Health Care Management for the Elderly in Community Through Screening

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.

Study Overview

• Status: Completed
• Conditions: Major Depressive Disorders; Senile; Depression
• Intervention / Treatment: Other: case management

• Study Type: Interventional
• Enrollment (Actual): 57
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Korea, Republic of
  • Choongchungbuk-Do
    • Choongju, Choongchungbuk-Do, Korea, Republic of
      • City of Choongju public health center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 58 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• over 60 year old
• having medicare insurance

Exclusion Criteria:

• dementia and other psychiatric disorders

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Screening
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; usual care
Experimental: case management; case management regulary	Other: case management; confirmation of hospital visit date, checking the adverse effect and treatment compliance

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Geriatric Depression Score	6 months after baseline

Secondary Outcome Measures

Outcome Measure	Time Frame
quality of life	6 months after baseline
treatment compliance	6 months after baseline
suicide ideation	6 months after baseline

Collaborators and Investigators

• Sponsor: National Clinical Research Coordination Center, Seoul, Korea
• Investigators: Principal Investigator: Hyeon Woo Yim, MD. Ph.D., The Catholic University of Korea

Study record dates

Study Major Dates

• Study Start: May 1, 2011
• Primary Completion (Actual): April 1, 2012
• Study Completion (Actual): April 1, 2012

Study Registration Dates

• First Submitted: April 27, 2011
• First Submitted That Met QC Criteria: May 3, 2011
• First Posted (Estimate): May 4, 2011

Study Record Updates

• Last Update Posted (Estimate): March 11, 2016
• Last Update Submitted That Met QC Criteria: March 10, 2016
• Last Verified: March 1, 2016

More Information

Terms related to this study

• Keywords: depression; Screening; case management
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Mood Disorders; Depression; Depressive Disorder; Depressive Disorder, Major
• Other Study ID Numbers: A102065 (Korea Healthcare Technology R&D Project)