Trial Outcomes & Findings for A Family-based Primary Care Intervention to Enhance Older Men's Depression Care (NCT NCT02143024)

NCT ID: NCT02143024

Last Updated: 2020-01-18

Results Overview

Patient Health Questionnaire (PHQ-9) scale; 0-27 scoring units; higher scores indicate more severe depressive symptoms.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

23 participants

Primary outcome timeframe

baseline, 3 months, and 6 months

Results posted on

2020-01-18

Participant Flow

45 people were referred to the study. 41 people were assessed, 4 were not assessed for eligibility. 18 were excluded; 10 did not meet inclusion criteria and 8 declined. A total of 23 people were randomized as part of the study.

Participant milestones

Participant milestones
Measure
Family-based Depression Intervention
The family-focused component will consist of up to up to 10 joint (i.e. older man alone and/or with family members) sessions that will cover specific topics related to family support of men's depression care provided by a clinic-based social worker Family-based depression intervention: The primary focus of our approach is on effectively engaging family members of depressed older men in the care of the patient. The interventionist (social worker) will 1) work jointly with a family member and older men to strengthen depression self-management and participation during primary care visits and 2) conduct a brief training module for primary care provider skills to strengthen their skills in working with family members.
Usual Care Plus Educational Materials
Control subjects will receive usual care in the clinic enhanced by a single depression psychoeducation session. Usual care plus educational materials: Control subjects will receive usual care in the clinic augmented by psychoeducation. Family members will be given standard psychoeducational materials on depression.
Overall Study
STARTED
15
8
Overall Study
Received Treatment
13
7
Overall Study
COMPLETED
13
7
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Family-based Depression Intervention
The family-focused component will consist of up to up to 10 joint (i.e. older man alone and/or with family members) sessions that will cover specific topics related to family support of men's depression care provided by a clinic-based social worker Family-based depression intervention: The primary focus of our approach is on effectively engaging family members of depressed older men in the care of the patient. The interventionist (social worker) will 1) work jointly with a family member and older men to strengthen depression self-management and participation during primary care visits and 2) conduct a brief training module for primary care provider skills to strengthen their skills in working with family members.
Usual Care Plus Educational Materials
Control subjects will receive usual care in the clinic enhanced by a single depression psychoeducation session. Usual care plus educational materials: Control subjects will receive usual care in the clinic augmented by psychoeducation. Family members will be given standard psychoeducational materials on depression.
Overall Study
Lost to Follow-up
1
1
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

A Family-based Primary Care Intervention to Enhance Older Men's Depression Care

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Family-based Depression Intervention
n=13 Participants
The family-focused component will consist of up to up to 10 joint (i.e. older man alone and/or with family members) sessions that will cover specific topics related to family support of men's depression care provided by a clinic-based social worker Family-based depression intervention: The primary focus of our approach is on effectively engaging family members of depressed older men in the care of the patient. The interventionist (social worker) will 1) work jointly with a family member and older men to strengthen depression self-management and participation during primary care visits and 2) conduct a brief training module for primary care provider skills to strengthen their skills in working with family members.
Usual Care Plus Educational Materials
n=7 Participants
Control subjects will receive usual care in the clinic enhanced by a single depression psychoeducation session. Usual care plus educational materials: Control subjects will receive usual care in the clinic augmented by psychoeducation. Family members will be given standard psychoeducational materials on depression.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
60.2 years
STANDARD_DEVIATION 9.6 • n=5 Participants
57.4 years
STANDARD_DEVIATION 4.8 • n=7 Participants
59.2 years
STANDARD_DEVIATION 8.1 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
7 Participants
n=7 Participants
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
10 Participants
n=5 Participants
2 Participants
n=7 Participants
12 Participants
n=5 Participants
Race/Ethnicity, Customized
African American
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Native American and White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
7 participants
n=7 Participants
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline, 3 months, and 6 months

Patient Health Questionnaire (PHQ-9) scale; 0-27 scoring units; higher scores indicate more severe depressive symptoms.

Outcome measures

Outcome measures
Measure
Family-based Depression Intervention
n=13 Participants
The family-focused component will consist of up to up to 10 joint (i.e. older man alone and/or with family members) sessions that will cover specific topics related to family support of men's depression care provided by a clinic-based social worker Family-based depression intervention: The primary focus of our approach is on effectively engaging family members of depressed older men in the care of the patient. The interventionist (social worker) will 1) work jointly with a family member and older men to strengthen depression self-management and participation during primary care visits and 2) conduct a brief training module for primary care provider skills to strengthen their skills in working with family members.
Usual Care Plus Educational Materials
n=7 Participants
Control subjects will receive usual care in the clinic enhanced by a single depression psychoeducation session. Usual care plus educational materials: Control subjects will receive usual care in the clinic augmented by psychoeducation. Family members will be given standard psychoeducational materials on depression.
Depressive Symptoms
6 months
11.8 units on a scale
Standard Deviation 7.1
13.3 units on a scale
Standard Deviation 6.3
Depressive Symptoms
baseline
14.8 units on a scale
Standard Deviation 2.9
15.3 units on a scale
Standard Deviation 4.1
Depressive Symptoms
3 months
10.1 units on a scale
Standard Deviation 6.6
13.0 units on a scale
Standard Deviation 7.5

Adverse Events

Family-based Depression Intervention

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

Usual Care Plus Educational Materials

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ladson Hinton, MD

UC Davis Department of Psychiatry and Behavioral Sciences

Phone: (916) 734-3485

Results disclosure agreements

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