Health Care Management for the Elderly in Community Through Screening

NCT01347138 | Completed

• 1 other identifier: A102065
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

Depression in late life has been associated with losses in functioning and quality of life, mortality, and increased health care costs. Although late life depression can be successfully treated with antidepressant medication or psychotherapy, few older adults receive adequate trials of such treatment in community in Korea. Barriers, such as loss of loved ones, medical illnesses, and social stigma associated with depression, lack of social and financial support, to effective treatment of depression can be especially problematic for older adult. Screening has been valuable in overcoming barriers to diagnosis. Over 60 year old community dwelling people will be screened for symptoms of four geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder). Those who will be screened positive for each condition will be refer to clinic for diagnosis. Among them only those cases confirmed as depression by psychiatrists will be enrolled in this study. Enrolled patients will be randomly assigned to either case management or usual care conditions. The objective of the study is to test whether a system of screening, assessment, and follow-up provided by case manager improves in recognizing the target geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder) and healthcare outcomes.

Conditions

Major Depressive Disorders; Senile; Depression

Keywords

Screening; depression; case management

Outcome Measures

Primary Outcomes (1)

• Geriatric Depression Score

  6 months after baseline

Secondary Outcomes (3)

• quality of life

  6 months after baseline

• treatment compliance

  6 months after baseline

• suicide ideation

  6 months after baseline

Study Arms (2)

case management

EXPERIMENTAL

case management regulary

Other: case management

Control

NO INTERVENTION

usual care

Interventions

case management OTHER

confirmation of hospital visit date, checking the adverse effect and treatment compliance

case management

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• over 60 year old
• having medicare insurance

You may not qualify if:

• dementia and other psychiatric disorders

Sponsors & Collaborators

• National Clinical Research Coordination Center, Seoul, Korea: lead

Study Sites (1)

City of Choongju public health center

Choongju, Choongchungbuk-Do, South Korea

Location

MeSH Terms

Conditions

Depressive Disorder, Major; Depression

Interventions

Case Management

Condition Hierarchy (Ancestors)

Depressive Disorder; Mood Disorders; Mental Disorders; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Hyeon Woo Yim, MD. Ph.D.

  The Catholic University of Korea

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 27, 2011
• First Posted: May 4, 2011
• Study Start: May 1, 2011
• Primary Completion: April 1, 2012
• Study Completion: April 1, 2012
• Last Updated: March 11, 2016

Record last verified: 2016-03

Locations

KR (1)