The Use of Collaborative Care in General Practice for Elderly Patients With Depression

NCT04078282 | Completed

• 1 other identifier: LCKO001
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The first part of this study aims to identify the occurence of depression in the elderly. In the second part, older patients with depression will be invited to a collaborative care with his or her family physician and a psychiatrist specialized in psychiatry in the elderly in accordance with a study protocol. The intervention includes two sessions where the patient will meet the psychiatrist together with the family physician, and between the two sessions the patient will have three treatment sessions with the family physician based on the evaluation by the psychiatrist. Following the last session with the psychiatrist the intervention ends with three more treatment sessions with the family physician.

Conditions

Depression in Old Age

Keywords

Depression; Elderly; Family Practice

Outcome Measures

Primary Outcomes (1)

• Number of patients with a change in clinical significant depression

  Change in depression as described by the Patient Health Questionnaire (PHQ-9). The questionnaire is a 9-item questionnaire, each with a 0-4 point scale. A change of 3,9 points in the sumscale is regarded significant.

  At start and at 12 and 18 month following treatment

Secondary Outcomes (2)

• Number of patients with a change in the level of anxiety

  At start and at 12 and 18 month following treatment

• Number of Subjective Health Complaints among patients with depression

  At start and at 12 and 18 month following treatment

Study Arms (2)

Active treatment group

EXPERIMENTAL

Patients will meet in a joint consultation with their family physician and a psychiatrist for evaluation. Then it follows three treatment sessions with the family physician before a new joint consultation with the psychiatrist. The intervention ends with three more treatment sessions with the family physician.

Behavioral: Intervention group

Control group

ACTIVE COMPARATOR

Patients belonging to family physicians who constitute the control group will be assessed and given treatment according to usual care. This may include treatment by the family physician, medication, referrals to specialized care.

Behavioral: Intervention group

Interventions

Intervention group BEHAVIORAL

see above

Active treatment group; Control group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• all patients visiting one of the collaborative family physicians during the enrollment period of four weeks

You may not qualify if:

• cognitive dysfunction
• speaking Norwegian language

Sponsors & Collaborators

• University of Oslo: lead

Study Sites (1)

University of Oslo

Oslo, Norway

Location

Related Publications (1)

• Kvalbein-Olsen LC, Aakhus E, Haavet OR, Mdala I, Werner EL. Joint consultations in a structured GP-patient-geriatric-psychiatrist model for late-life depression: a cluster RCT. BMC Prim Care. 2025 Sep 29;26(1):297. doi: 10.1186/s12875-025-03002-w.

  PMID: 41023858 DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Jørund Straand, PhD

  University of Oslo

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Cluster randomized controlled trial where family physicians are to be randomized into interventional or control group

Study Record Dates

• First Submitted: August 27, 2019
• First Posted: September 6, 2019
• Study Start: September 15, 2019
• Primary Completion: September 30, 2022
• Study Completion: December 30, 2023
• Last Updated: February 21, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)