- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03586921
Primary Care Group Therapy for Depression/Anxiety for Women in Petropolis
Group Therapy in Primary Care for Women With Depression or Anxiety in Petropolis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
All patients received enhanced primary care, which included: (1) The nurses and doctors from the Family Health Teams were trained by Matrix team mental health professionals on clinical aspects of depression and anxiety, including diagnosis, appropriate medication interventions, psycho-education, and cognitive and problem solving therapy. (2) Given the high co-occurrence of anxiety and depression, the intervention was modified from the depression-only Chile model to emphasize co-occurring anxiety and depression in diagnoses, appropriate prescription of anxiolytics and antidepressants. (3) All providers received weekly group or individual consultation with a Matrix team mental health professional, either psychiatrist or psychologist. An qualitative study of participating Petrópolis Family Health Programme doctors and nurses demonstrated their satisfaction with the training.
Patients in the intervention arm received enhanced primary care plus a 9-session group intervention (seven sessions weekly then two sessions every 15 days). The intervention included two psycho-educational sessions with information about depression and anxiety disorders, two sessions on the development of pleasant activities including relaxation exercises, two sessions on solving problems therapy, one session on the problem of overcoming negative thoughts and emotions, one session on relapse prevention, and a final closure and review session which included a small party. The patients from the intervention arm also received additional outreach from the Family Health Teams, including home delivery of psychotropic medication when needed and active outreach and engagement by community workers if patients missed group sessions.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- female patients who came to the primary care unit for any type of consultation for themselves (e.g., not for a child).
- General Health Questionnaire positive screen (>5 at two time points)
- positive diagnosis of depression or anxiety per the Mini Mental State Examination.
Exclusion Criteria:
- diagnosis of bipolar disorder, mania, severe suicidal ideation
- cognitive impairment that would limit their ability to consent or take part in the study. -pregnant.
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: Enhanced usual care + group intervention
Intervention patients received enhanced primary care plus a 9-session group intervention.
The intervention included two psycho-educational sessions with information about depression and anxiety disorders, two sessions on the development of pleasant activities including relaxation exercises, two sessions on solving problems therapy, one session on the problem of overcoming negative thoughts and emotions, one session on relapse prevention, and a final closure and review session which included a small party.
The patients from the intervention arm also received additional outreach from the Family Health Teams, including home delivery of psychotropic medication when needed and active outreach and engagement by community workers if patients missed group sessions.
|
The intervention included two psycho-educational sessions with information about depression and anxiety disorders, two sessions on the development of pleasant activities including relaxation exercises, two sessions on solving problems therapy, one session on the problem of overcoming negative thoughts and emotions, one session on relapse prevention, and a final closure and review session which included a small party.
|
Active Comparator: Enhanced Usual Care
All patients received enhanced primary care: (1) Nurses and doctors from the Family Health Teams were trained by Matrix team mental health professionals on clinical aspects of depression and anxiety.
(2) Given the high co-occurrence of anxiety and depression, the intervention was modified from the depression-only Chile model to emphasize co-occurring anxiety and depression in diagnoses, appropriate prescription of anxiolytics and antidepressants.
(3) All providers received weekly group or individual consultation with a Matrix team mental health professional, either psychiatrist or psychologist.
An qualitative study of participating Petrópolis Family Health Programme doctors and nurses demonstrated their satisfaction with the training.
|
All patients received enhanced primary care: (1) Nurses and doctors from the Family Health Teams were trained by Matrix team mental health professionals on clinical aspects of depression and anxiety.
(2) Given the high co-occurrence of anxiety and depression, the intervention was modified from the depression-only Chile model to emphasize co-occurring anxiety and depression in diagnoses, appropriate prescription of anxiolytics and antidepressants.
(3) All providers received weekly group or individual consultation with a Matrix team mental health professional, either psychiatrist or psychologist.
An qualitative study of participating Petrópolis Family Health Programme doctors and nurses demonstrated their satisfaction with the training.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depression (Beck Depression Inventory)
Time Frame: Change in depression 4 months post intervention
|
Depression measured by the Beck Depression Inventory
|
Change in depression 4 months post intervention
|
Depression (Beck Depression Inventory)
Time Frame: Change in depression 8 months post intervention
|
Depression measured by the Beck Depression Inventory
|
Change in depression 8 months post intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety (Beck Anxiety Inventory)
Time Frame: 4 months post intervention
|
Anxiety as measured by the Beck Anxiety Inventory
|
4 months post intervention
|
Anxiety (Beck Anxiety Inventory)
Time Frame: 8 months post intervention
|
Anxiety as measured by the Beck Anxiety Inventory
|
8 months post intervention
|
Quality of Life (World Health Organization Quality of Life Assessment, Brief Version)
Time Frame: 4 months and 8 months post intervention
|
QoL as measured by the World Health Organization Quality of Life Assessment, Brief Version
|
4 months and 8 months post intervention
|
Quality of Life (World Health Organization Quality of Life Assessment, Brief Version)
Time Frame: 4 months post intervention
|
QoL as measured by the World Health Organization Quality of Life Assessment, Brief Version
|
4 months post intervention
|
Quality of Life (World Health Organization Quality of Life Assessment, Brief Version)
Time Frame: 8 months post intervention
|
QoL as measured by the World Health Organization Quality of Life Assessment, Brief Version
|
8 months post intervention
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- DEP-ANX_PETROPOLIS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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