHA and non-VHA patient visits); patient time spent obtaining care (including travel time); time provider spends in direct patient care.

  Continuous

Secondary Outcomes (4)

• Patient satisfaction at baseline, midpoint, end of study; provider satisfaction at baseline, midpoint, end of study; patient medication compliance; SF12V and brief symptom checklist scores

  baseline, 6 months, 12 months, 18 months, 24 months

• SF12V and brief symptom checklist scores

  baseline, 6 months, 18 months, 24 months

• patient medication compliance

  two month intervals

• provider satisfaction

  baseline, midpoint, and end of study

Study Arms (2)

Arm 1

EXPERIMENTAL

Patients randomized to receive telephone care will be scheduled to see their provider at twice the recommended clinical visit interval, and two ten-minute telephone contacts will be scheduled at a specific time at standard 0.67 and 1.3 times the multiple of the recommended interval.

Procedure: telephone care

Arm 2

NO INTERVENTION

Patients randomized to receive routine care will be scheduled to see their psychiatric medication provider at the recommended interval.

Interventions

telephone care PROCEDURE

Patients randomized to receive telephone care will be scheduled to see their provider at twice the recommended clinical visit interval, and two ten-minute telephone contacts will be scheduled at a specific time at standard 0.67 and 1.3 times the multiple of the recommended interval.

Arm 1

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients will be eligible for this study if they carry a diagnosis of major depression, Post-traumatic Stress Disorder (PTSD), or non-PTSD anxiety disorders.
• They must be psychiatrically stable subjects with a Global Assessment of Functioning scale score of \>50, no psychiatric hospitalizations in the previous six months, and no active substance abuse disorders.

You may not qualify if:

• Psychiatric hospitalization within 6 months prior to study entry.
• Visit interval \>1 year.
• Lack of telephone access.
• Inability to use a telephone.
• GAF\<50.

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

Study Sites (1)

VA Medical & Regional Office Center, White River

White River Junction, Vermont, 05009-0001, United States

Location

Related Publications (2)

• Pomerantz A, Cole BH, Watts BV, Weeks WB. Improving efficiency and access to mental health care: combining integrated care and advanced access. Gen Hosp Psychiatry. 2008 Nov-Dec;30(6):546-51. doi: 10.1016/j.genhosppsych.2008.09.004. Epub 2008 Oct 5.

  PMID: 19061681 RESULT

• Morden NE, Mistler LA, Weeks WB, Bartels SJ. Health care for patients with serious mental illness: family medicine's role. J Am Board Fam Med. 2009 Mar-Apr;22(2):187-95. doi: 10.3122/jabfm.2009.02.080059.

  PMID: 19264942 RESULT

MeSH Terms

Conditions

Depressive Disorder, Major; Stress Disorders, Post-Traumatic; Anxiety Disorders

Condition Hierarchy (Ancestors)

Depressive Disorder; Mood Disorders; Mental Disorders; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders

Study Officials

• Amy E. Wallace, MD MPH

  VA Medical & Regional Office Center, White River

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 17, 2005
• First Posted: March 18, 2005
• Study Start: November 1, 2003
• Primary Completion: September 1, 2008
• Study Completion: September 1, 2008
• Last Updated: February 10, 2014

Record last verified: 2008-10

Locations

US (1)