A Collaborative Care Program to Improve Depression Treatment in Cardiac Patients
NCT ID: NCT00847132
Last Updated: 2017-03-31
Study Results
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View full resultsBasic Information
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COMPLETED
NA
175 participants
INTERVENTIONAL
2007-07-31
2010-06-30
Brief Summary
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The specific hypotheses behind the proposed research are that a collaborative care depression management program can be successfully adapted to inpatient cardiac units, and that such a program will lead to greater rates of adequate depression treatment and improvements in secondary outcomes.
The following specific aims capture the stepwise goals of this program:
1. To determine whether a collaborative care depression management program ('Enhanced Care') leads to significantly increased rates of adequate depression treatment compared to usual care (screening and feedback) (Primary Aim).
2. To assess whether this Enhanced Care program has a lasting impact on adequate depression treatment, depressive symptoms, health-related quality of life, and adherence to medical recommendations at 6 weeks, 12 weeks, and 6 months, compared to usual care.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Collaborative Care
Collaborative Care Treatment: A study care manager provides depression education, consults with study psychiatrist to develop individualized treatment recommendations, and collaborates with patient and medical team to implement those recommendations
Collaborative Care Treatment
Depression education, treatment recommendations, coordination of care
Usual Care
Usual Care Treatment: Primary medical providers are informed that the patient has depression and that treatment is recommended.
Usual Care Treatment
Treatment as usual, providers are notified of diagnoses
Interventions
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Collaborative Care Treatment
Depression education, treatment recommendations, coordination of care
Usual Care Treatment
Treatment as usual, providers are notified of diagnoses
Eligibility Criteria
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Inclusion Criteria
* Positive depression evaluation (PHQ-2\>2, PHQ-9\>9)
* Ability to provide informed consent
Exclusion Criteria
* Bipolar disorder, psychotic disorder, active substance use disorder
18 Years
ALL
No
Sponsors
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Massachusetts General Hospital
OTHER
Responsible Party
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Jeff C. Huffman, MD
Principal Investigator
Principal Investigators
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Jeff C Huffman, MD
Role: PRINCIPAL_INVESTIGATOR
Massachusetts General Hospital
Locations
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Massachusetts General Hospital
Boston, Massachusetts, United States
Countries
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References
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Sowden GL, Mastromauro CA, Seabrook RC, Celano CM, Rollman BL, Huffman JC. Baseline physical health-related quality of life and subsequent depression outcomes in cardiac patients. Psychiatry Res. 2013 Aug 15;208(3):288-90. doi: 10.1016/j.psychres.2013.05.019. Epub 2013 Jun 5.
Bauer LK, Caro MA, Beach SR, Mastromauro CA, Lenihan E, Januzzi JL, Huffman JC. Effects of depression and anxiety improvement on adherence to medication and health behaviors in recently hospitalized cardiac patients. Am J Cardiol. 2012 May 1;109(9):1266-71. doi: 10.1016/j.amjcard.2011.12.017. Epub 2012 Feb 9.
Celano CM, Mastromauro CA, Lenihan EC, Januzzi JL, Rollman BL, Huffman JC. Association of baseline anxiety with depression persistence at 6 months in patients with acute cardiac illness. Psychosom Med. 2012 Jan;74(1):93-9. doi: 10.1097/PSY.0b013e31823d38bc. Epub 2011 Dec 30.
Huffman JC, Mastromauro CA, Sowden G, Fricchione GL, Healy BC, Januzzi JL. Impact of a depression care management program for hospitalized cardiac patients. Circ Cardiovasc Qual Outcomes. 2011 Mar;4(2):198-205. doi: 10.1161/CIRCOUTCOMES.110.959379. Epub 2011 Mar 8.
Other Identifiers
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2007P-001152
Identifier Type: -
Identifier Source: org_study_id
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