- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01834534
Telemonitoring Enhanced Support for Depression Self Management
The objective of this research is to test the efficacy of "CarePartners for Depression" (CP-D) intervention, which was designed to increase between visit monitoring of depression status and enhance self-management.
**In order to participate, subjects must be patients at participating clinics: Alcona Health Center, Cherry Street Health Services, Dua Family Practice, Morang Chester.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Michigan
-
Alpena, Michigan, United States, 49707
- Alcona Health Centers
-
Ann Arbor, Michigan, United States, 48013
- University of Michigan
-
Canton, Michigan, United States, 48187
- Dua Family Practice
-
Detroit, Michigan, United States, 48224
- Morang Chester
-
Flint, Michigan, United States, 48505
- Hamilton Community Health Network, Inc.
-
Grand Rapids, Michigan, United States, 49503
- Cherry Street Health Services
-
Muskegon Heights, Michigan, United States, 49444
- Muskegon Family Care
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
NOTE: In order to participate, must have received medical care for past year at one of the participating clinics: Alcona Health Center, Cherry Street Health Services, Dua Family Practice, Morang Chester
Additional Inclusion Criteria:
- at least 2 outpatient primary care visits in the past 2 years, 1 within the past 13 months
- depression diagnosis in medical chart problem list or billing record (ICD9 codes: 296.20-.26, .30-.36, 296.4-.9, 298.0, 300.4, 309.0-.1, 309.28, 311.00) during the past 2 years
- current PHQ >10 (non-mild depressive symptoms)
- at least 21 years old
- comfortable speaking English
- can use a touch-tone phone
- can identify at least 1 eligible CarePartner
- not in palliative care, on transplant waitlist, or <1 year life expectancy
- free of major cognitive impairment or psychiatrically unstable
- not experiencing domestic abuse or stalking
Exclusion Criteria:
- Limited life expectancy (e.g., advanced stage cancer/heart failure/on oxygen/end stage renal disease), receiving palliative care
- At risk for domestic abuse, PHQ<10, end stage renal disease, lung cancer, dementia, bipolar disease, schizophrenia, limited life expectancy (advanced stage cancer/heart failure/on oxygen), alcohol problems, receiving palliative care
- Unable to speak English
- Not planning to get all or most of care at study site
- Primary care physician not affiliated with study site
- Unable to use telephone to respond to weekly automated self-management support calls
- Unable to nominate an eligible CP
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: CarePartners for depression
For one year, patients receive weekly automated telemonitoring of mood and self-management, while their CarePartners receive weekly reports of the patient's assessment results with tailored instructions on supporting the patient's depression self-management.
|
Automated telephone calls for depression monitoring and self-management support.
|
No Intervention: Usual care
Usual medical care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depressive symptom severity
Time Frame: 12 months after randomization
|
Patient Health Questionnaire 9 (PHQ-9).
|
12 months after randomization
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depression remission rate
Time Frame: 12 months after randomization
|
Remission as measured by PHQ-9 <10
|
12 months after randomization
|
Depression-related functional impairment
Time Frame: 12 months after randomization
|
Sheehan Disability Scale
|
12 months after randomization
|
Positive well-being
Time Frame: 12 months after randomization
|
Positive well-being will be assessed using the REMIT, a 5-item scale of positive affect and other aspects of depression recovery developed by the PI and his colleagues.
Reference: Nease DE, Jr., Aikens, JE, Klinkman, MK, Kroenke, K, and Sen, A. Toward a more comprehensive assessment of depression remission: the Remission Evaluation and Mood Inventory Tool (REMIT).
Journal of General Hospital Psychiatry.
2011.
|
12 months after randomization
|
Health care costs
Time Frame: 12 months after randomization
|
Health care costs will be estimated using data gathered from a variety of patient self-report and site-specific administrative databases.
|
12 months after randomization
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: James E Aikens, Ph.D., University of Michigan
- Principal Investigator: John D Piette, Ph.D., University of Michigan
Publications and helpful links
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
- 1R01MH096699 (U.S. NIH Grant/Contract)
- 1R01MH096699-01 (U.S. NIH Grant/Contract)
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.
Clinical Trials on Depression
-
ProgenaBiomeRecruitingDepression | Depression, Postpartum | Depression, Anxiety | Depression Moderate | Depression Severe | Clinical Depression | Depression in Remission | Depression, Endogenous | Depression ChronicUnited States
-
Washington University School of MedicineCompletedTreatment Resistant Depression | Late Life Depression | Geriatric Depression | Refractory Depression | Therapy-Resistant DepressionUnited States, Canada
-
Kintsugi Mindful Wellness, Inc.Sonar Strategies; Vituity PsychiatryRecruitingDepression | Depression Moderate | Depression Severe | Depression MildUnited States
-
University of California, San FranciscoRecruitingDepression Moderate | Depression Mild | Depression, TeenUnited States
-
University GhentUniversiteit Antwerpen; Janssen-Cilag Ltd.RecruitingDepression Moderate | Depression Severe | Depression MildBelgium
-
Baylor College of MedicineUniversity of TexasRecruitingDepression | Depression Moderate | Depression Severe | Suicide and Self-harm | Depression in Adolescence | Depression MildUnited States
-
University of Cape TownNational Institute of Mental Health (NIMH)CompletedPostpartum Depression | Clinical Depression | Moderate DepressionSouth Africa
-
Northern Illinois UniversityUniversity Autonoma de Santo DomingoTerminatedDepression Moderate | Depression MildUnited States, Dominican Republic
-
Washington University School of MedicinePatient-Centered Outcomes Research Institute; National Institute of Mental...CompletedMajor Depressive Disorder | Treatment Resistant Depression | Treatment-Refractory Depression | Late Life Depression | Geriatric DepressionUnited States, Canada
-
Lawson Health Research InstituteTerminated
Clinical Trials on CarePartners for depression
-
University of California, San FranciscoCompletedDepressionUnited States
-
University of ZurichUnknownUnipolar DepressionSwitzerland
-
Brown UniversityNational Institute of Mental Health (NIMH)CompletedDepression | OverweightUnited States
-
Utah State UniversityCompleted
-
Ludwig-Maximilians - University of MunichProf. OTTO Beisheim Stiftung (Germany)CompletedDepressive Disorder | Depression in AdolescenceGermany
-
The University of Texas Health Science Center,...Completed
-
Göteborg UniversityCompleted
-
Brown UniversityNational Institute of Mental Health (NIMH)CompletedEffectiveness of Interpersonal Psychotherapy (IPT) for Men and Women Prisoners With Major DepressionMajor Depressive DisorderUnited States
-
Cardiff UniversityNottingham Trent UniversityRecruitingDepression | Pulmonary HypertensionUnited Kingdom
-
University of Southern CaliforniaCompletedChild Behavior | Health | Maternal Depression | Parenting Behavior | Interpersonal Relationships | Goal Directed Behavior | Child School ReadinessUnited States