NCT01979302

Brief Summary

Depression in older home healthcare patients occurs very often, is typically not treated appropriately, and leads to poor health outcomes. This study tests an intervention, called "Depression Care for Patients at Home" or the Depression CAREPATH, designed to help home healthcare nurses work with the patients, their family, and their doctors in managing depression treat depression according to clinical guidelines and to manage its treatment over time. Patient outcomes, measured at 3, 6, and 12 months, include guideline-consistent changes in depression treatment and reduction in depressive symptoms.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
310

participants targeted

Target at P75+ for not_applicable depression

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

January 1, 2009

Completed
4.7 years until next milestone

First Submitted

Initial submission to the registry

September 26, 2013

Completed
1 month until next milestone

First Posted

Study publicly available on registry

November 8, 2013

Completed
23 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2013

Completed
Last Updated

July 10, 2014

Status Verified

July 1, 2014

Enrollment Period

4.9 years

First QC Date

September 26, 2013

Last Update Submit

July 9, 2014

Conditions

Depression

Keywords

Geriatric DepressionDepression Care Managementhome healthcarenurse training intervention

Outcome Measures

Primary Outcomes (1)

  • Depression Severity

    Assessment of depression severity using the Hamilton Depression Rating Scale

    2 week

Secondary Outcomes (1)

  • Guideline Consistent change in depression treatment

    60 Days

Study Arms (2)

Depression CAREPATH

EXPERIMENTAL

Patients receiving care from Nurses trained in depression care management

Other: Depression CAREPATH

Usual Care

OTHER

Patients under the care of nurses who were trained in depression assessment and usual care

Other: Usual Care

Interventions

Depression CAREPATHOTHER

Nurses receive training and agency support in depression assessment and depression care management

Depression CAREPATH
Usual CareOTHER

Nurses receive training in depression assessment and review of usual care procedures.

Usual Care

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • New home healthcare patient
  • Age 65 years or older
  • Depressed Mood or Anhedonia recorded by visiting nurse
  • English or Spanish speaking

You may not qualify if:

  • High suicide risk, i.e. intent or plan to attempt suicide in near future as defined by the suicide risk assessment.
  • Significant Cognitive Impairment: Mini-mental Status Exam below 20
  • Severe hearing impairment or aphasic
  • Life expectancy less than 6 months (CMS 485)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Weill Cornell Medical College, Westchester Division

White Plains, New York, 10605, United States

Location

Related Publications (4)

  • Bruce ML, Sheeran T, Raue PJ, Reilly CF, Greenberg RL, Pomerantz JC, Meyers BS, Weinberger MI, Johnston CL. Depression care for patients at home (Depression CAREPATH): intervention development and implementation, part 1. Home Healthc Nurse. 2011 Jul-Aug;29(7):416-26. doi: 10.1097/NHH.0b013e31821fe9f7.

    PMID: 21716043BACKGROUND

  • Bruce ML, Raue PJ, Sheeran T, Reilly C, Pomerantz JC, Meyers BS, Weinberger MI, Zukowski D. Depression Care for Patients at Home (Depression CAREPATH): home care depression care management protocol, part 2. Home Healthc Nurse. 2011 Sep;29(8):480-9. doi: 10.1097/NHH.0b013e318229d75b.

    PMID: 21881429BACKGROUND

  • Bruce ML, Lohman MC, Greenberg RL, Bao Y, Raue PJ. Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30- and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial. J Am Geriatr Soc. 2016 Nov;64(11):2196-2203. doi: 10.1111/jgs.14440. Epub 2016 Oct 14.

    PMID: 27739067DERIVED

  • Bruce ML, Raue PJ, Reilly CF, Greenberg RL, Meyers BS, Banerjee S, Pickett YR, Sheeran TF, Ghesquiere A, Zukowski DM, Rosas VH, McLaughlin J, Pledger L, Doyle J, Joachim P, Leon AC. Clinical effectiveness of integrating depression care management into medicare home health: the Depression CAREPATH Randomized trial. JAMA Intern Med. 2015 Jan;175(1):55-64. doi: 10.1001/jamainternmed.2014.5835.

    PMID: 25384017DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Study Officials

  • Martha L Bruce, PhD, MPH

    Weill Medical College of Cornell University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 26, 2013

First Posted

November 8, 2013

Study Start

January 1, 2009

Primary Completion

December 1, 2013

Last Updated

July 10, 2014

Record last verified: 2014-07

Locations

US(1)