Telemonitoring Enhanced Support for Depression Self Management
2 other identifiers
interventional
243
1 country
7
Brief Summary
The objective of this research is to test the efficacy of "CarePartners for Depression" (CP-D) intervention, which was designed to increase between visit monitoring of depression status and enhance self-management. \*\*In order to participate, subjects must be patients at participating clinics: Alcona Health Center, Cherry Street Health Services, Dua Family Practice, Morang Chester.
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 2013
Longer than P75 for not_applicable depression
7 active sites
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 13, 2012
CompletedFirst Posted
Study publicly available on registry
April 18, 2013
CompletedStudy Start
First participant enrolled
September 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 29, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2018
CompletedMarch 7, 2019
March 1, 2019
4.7 years
September 13, 2012
March 6, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Depressive symptom severity
Patient Health Questionnaire 9 (PHQ-9).
12 months after randomization
Secondary Outcomes (4)
Depression remission rate
12 months after randomization
Depression-related functional impairment
12 months after randomization
Positive well-being
12 months after randomization
Health care costs
12 months after randomization
Study Arms (2)
CarePartners for depression
EXPERIMENTALFor one year, patients receive weekly automated telemonitoring of mood and self-management, while their CarePartners receive weekly reports of the patient's assessment results with tailored instructions on supporting the patient's depression self-management.
Usual care
NO INTERVENTIONUsual medical care.
Interventions
Automated telephone calls for depression monitoring and self-management support.
Eligibility Criteria
You may qualify if:
- at least 2 outpatient primary care visits in the past 2 years, 1 within the past 13 months
- depression diagnosis in medical chart problem list or billing record (ICD9 codes: 296.20-.26, .30-.36, 296.4-.9, 298.0, 300.4, 309.0-.1, 309.28, 311.00) during the past 2 years
- current PHQ \>10 (non-mild depressive symptoms)
- at least 21 years old
- comfortable speaking English
- can use a touch-tone phone
- can identify at least 1 eligible CarePartner
- not in palliative care, on transplant waitlist, or \<1 year life expectancy
- free of major cognitive impairment or psychiatrically unstable
- not experiencing domestic abuse or stalking
You may not qualify if:
- Limited life expectancy (e.g., advanced stage cancer/heart failure/on oxygen/end stage renal disease), receiving palliative care
- At risk for domestic abuse, PHQ\<10, end stage renal disease, lung cancer, dementia, bipolar disease, schizophrenia, limited life expectancy (advanced stage cancer/heart failure/on oxygen), alcohol problems, receiving palliative care
- Unable to speak English
- Not planning to get all or most of care at study site
- Primary care physician not affiliated with study site
- Unable to use telephone to respond to weekly automated self-management support calls
- Unable to nominate an eligible CP
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Michiganlead
- National Institute of Mental Health (NIMH)collaborator
Study Sites (7)
Alcona Health Centers
Alpena, Michigan, 49707, United States
University of Michigan
Ann Arbor, Michigan, 48013, United States
Dua Family Practice
Canton, Michigan, 48187, United States
Morang Chester
Detroit, Michigan, 48224, United States
Hamilton Community Health Network, Inc.
Flint, Michigan, 48505, United States
Cherry Street Health Services
Grand Rapids, Michigan, 49503, United States
Muskegon Family Care
Muskegon Heights, Michigan, 49444, United States
Related Publications (2)
Javier SJ, Risbud R, Rossi FS, Slightam C, Aikens J, Guetterman T, Piette JD, Trivedi R. Improving depression management with support from close others: A thematic analysis of individuals with depression and their partners in care. Chronic Illn. 2024 Jun;20(2):283-295. doi: 10.1177/17423953231175690. Epub 2023 Oct 30.
PMID: 37904531DERIVEDAikens JE, Valenstein M, Plegue MA, Sen A, Marinec N, Achtyes E, Piette JD. Technology-Facilitated Depression Self-Management Linked with Lay Supporters and Primary Care Clinics: Randomized Controlled Trial in a Low-Income Sample. Telemed J E Health. 2022 Mar;28(3):399-406. doi: 10.1089/tmj.2021.0042. Epub 2021 Jun 4.
PMID: 34086485DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
James E Aikens, Ph.D.
University of Michigan
- PRINCIPAL INVESTIGATOR
John D Piette, Ph.D.
University of Michigan
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Family Medicine
Study Record Dates
First Submitted
September 13, 2012
First Posted
April 18, 2013
Study Start
September 1, 2013
Primary Completion
May 29, 2018
Study Completion
October 31, 2018
Last Updated
March 7, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will not share