Feasibility of Depression Care Management by E-mail
Pilot Trial of Depression Care Management by Electronic Secure Messaging
2 other identifiers
interventional
208
1 country
1
Brief Summary
This study will test whether an electronic system that monitors and sends messages to help people with depression could be feasible, acceptable, and potentially effective as a treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable depression
Started Apr 2009
Shorter than P25 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
First Submitted
Initial submission to the registry
September 17, 2008
CompletedFirst Posted
Study publicly available on registry
September 18, 2008
CompletedStudy Start
First participant enrolled
April 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2010
CompletedResults Posted
Study results publicly available
June 1, 2012
CompletedNovember 13, 2017
October 1, 2017
1 year
September 17, 2008
July 22, 2011
October 11, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
20-Item Symptom Checklist Depression Scale
20-item depression severity scalse adapted from longer SCL-90. Mean score ranges from 0 to 4 with scores above 1.5 indicating moderate depression.
Measured at baseline and after 6 months of treatment
Secondary Outcomes (1)
Treatment Satisfaction
Measured after 6 months of treatment
Study Arms (2)
1
EXPERIMENTALParticipants will receive depression care management by secure messaging.
2
NO INTERVENTIONParticipants will receive their usual care, with no additional education or care management services.
Interventions
Participants will receive electronic messages welcoming them and monitoring their antidepressant treatment. Care managers will use monitoring data to aid participants' physicians, coordinate physician follow-ups, facilitate emergency care, and facilitate specialty referrals. Care managers will also provide motivation and education to participants.
Eligibility Criteria
You may qualify if:
- Patient at Capitol Hill or Rainier clinics of Group Health Cooperative in Seattle
- New prescription of an antidepressant, defined by an interval of at least 180 days since a previous antidepressant prescription
- Indication of depression, defined by a visit diagnosis of major depressive disorder (Internal Classification of Diseases 9th Revision \[ICD9\] codes 296.2x or 296.3x) within 30 days of the first prescription
- Has used secure messaging, or e-mailing, at least twice in the last 12 months
You may not qualify if:
- Any diagnosis of psychotic disorder or bipolar disorder in the prior 2 years
- Any prescription for mood stabilizer or antipsychotic medication in the prior 2 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Kaiser Permanentelead
- National Institute of Mental Health (NIMH)collaborator
Study Sites (1)
Group Health Cooperative Center for Health Studies
Seattle, Washington, 98101, United States
Related Publications (1)
Simon GE, Ralston JD, Savarino J, Pabiniak C, Wentzel C, Operskalski BH. Randomized trial of depression follow-up care by online messaging. J Gen Intern Med. 2011 Jul;26(7):698-704. doi: 10.1007/s11606-011-1679-8. Epub 2011 Mar 8.
PMID: 21384219RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Findings apply only to patients who choose to communicate by online messaging.
Results Point of Contact
- Title
- Gregory Simon, Principal Investigator
- Organization
- Group Health Research Institute
Study Officials
- PRINCIPAL INVESTIGATOR
Gregory E. Simon, MD, MPH
Group Health Cooperative Center for Health Studies
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 17, 2008
First Posted
September 18, 2008
Study Start
April 1, 2009
Primary Completion
April 1, 2010
Study Completion
April 1, 2010
Last Updated
November 13, 2017
Results First Posted
June 1, 2012
Record last verified: 2017-10