Collaborative Care for Depressed Elderly in Korea

NCT01626716 | Completed

• 1 other identifier: A102065_2012_1
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Late-life depression is associated with physical limitations, greater functional impairment, increased utilization and cost of health care, and suicide. Collaborative care, linking primary and mental health specialty care, has been shown to be effective for the treatment of late-life depression in primary care settings in Western countries. The primary aim of this project is to implement a depression care management intervention, and examine its effectiveness on the depressive symptoms of older patients in Korean primary care settings. Based on chronic disease management theory and previous Collaborative care management studies in western countries, we propose to test a Depression Care Management intervention,which includes care manager to support a primary care physician of depression in their old patients. Care manager'd role are monitoring the progress of treatment, supporting patient's adherence, educating patients/ family and facilitate communication between providers. Also psychiatrists provide consultation and supervision of care managers. Using a randomized controlled design, we will examine whether the Depression care management is an effective treatment for patients with late life depression in rural Korea. The primary outcome would be the improvement of depressive symptoms of patients in primary care setting.

Conditions

Depression; Elderly; Korean; Collaborative Care

Outcome Measures

Primary Outcomes (1)

• Reduced depression symptoms

  HAMD (Hamilton Depression Ratind Scale) Difference HAMD score between the intervention and control group from baseline to 3 month follow-up

  3 months

Secondary Outcomes (3)

• Depression response and remissionhealth related quality of life

  3months and 6months

• Reduced suicide ideation

  3 months and 6 months

• Improvement of Quality of life

  3 months and 6 months

Study Arms (2)

case management

EXPERIMENTAL

patients who assigned to the intervention group will take 7 times phone calls from case manager

Other: care management

control

NO INTERVENTION

usual care

Interventions

care management OTHER

patients who assigned to the intervention group will take 7 times phone calls from case manager

case management

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• year or older
• diagnosed depression based on DSM-IV criteria

You may not qualify if:

• impairment of hearing
• dementia
• other psychiatric disorders

Sponsors & Collaborators

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

Study Sites (1)

Chungju community health care center

Chungju, ChoongBuk, 123456, South Korea

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Design

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

Study Record Dates

• First Submitted: June 20, 2012
• First Posted: June 25, 2012
• Study Start: June 1, 2012
• Primary Completion: December 1, 2013
• Study Completion: December 1, 2013
• Last Updated: March 11, 2016

Record last verified: 2016-03

Locations

KR (1)