Effectiveness and Cost-effectiveness of Telephone-delivered Psychotherapy for Depression in Primary Care
Improving Access to Evidence-based Treatment for Depression: Effectiveness and Cost-effectiveness of Telephone-delivered Cognitive Behavioral Therapy (CBT) in Primary Care
1 other identifier
interventional
56
1 country
1
Brief Summary
The aim of the study is the examination of effectiveness and cost-effectiveness of a telephone-based psychotherapy (Tel-PT) for depression compared to treatment as usual in primary care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable depression
Started Jan 2016
Typical duration for not_applicable depression
1 active site
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
December 3, 2015
CompletedStudy Start
First participant enrolled
January 1, 2016
CompletedFirst Posted
Study publicly available on registry
January 28, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2019
CompletedOctober 16, 2018
October 1, 2018
3.2 years
December 3, 2015
October 11, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in depressive symptoms
The change in depressive symptoms will be assessed with the German version of Patient Health Questionnaire (PHQ-9; Löwe, Spitzer, Zipfel, \& Herzog 2002).
t0 (baseline) and t2 (12 months after baseline)
Secondary Outcomes (6)
Change in depressive symptoms
t0 (baseline) and t1 (four months after baseline)
Response
t0 (baseline), t1 (four months after baseline), t2 (12 months after baseline)
Change in health-related quality of life
t0 (baseline), t1 (four months after baseline), t2 (12 months after baseline)
Self-efficacy for management and relapse prevention in depression
t0 (baseline), t1 (four months after baseline), t2 (12 months after baseline)
Cost-effectiveness
t0 (baseline), t1 (four months after baseline), t2 (12 months after baseline)
- +1 more secondary outcomes
Other Outcomes (4)
Acceptance and satisfaction with the intervention
t1 (four months after baseline)
Process and structural variable
t1 (four months after baseline), t2 (12 months after baseline)
Process and structural variable
t1 (four months after baseline), t2 (12 months after baseline)
- +1 more other outcomes
Study Arms (2)
Tel-PT
EXPERIMENTALTel-PT receives a manualized short-term CBT. Treatment consists of one initial face-to-face appointment and 8-12 subsequent telephone sessions between patient and licensed therapist. Each telephone contact lasts between 20 and 30 minutes and take place on a weekly and later biweekly basis.
TAU and text messages
ACTIVE COMPARATORControl Group receives treatment as usual and additionally weekly text messages containing general information about depression.
Interventions
Eligibility Criteria
You may qualify if:
- PHQ-9 score of \> 5 and ≤15.
- Informed Consent as documented by signature (Appendix Informed Consent Form)
- Minimum age of 18 years
- Diagnosis of mild to moderate depression according to ICD-10 (F32.0, F32.1, F33.0, F33.1)
You may not qualify if:
- Patients currently being in psychotherapeutic treatment or treatment in past three months
- Suicidal tendencies or suicidality
- Insufficient knowledge of German language
- Health condition that does not allow questionnaire completion
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Zurichlead
- Universitätsklinikum Hamburg-Eppendorfcollaborator
Study Sites (1)
University of Zurich
Zurich, 8050, Switzerland
Related Publications (7)
Löwe, B, Spitzer, RL, Zipfel, S, & Herzog, W. Gesundheitsfragebogen für Patienten (PHQ-D): Manual und Testunterlagen. Pfizer. Karlsruhe: 2002.
BACKGROUNDWatzke B, Heddaeus D, Steinmann M, Konig HH, Wegscheider K, Schulz H, Harter M. Effectiveness and cost-effectiveness of a guideline-based stepped care model for patients with depression: study protocol of a cluster-randomized controlled trial in routine care. BMC Psychiatry. 2014 Aug 20;14:230. doi: 10.1186/s12888-014-0230-y.
PMID: 25182269BACKGROUNDSimon GE, Ludman EJ, Tutty S, Operskalski B, Von Korff M. Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial. JAMA. 2004 Aug 25;292(8):935-42. doi: 10.1001/jama.292.8.935.
PMID: 15328325BACKGROUNDBush, T, Russo, J, Ludman, E, Lin, E, Von Korff, M, Simon, G, Walker, E. Perceived self-efficacy for depression self-management. A reliable and valid self-report measure with predictive validity: Poster presentation at the American Psychological Society Meeting, June 2001. Toronto, Canada.
BACKGROUNDBullinger, M, & Kirchberger, I. Fragebogen zum Gesundheitszustand. Hogrefe. Göttingen: 1998.
BACKGROUNDHaller E, Besson N, Watzke B. "Unrigging the support wheels" - A qualitative study on patients' experiences with and perspectives on low-intensity CBT. BMC Health Serv Res. 2019 Oct 9;19(1):686. doi: 10.1186/s12913-019-4495-1.
PMID: 31597555DERIVEDWatzke B, Haller E, Steinmann M, Heddaeus D, Harter M, Konig HH, Wegscheider K, Rosemann T. Effectiveness and cost-effectiveness of telephone-based cognitive-behavioural therapy in primary care: study protocol of TIDe - telephone intervention for depression. BMC Psychiatry. 2017 Jul 19;17(1):263. doi: 10.1186/s12888-017-1429-5.
PMID: 28724423DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Birgit Watzke, Prof
University of Zurich, Department of Clinical Psychology and Psychotherapy Research
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 3, 2015
First Posted
January 28, 2016
Study Start
January 1, 2016
Primary Completion
March 1, 2019
Study Completion
March 1, 2019
Last Updated
October 16, 2018
Record last verified: 2018-10