Controlled Study About Implementation of a Computerized Depression Guideline in Primary Care

NCT02328833 | Unknown

• 1 other identifier: SM-CSPT-DP2014-01
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to evaluate the effects of an active multifactor implementation process of a Computerized Depression Guideline in Primary Care. The CPG-DEPc use use, the key outcomes and its maintenance over time in patients and professionals will be analyzed.

Conditions

Depression

Keywords

Depression; Clinical Practice Guideline; Implementation; Primary Care; Computerized Guideline

Outcome Measures

Primary Outcomes (4)

• The rate of patients in which the instruments from the Computerized Depression Guideline were used.

  The rate of patients with possible depression treated in the analyzed period in which at least one of the instruments that the Guide recommended were used (to rule out or confirm the diagnosis, choose the optimal treatment or the best clinical follow-up option).

  4 months

• The rate of patients in which the instruments from the Computerized Depression Guideline were used.

  6 months

• The rate of patients in which the instruments from the Computerized Depression Guideline were used.

  12 months

• The rate of patients in which the instruments from the Computerized Depression Guideline were used.

  18 months

Secondary Outcomes (14)

• Incidence of major depression patients registered in the electronical clinical record.

  6 months

• Incidence of major depression patients registered in the electronical clinical record.

  12 months

• Incidence of major depression patients registered in the electronical clinical record.

  18 months

• Rates of suicide and suicide attempts

  18 months

• Total health cost of depression

  18 months

Study Arms (2)

Active Implementation of Guidelines

EXPERIMENTAL

Primary Care Centers where the experimental strategies of guidelines implementation will be done

Other: Experimental strategies of guidelines implementation

No Active Implementation of Guidelines

NO INTERVENTION

Primary Care Centers where the experimental strategies of guidelines implementation not will be done

Interventions

Experimental strategies of guidelines implementation OTHER

Experimental strategies of Depression Guidelines implementation in Primary Care Centers. The active process includes the establishment of local implementation teams, seminars, regular feedback and follow-up visits for four months.

Active Implementation of Guidelines

Eligibility Criteria

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

You may qualify if:

• Patients over 18 years.
• Diagnosis of major depression (F32. \*\*,F33.\*\* according to International Classification of Diseases-10)
• Attended in any of the 10 selected Primary Care Centers (from Barcelona, Spain)
• Patients with suspected depression in which the diagnosis is discarded using the Guide.

You may not qualify if:

• Patients with diagnosed or suspected major depression treated by professionals who have not given their consent to participate in the study.

Sponsors & Collaborators

• Corporacion Parc Tauli: lead
• Instituto de Salud Carlos III: collaborator
• Hospital Clinic of Barcelona: collaborator
• Institut Catala de Salut: collaborator

Related Publications (6)

• Trinanes Y, Atienza G, Louro-Gonzalez A, de-las-Heras-Linero E, Alvarez-Ariza M, Palao DJ. Development and impact of computerised decision support systems for clinical management of depression: A systematic review. Rev Psiquiatr Salud Ment. 2015 Jul-Sep;8(3):157-66. doi: 10.1016/j.rpsm.2014.10.004. Epub 2014 Dec 12. English, Spanish.

  PMID: 25500093 BACKGROUND

• Fernandez A, Pinto-Meza A, Bellon JA, Roura-Poch P, Haro JM, Autonell J, Palao DJ, Penarrubia MT, Fernandez R, Blanco E, Luciano JV, Serrano-Blanco A. Is major depression adequately diagnosed and treated by general practitioners? Results from an epidemiological study. Gen Hosp Psychiatry. 2010 Mar-Apr;32(2):201-9. doi: 10.1016/j.genhosppsych.2009.11.015. Epub 2010 Jan 12.

  PMID: 20302995 BACKGROUND

• Serrano-Blanco A, Palao DJ, Luciano JV, Pinto-Meza A, Lujan L, Fernandez A, Roura P, Bertsch J, Mercader M, Haro JM. Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Soc Psychiatry Psychiatr Epidemiol. 2010 Feb;45(2):201-10. doi: 10.1007/s00127-009-0056-y. Epub 2009 May 19.

  PMID: 19452110 BACKGROUND

• Pamias Massana M, Crespo Palomo C, Gisbert Gelonch R, Palao Vidal DJ. [The social cost of depression in the city of Sabadell (Barcelona, Spain) (2007-2008)]. Gac Sanit. 2012 Mar-Apr;26(2):153-8. doi: 10.1016/j.gaceta.2011.07.019. Epub 2011 Nov 3. Spanish.

  PMID: 22055213 BACKGROUND

• Weinmann S, Koesters M, Becker T. Effects of implementation of psychiatric guidelines on provider performance and patient outcome: systematic review. Acta Psychiatr Scand. 2007 Jun;115(6):420-33. doi: 10.1111/j.1600-0447.2007.01016.x.

  PMID: 17498153 BACKGROUND

• Sonnenberg FA, Hagerty CG. Computer-interpretable clinical practice guidelines. Where are we and where are we going ? Yearb Med Inform. 2006:145-58.

  PMID: 17051309 BACKGROUND

Related Links

• Clinical Practice Guideline for Depression in Adults Patients of the National Health Spanish System (2014)
• Adaptation to the Catalan Health Model of the Clinical Practice Guideline for Depression in Adults Patients of the National Health Spanish System (2010)

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Diego J Palao

  Corporacion Parc Taulí Sabadell, University Hospital (Barcelona, Spain)

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Diego J Palao

CONTACT

0034937458376; dpalao@tauli.cat

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Mental Health Director

Study Record Dates

• First Submitted: December 29, 2014
• First Posted: December 31, 2014
• Study Start: January 1, 2015
• Primary Completion: June 1, 2016
• Study Completion: December 1, 2016
• Last Updated: December 31, 2014

Record last verified: 2014-12