Trial Outcomes & Findings for Depression Outpatient Cardiology Screening Study (NCT NCT01552889)

NCT ID: NCT01552889

Last Updated: 2017-04-27

Results Overview

Self report depression symptom inventory. Scale ranges from 0-63. The higher the score the more depression symptoms. A score of 12 or greater is considered to indicate a clinically significant depression.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

201 participants

Primary outcome timeframe

12 months

Results posted on

2017-04-27

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Care (UC)
Patients will receive only the care provided by their primary care physicians or other medical professionals outside of the study.
Collaborative Care (CC)
Patients randomized to the Collaborate Care (CC) arm of this study will receive brief screening, consultative, and referral services. This collaborative approach includes the patient, the patient's PCP, the cardiologist, and the nurse case manager (NCM), using evidence based recommendations for depression treatment and follow-up care. Collaborative Care: No direct treatment will be offered. We will make treatment recommendations to the patient, PCP and cardiologist. Referral to mental health specialist is also possible, depending on need. The nurse case manager will monitor treatment progress and patient status for duration of the intervention period.
Overall Study
STARTED
101
100
Overall Study
COMPLETED
90
95
Overall Study
NOT COMPLETED
11
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Depression Outpatient Cardiology Screening Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care (UC)
n=101 Participants
Patients will receive only the care provided by their primary care physicians or other medical professionals outside of the study.
Collaborative Care (CC)
n=100 Participants
Patients randomized to the Collaborate Care (CC) arm of this study will receive brief screening, consultative, and referral services. This collaborative approach includes the patient, the patient's PCP, the cardiologist, and the nurse case manager (NCM), using evidence based recommendations for depression treatment and follow-up care. Collaborative Care: No direct treatment will be offered. We will make treatment recommendations to the patient, PCP and cardiologist. Referral to mental health specialist is also possible, depending on need. The nurse case manager will monitor treatment progress and patient status for duration of the intervention period.
Total
n=201 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
58 Participants
n=5 Participants
64 Participants
n=7 Participants
122 Participants
n=5 Participants
Age, Categorical
>=65 years
43 Participants
n=5 Participants
36 Participants
n=7 Participants
79 Participants
n=5 Participants
Age, Continuous
63.1 years
STANDARD_DEVIATION 10.0 • n=5 Participants
63.0 years
STANDARD_DEVIATION 9.5 • n=7 Participants
63.05 years
STANDARD_DEVIATION 9.7 • n=5 Participants
Sex: Female, Male
Female
37 Participants
n=5 Participants
47 Participants
n=7 Participants
84 Participants
n=5 Participants
Sex: Female, Male
Male
64 Participants
n=5 Participants
53 Participants
n=7 Participants
117 Participants
n=5 Participants
Region of Enrollment
United States
101 participants
n=5 Participants
100 participants
n=7 Participants
201 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Self report depression symptom inventory. Scale ranges from 0-63. The higher the score the more depression symptoms. A score of 12 or greater is considered to indicate a clinically significant depression.

Outcome measures

Outcome measures
Measure
Usual Care (UC)
n=101 Participants
Patients will receive only the care provided by their primary care physicians or other medical professionals outside of the study.
Collaborative Care (CC)
n=100 Participants
Patients randomized to the Collaborate Care (CC) arm of this study will receive brief screening, consultative, and referral services. This collaborative approach includes the patient, the patient's PCP, the cardiologist, and the nurse case manager (NCM), using evidence based recommendations for depression treatment and follow-up care. Collaborative Care: No direct treatment will be offered. We will make treatment recommendations to the patient, PCP and cardiologist. Referral to mental health specialist is also possible, depending on need. The nurse case manager will monitor treatment progress and patient status for duration of the intervention period.
Beck Depression Inventory 2
17.4 units on a scale
Standard Deviation 9.0
15.9 units on a scale
Standard Deviation 8.8

SECONDARY outcome

Timeframe: 12 months

This one item scale asks patients to rate their satisfaction with their depression treatment on a one (very dissatisfied) to 5 (very satisfied) scale.

Outcome measures

Outcome measures
Measure
Usual Care (UC)
n=101 Participants
Patients will receive only the care provided by their primary care physicians or other medical professionals outside of the study.
Collaborative Care (CC)
n=100 Participants
Patients randomized to the Collaborate Care (CC) arm of this study will receive brief screening, consultative, and referral services. This collaborative approach includes the patient, the patient's PCP, the cardiologist, and the nurse case manager (NCM), using evidence based recommendations for depression treatment and follow-up care. Collaborative Care: No direct treatment will be offered. We will make treatment recommendations to the patient, PCP and cardiologist. Referral to mental health specialist is also possible, depending on need. The nurse case manager will monitor treatment progress and patient status for duration of the intervention period.
Treatment Satisfaction Scale.
3.3 units on a scale
Standard Deviation 1.3
4.0 units on a scale
Standard Deviation 1.1

SECONDARY outcome

Timeframe: 12 months

This is a 10 item questionnaire that assesses the respondent's ability to perform common physical activities as rated on a 1-5 scale. The total score is converted to a T score which expresses where the individual ranks relative to the reference group.

Outcome measures

Outcome measures
Measure
Usual Care (UC)
n=101 Participants
Patients will receive only the care provided by their primary care physicians or other medical professionals outside of the study.
Collaborative Care (CC)
n=100 Participants
Patients randomized to the Collaborate Care (CC) arm of this study will receive brief screening, consultative, and referral services. This collaborative approach includes the patient, the patient's PCP, the cardiologist, and the nurse case manager (NCM), using evidence based recommendations for depression treatment and follow-up care. Collaborative Care: No direct treatment will be offered. We will make treatment recommendations to the patient, PCP and cardiologist. Referral to mental health specialist is also possible, depending on need. The nurse case manager will monitor treatment progress and patient status for duration of the intervention period.
PROMIS Physical Functioning Scale 10a Short Form
39.6 units on a scale
Standard Deviation 4.9
39.2 units on a scale
Standard Deviation 4.5

Adverse Events

Usual Care (UC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 8 deaths

Collaborative Care (CC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Robert Carney

Washington University School of Medicine

Phone: 314-286-1313

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place