- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01552889
Depression Outpatient Cardiology Screening Study (DOCS)
Randomized Controlled Trial of Screening for Depression in Cardiac Outpatients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Depression and cardiovascular disease are highly comorbid, and depression is a risk factor for psychosocial morbidity, poor adherence to medical treatment regimens, physical inactivity, poor physical functioning, and medical morbidity and mortality in cardiac patients, especially following an acute coronary syndrome (ACS). The American Heart Association recently recommended that all cardiac patients be screened for depression in order to improve identification and treatment of this risk factor.
Patients are screened for depression during an outpatient cardiology visit and those that screen positive will be contacted for enrollment into this study. Patients are then randomized to receive collaborative care involving the patient, the patient's primary care physician (PCP), the cardiologist and the nurse case manager, or usual care (the patient is informed he/she screened positive for depression and is advised to contact their PCP and/or cardiologist). The PCP and/or cardiologist are free to evaluate, treat and refer that patient to mental health services as they deem necessary.
Patients in both groups will be monitored for depression severity and duration at 3, 6 and 12 months after enrollment. The course of their depression since enrollment or last follow-up includes remissions, new onsets, relapses, recurrences, and treatment will be determined.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Missouri
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St. Louis, Missouri, United States, 63108
- Behavioral Medicine Center at Washington University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- recent history of Acute Coronary Syndrome or other cardiac event or documented heart disease
- score of 10 or higher on the Patient Health Questionnaire
Exclusion Criteria:
- suicidal ideation or behavior
- cognitive impairment or inability to read or speak English
- schizophrenia, bipolar disorder
- active substance abuse or alcoholism
- severe valvular disease, severe congestive heart failure, malignancy
- physical limitations that would interfere with participation in the study
- medical contraindications to the use of available antidepressants
- participation in a competing research protocol
- physician or patient refusal
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Usual Care (UC)
Patients will receive only the care provided by their primary care physicians or other medical professionals outside of the study.
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Experimental: 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.
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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.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Beck Depression Inventory 2
Time Frame: 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.
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12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Treatment Satisfaction Scale.
Time Frame: 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.
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12 months
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PROMIS Physical Functioning Scale 10a Short Form
Time Frame: 12 months
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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.
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12 months
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Robert M. Carney, PhD, Washington University School of Medicine
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 201105510
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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