Telepsychology-Service Delivery for Depressed Elderly Veterans
2 other identifiers
interventional
241
1 country
1
Brief Summary
The purpose of this study is to see whether therapy for elderly adults with major depression can be delivered effectively using videoconferencing technology ("telepsychology"), which allows a therapist and patient who are not in the same room as one another to communicate. We are interested in learning if this form of mental health service delivery is an acceptable alternative to traditional face-to-face therapy delivered with the therapist in the same room as the patient.
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 Sep 2006
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
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 9, 2006
CompletedFirst Posted
Study publicly available on registry
May 11, 2006
CompletedStudy Start
First participant enrolled
September 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2012
CompletedResults Posted
Study results publicly available
November 26, 2014
CompletedApril 24, 2015
September 1, 2014
4.8 years
May 9, 2006
November 6, 2014
April 6, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
At Least a 50% Improvement From Baseline to Post-treatment on the Geriatric Depression Scale (GDS)
The Geriatric Depression Scale (GDS) is a 30-item self-report assessment designed specifically to identify depression in the elderly. Participants are asked to respond by answering yes or no in reference to how they felt over the past week. Higher scores indicate more severe depression.
8 week & 12 months
Secondary Outcomes (1)
SCID: Structured Clinical Interview for the DSM-IV
12 months
Study Arms (2)
Telepsychology
EXPERIMENTALtherapy done at patients house
Face-to-face therapy
ACTIVE COMPARATORtherapy delivered at the VAMC
Interventions
Eligibility Criteria
You may qualify if:
- Participants will be older male and female veterans,
- age 60 and above,
- with diagnoses of major depressive disorder (MDD) assigned on the basis of the Structured Clinical Interview for DSM-IV (SCID; Spitzer et al., 1997).
You may not qualify if:
- Actively psychotic or demented persons,
- individuals with both suicidal ideation and clear intent, and
- individuals meeting criteria for substance dependence will be excluded from participation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- US Department of Veterans Affairslead
- Medical University of South Carolinacollaborator
- University of Marylandcollaborator
Study Sites (1)
Ralph H. Johnson VA Medical Center, Charleston, SC
Charleston, South Carolina, 29401-5799, United States
Related Publications (8)
Cluver JS, Schuyler D, Frueh BC, Brescia F, Arana GW. Remote psychotherapy for terminally ill cancer patients. J Telemed Telecare. 2005;11(3):157-9. doi: 10.1258/1357633053688741.
PMID: 15901444BACKGROUNDEgede LE, Frueh CB, Richardson LK, Acierno R, Mauldin PD, Knapp RG, Lejuez C. Rationale and design: telepsychology service delivery for depressed elderly veterans. Trials. 2009 Apr 20;10:22. doi: 10.1186/1745-6215-10-22.
PMID: 19379517RESULTRichardson LK, Frueh BC, Grubaugh AL, Egede L, Elhai JD. Current Directions in Videoconferencing Tele-Mental Health Research. Clin Psychol (New York). 2009 Sep 1;16(3):323-338. doi: 10.1111/j.1468-2850.2009.01170.x.
PMID: 20161010RESULTOsborn CY, Egede LE. The relationship between depressive symptoms and medication nonadherence in type 2 diabetes: the role of social support. Gen Hosp Psychiatry. 2012 May-Jun;34(3):249-53. doi: 10.1016/j.genhosppsych.2012.01.015. Epub 2012 Mar 7.
PMID: 22401705RESULTTuerk PW, Gros DF, Acierno RE, Strachan MK, Egede LE, Morland LA, Greene CJ, Myrick DL, Frueh BC. Delivery of evidence-based psychotherapy via video telehealth. Journal of psychopathology and behavioral assessment. 2013 Dec 1; 35(4):506-521.
RESULTEgede LE, Dismuke CE, Walker RJ, Acierno R, Frueh BC. Cost-Effectiveness of Behavioral Activation for Depression in Older Adult Veterans: In-Person Care Versus Telehealth. J Clin Psychiatry. 2018 Aug 28;79(5):17m11888. doi: 10.4088/JCP.17m11888.
PMID: 30192446DERIVEDEgede LE, Acierno R, Knapp RG, Walker RJ, Payne EH, Frueh BC. Psychotherapy for Depression in Older Veterans Via Telemedicine: Effect on Quality of Life, Satisfaction, Treatment Credibility, and Service Delivery Perception. J Clin Psychiatry. 2016 Dec;77(12):1704-1711. doi: 10.4088/JCP.16m10951.
PMID: 27835713DERIVEDEgede LE, Acierno R, Knapp RG, Lejuez C, Hernandez-Tejada M, Payne EH, Frueh BC. Psychotherapy for depression in older veterans via telemedicine: a randomised, open-label, non-inferiority trial. Lancet Psychiatry. 2015 Aug;2(8):693-701. doi: 10.1016/S2215-0366(15)00122-4. Epub 2015 Jul 16.
PMID: 26249300DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Leonard E. Egede, MD, MS
- Organization
- Ralph H. Johnson VAMC
Study Officials
- PRINCIPAL INVESTIGATOR
Leonard E. Egede, MD MS
Ralph H. Johnson VA Medical Center, Charleston, SC
Publication Agreements
- PI is Sponsor Employee
- Yes
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
May 9, 2006
First Posted
May 11, 2006
Study Start
September 1, 2006
Primary Completion
July 1, 2011
Study Completion
October 1, 2012
Last Updated
April 24, 2015
Results First Posted
November 26, 2014
Record last verified: 2014-09