Study Stopped
Because there are enough data to present the conclusions
Telepsychiatry to Improve the Management of Adolescent Depression in Primary Care
Telepsychiatry-Based Collaborative Program to Improve the Management of Adolescent Depression in Primary Care Clinics in the Araucanía Region, Chile: A Randomized Controlled Trial
1 other identifier
interventional
143
1 country
7
Brief Summary
Background: Depression is common in adolescents and it is associated with serious consequences. In Chile, primary care team has a leading role in the management of depression in adolescents. Nevertheless, the majority of primary care professionals report not feeling adequately prepared to take on this responsibility and having difficulties referring patients to specialists. This situation is particularity complex in regions far away from the central zone. Telepsychiatry is a potential solution to an equitable access to specialized clinical expertise. Purpose: The purpose of this study is to determine whether a telepsychiatry-based collaborative program is effective to improve the management of depression in adolescents between 13 and 19 years of age in 16 primary care clinics in the Araucanía Region, Chile. Study design: A cluster-randomized clinical trial will be carried out with 237 adolescents. The efficacy, adherence, and acceptability of the telepsychiatry-based collaborative program will be evaluated.
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 Jun 2013
Typical duration 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
May 18, 2013
CompletedFirst Posted
Study publicly available on registry
May 22, 2013
CompletedStudy Start
First participant enrolled
June 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedMay 17, 2016
May 1, 2016
2.6 years
May 18, 2013
May 15, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in Beck Depression Inventory (BDI)
Baseline and 12 weeks
Secondary Outcomes (1)
Change from baseline in KIDSCREEN-27
Baseline and 12 weeks
Study Arms (2)
Telepsychiatry collaborative program
EXPERIMENTAL* Online training on the diagnosis and management of adolescent depression for health professionals from primary care clinics participating in active branch. * Clinical management of depression by primary care professionals, according to algorithms based on the Clinical Guidelines of the Chilean Ministry of Health (MINSAL). * Supervision of primary care professionals through an internet site run by a team of specialists. * Telephone monitoring of patients by personnel trained on clinical progress, treatment adherence, and side effects (applicable for patients taking drugs).
Usual care
ACTIVE COMPARATOR* Online training on the diagnosis and management of adolescent depression for health professionals from primary care centers participating in active branch. * Clinical management of depression by primary care professionals, according to algorithms based on the Clinical Guidelines of the Chilean Ministry of Health (MINSAL).
Interventions
The intervention includes: * Online training for the health staff * Medical and psychological treatment, as described in the AUGE Clinical Guidelines for Depression * Online supervision in a web platform by specialists * Telephone monitoring
* Online training for the health staff * Medical and psychological treatment, as described in the AUGE Clinical Guidelines for Depression
Eligibility Criteria
You may qualify if:
- Meets diagnostic criteria of a depressive disorder according a structured interview (MINI-KID)
You may not qualify if:
- Psychotic symptoms
- Bipolar disorder
- Current substance and/or alcohol dependence
- Suicide risk that requires specialized treatment
- Current treatment with antidepressant and/or psychotherapy
- Low intellectual abilities
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
CESFAM Alemania, CESFAM Huequén, CESFAM Piedra de Águila
Angol, Chile
CESFAM Dr. Cristóbal Sáenz Cerda
Lautaro, Chile
CESFAM Nueva Imperial
Nueva Imperial, Chile
Consultorio Pitrufquén
Pitrufquén, Chile
CESFAM Amanecer, CESFAM Labranza, CESFAM Pedro de Valdivia, CESFAM Pueblo Nuevo, CESFAM Santa Rosa, CESFAM Villa Alegre, Consultorio Miraflores
Temuco, Chile
Hospital de Vilcún
Vilcún, Chile
CESFAM Villarrica
Villarrica, Chile
Related Publications (1)
Martinez V, Rojas G, Martinez P, Zitko P, Irarrazaval M, Luttges C, Araya R. Remote Collaborative Depression Care Program for Adolescents in Araucania Region, Chile: Randomized Controlled Trial. J Med Internet Res. 2018 Jan 31;20(1):e38. doi: 10.2196/jmir.8021.
PMID: 29386172DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vania Martínez-Nahuel, Dr.med.
University of Chile
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr.med.
Study Record Dates
First Submitted
May 18, 2013
First Posted
May 22, 2013
Study Start
June 1, 2013
Primary Completion
January 1, 2016
Study Completion
February 1, 2016
Last Updated
May 17, 2016
Record last verified: 2016-05