A Controlled Trial of Patient Centered Telepsychiatry Interventions
2 other identifiers
interventional
185
1 country
3
Brief Summary
This two-year randomized controlled trial of clinical outcomes seeks to evaluate the superiority of the asynchronous telepsychiatry (ATP) consultation model on access, quality, cost and outcomes of care over the usual care for adults referred from primary care clinics for psychiatric evaluation and treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2014
Longer than P75 for not_applicable
3 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
March 10, 2014
CompletedFirst Posted
Study publicly available on registry
March 12, 2014
CompletedStudy Start
First participant enrolled
April 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
April 29, 2019
CompletedJune 11, 2019
June 1, 2019
3.8 years
March 10, 2014
June 10, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Global Assessment of Functioning (GAF)
The GAF is used by clinicians to rate patients' social, occupational and psychological functioning Scale from 0-100 with 100 being the superior functioning and 1 being poor functioning (0 not enough info)
every 6 months for a 2 year follow-up period
The Clinical Global Impression (CGI)
The CGI is a widely used clinician rated scale that assesses a patient's response to mental health treatment.
every 6 months for a 2 year follow-up period
Secondary Outcomes (8)
The Alcohol Use Disorders Identification Test (AUDIT)
Every 6 months- 2 year follow-up period
The Patient Telemedicine Satisfaction Questionnaire
every 6 months- 2 year follow-up period
PHQ-9
every 6 months for a 2 year follow-up period
The Generalized Anxiety Disorder 7 item (GAD-7)
every 6 months for a 2 year follow-up period
Provider Telepsychiatry Satisfaction Questionnaire
every 6 months for a 2 year follow-up period
- +3 more secondary outcomes
Other Outcomes (1)
Patient Health Log
every 6 months for a 2 year follow-up period
Study Arms (2)
Asynchronous telepsychiatry
EXPERIMENTALExperimental Arm: Asynchronous telepsychiatry evaluation and consultation
Synchronous telepsychiatry
ACTIVE COMPARATORControl Arm: Synchronous telepsychiatry evaluation and consultation
Interventions
telepsychiatry evaluation and consultation to primary care
Eligibility Criteria
You may qualify if:
- aged 18 or older
- diagnosis of a mood disorder, anxiety disorder, or substance/alcohol abuse disorder(s)
- referred by PCP at participating site.
You may not qualify if:
- less than 18 years
- imminent suicidal ideation and/or plans
- immediate violent intentions or plans
- incarceration
- significant cognitive deficits
- patient who's PCP recommends not participating.
- PCP not at participating site
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
UC Davis Primary Care Network
Auburn, California, 95603, United States
UC Davis Primary Care Network Midtown
Sacramento, California, 95816, United States
Communicare Health Centers Salud Clinic
West Sacramento, California, 95605, United States
Related Publications (3)
Yellowlees PM, Burke MM, Gonzalez AD, Fisher A, Chan SR, Hilty DM, McCarron RM, Scher LM, Sciolla AF, Shore J, Xiong G, Fine J, Bannister J, Iosif AM. Patient and Provider Satisfaction with Asynchronous Versus Synchronous Telepsychiatry in Primary Care: A Secondary Mixed-Methods Analysis of a Randomized Controlled Trial. Telemed J E Health. 2024 Apr;30(4):e1049-e1063. doi: 10.1089/tmj.2023.0238. Epub 2023 Nov 22.
PMID: 38011623DERIVEDLieng MK, Aurora MS, Kang Y, Kim JM, Marcin JP, Chan SR, Mouzoon JL, Tancredi DJ, Parish M, Gonzalez AD, Scher L, Xiong G, McCarron RM, Yellowlees P. Primary Care Physician Adherence to Telepsychiatry Recommendations: Intermediate Outcomes from a Randomized Clinical Trial. Telemed J E Health. 2022 Jun;28(6):838-846. doi: 10.1089/tmj.2021.0389. Epub 2021 Nov 2.
PMID: 34726542DERIVEDYellowlees PM, Parish MB, Gonzalez AD, Chan SR, Hilty DM, Yoo BK, Leigh JP, McCarron RM, Scher LM, Sciolla AF, Shore J, Xiong G, Soltero KM, Fisher A, Fine JR, Bannister J, Iosif AM. Clinical Outcomes of Asynchronous Versus Synchronous Telepsychiatry in Primary Care: Randomized Controlled Trial. J Med Internet Res. 2021 Jul 20;23(7):e24047. doi: 10.2196/24047.
PMID: 33993104DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peter Yellowlees, MD
Professor UC Davis
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 10, 2014
First Posted
March 12, 2014
Study Start
April 1, 2014
Primary Completion
December 31, 2017
Study Completion
April 29, 2019
Last Updated
June 11, 2019
Record last verified: 2019-06
Data Sharing
- IPD Sharing
- Will not share