Psychiatric Consultation Through Videoconference in a Primary Care Setting

NCT00298961 | Unknown

• 1 other identifier: TelepsychiatryCTIL
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

In our study we will aim to examine the issues of cost analysis, quality of life, clinical efficacy and satisfaction of psychiatric consultations through videoconference in a primary care setting in comparison with in-person psychiatric treatment and primary care only. The main hypotheses of the study are: Satisfaction of the patients will increase, the use of telepsychiatry will reduce the costs for the primary and mental health care centers as well as for the patients, the treatment will be as effective as in-person treatment, the number of patients referred to mental health treatment will be higher than that of the previous year, quality of life will improve and that there will be a stigma reduction of mental illness.

Conditions

Remote Consultation; Community Psychiatry

Outcome Measures

Primary Outcomes (1)

• Brief Psychiatric Rating Scale (BPRS) at 0 months, 6 months and 12 months.

Secondary Outcomes (7)

• Clinical Global Impression Scale (CGI) at 0 months, 6 months and 12 months.

• Hamilton Anxiety Rating Scale (HAM-A) at 0 months, 6 months and 12 months.

• Hamilton Depression Rating Scale (HAM-D) at 0 months, 6 months and 12 months.

• Global satisfaction questionnaire at 0 months, 6 months and 12 months.

• General Health Questionnaire 11 (GHQ11) at 0 months, 6 months and 12 months.

Interventions

Videoconference equipment FALCON/IP DEVICE

Eligibility Criteria

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

You may qualify if:

• Patients referred by the primary care physician.
• Age 18 and over.
• Speak Hebrew.

You may not qualify if:

• Patients that suffer from severe dementia.
• Patients suffering from addiction to drugs or alcohol.
• Patients who are deaf, dumb or blind.
• Patients who have a legal guardian.

Sponsors & Collaborators

• Sha'ar Menashe Mental Health Center: lead
• Galil Center for Telemedicine and Medical Informatics: collaborator

Study Sites (1)

Sha'ar Menashe Mental Health Center Ambulatory Clinic

Hadera, 38814, Israel

Location

Related Publications (15)

• Hyler SE, Gangure DP, Batchelder ST. Can telepsychiatry replace in-person psychiatric assessments? A review and meta-analysis of comparison studies. CNS Spectr. 2005 May;10(5):403-13. doi: 10.1017/s109285290002277x.

  PMID: 15858458 BACKGROUND

• Frueh BC, Deitsch SE, Santos AB, Gold PB, Johnson MR, Meisler N, Magruder KM, Ballenger JC. Procedural and methodological issues in telepsychiatry research and program development. Psychiatr Serv. 2000 Dec;51(12):1522-7. doi: 10.1176/appi.ps.51.12.1522.

  PMID: 11097648 BACKGROUND

• Hilty DM, Luo JS, Morache C, Marcelo DA, Nesbitt TS. Telepsychiatry: an overview for psychiatrists. CNS Drugs. 2002;16(8):527-48. doi: 10.2165/00023210-200216080-00003.

  PMID: 12096934 BACKGROUND

• May C, Gask L, Atkinson T, Ellis N, Mair F, Esmail A. Resisting and promoting new technologies in clinical practice: the case of telepsychiatry. Soc Sci Med. 2001 Jun;52(12):1889-901. doi: 10.1016/s0277-9536(00)00305-1.

  PMID: 11352414 BACKGROUND

• Monnier J, Knapp RG, Frueh BC. Recent advances in telepsychiatry: an updated review. Psychiatr Serv. 2003 Dec;54(12):1604-9. doi: 10.1176/appi.ps.54.12.1604.

  PMID: 14645799 BACKGROUND

• Williams TL, May CR, Esmail A. Limitations of patient satisfaction studies in telehealthcare: a systematic review of the literature. Telemed J E Health. 2001 Winter;7(4):293-316. doi: 10.1089/15305620152814700.

  PMID: 11886667 BACKGROUND

• Roine R, Ohinmaa A, Hailey D. Assessing telemedicine: a systematic review of the literature. CMAJ. 2001 Sep 18;165(6):765-71.

  PMID: 11584564 BACKGROUND

• Simpson J, Doze S, Urness D, Hailey D, Jacobs P. Telepsychiatry as a routine service--the perspective of the patient. J Telemed Telecare. 2001;7(3):155-60. doi: 10.1258/1357633011936318.

  PMID: 11346475 BACKGROUND

• Yoshino A, Shigemura J, Kobayashi Y, Nomura S, Shishikura K, Den R, Wakisaka H, Kamata S, Ashida H. Telepsychiatry: assessment of televideo psychiatric interview reliability with present- and next-generation internet infrastructures. Acta Psychiatr Scand. 2001 Sep;104(3):223-6. doi: 10.1034/j.1600-0447.2001.00236.x.

  PMID: 11531660 BACKGROUND

• Dongier M, Tempier R, Lalinec-Michaud M, Meunier D. Telepsychiatry: psychiatric consultation through two-way television. A controlled study. Can J Psychiatry. 1986 Feb;31(1):32-4. doi: 10.1177/070674378603100107.

  PMID: 3512068 BACKGROUND

• Cruz M, Krupinski EA, Lopez AM, Weinstein RS. A review of the first five years of the University of Arizona telepsychiatry programme. J Telemed Telecare. 2005;11(5):234-9. doi: 10.1258/1357633054471821.

  PMID: 16035965 BACKGROUND

• Hyler SE, Gangure DP. A review of the costs of telepsychiatry. Psychiatr Serv. 2003 Jul;54(7):976-80. doi: 10.1176/appi.ps.54.7.976.

  PMID: 12851433 BACKGROUND

• Krupinski EA, Barker G, Lopez AM, Weinstein RS. An analysis of unsuccessful teleconsultations. J Telemed Telecare. 2004;10(1):6-10. doi: 10.1258/135763304322764112.

  PMID: 15006208 BACKGROUND

• Hilty DM, Marks SL, Urness D, Yellowlees PM, Nesbitt TS. Clinical and educational telepsychiatry applications: a review. Can J Psychiatry. 2004 Jan;49(1):12-23. doi: 10.1177/070674370404900103.

  PMID: 14763673 BACKGROUND

• Kennedy C, Yellowlees P. A community-based approach to evaluation of health outcomes and costs for telepsychiatry in a rural population: preliminary results. J Telemed Telecare. 2000;6 Suppl 1:S155-7. doi: 10.1258/1357633001934492.

  PMID: 10794004 BACKGROUND

Study Officials

• Mahmud Jabarin, MD

  Sha'ar Menashe Mental Health Center, Israel

  PRINCIPAL INVESTIGATOR

• Ilan Modai, MD, MHA

  Sha'ar Menashe Mental Health Center, Israel

  STUDY CHAIR

• Ehud Susser, MD

  Sha'ar Menashe Mental Health Center, Israel

  STUDY CHAIR

Central Study Contacts

Mahmud Jabarin, MD

CONTACT

+972-4-6278110; jabarin@shaar-menashe.org.il

Ehud Susser, MD

CONTACT

+972-4-6278946; udiwudi@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: March 2, 2006
• First Posted: March 3, 2006
• Study Start: May 1, 2006
• Study Completion: November 1, 2007
• Last Updated: May 21, 2008

Record last verified: 2008-05

Locations

IL (1)