Health Care Management for the Elderly in Community Through Screening

NCT ID: NCT01347138

Last Updated: 2016-03-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 57 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2011-05-31
• Study Completion Date: 2012-04-30

Brief Summary

Depression in late life has been associated with losses in functioning and quality of life, mortality, and increased health care costs. Although late life depression can be successfully treated with antidepressant medication or psychotherapy, few older adults receive adequate trials of such treatment in community in Korea. Barriers, such as loss of loved ones, medical illnesses, and social stigma associated with depression, lack of social and financial support, to effective treatment of depression can be especially problematic for older adult. Screening has been valuable in overcoming barriers to diagnosis. Over 60 year old community dwelling people will be screened for symptoms of four geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder). Those who will be screened positive for each condition will be refer to clinic for diagnosis. Among them only those cases confirmed as depression by psychiatrists will be enrolled in this study. Enrolled patients will be randomly assigned to either case management or usual care conditions.

The objective of the study is to test whether a system of screening, assessment, and follow-up provided by case manager improves in recognizing the target geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder) and healthcare outcomes.

Conditions

Major Depressive Disorders; Senile; Depression

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SCREENING
• Blinding Strategy: SINGLE

Study Groups

case management

case management regulary

Group Type: EXPERIMENTAL

case management

Intervention Type: OTHER

confirmation of hospital visit date, checking the adverse effect and treatment compliance

Control

usual care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

case management

confirmation of hospital visit date, checking the adverse effect and treatment compliance

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• over 60 year old
• having medicare insurance

Exclusion Criteria

• dementia and other psychiatric disorders

• Minimum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Clinical Research Coordination Center, Seoul, Korea

OTHER_GOV

Sponsor Role: lead

Responsible Party

Hyeon Woo Yim

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hyeon Woo Yim, MD. Ph.D.

Role: PRINCIPAL_INVESTIGATOR

The Catholic University of Korea

Locations

City of Choongju public health center

Choongju, Choongchungbuk-Do, South Korea

Countries

South Korea

Other Identifiers

A102065

Identifier Type: -

Identifier Source: org_study_id