- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00854984
Pilot Study of a Self-help Intervention for Depression in Patients With a Chronic Disease
Pilot Study of a Practice Nurse Supported Psychological Self-help Intervention for Patients With Diabetes or Coronary Heart Disease and Co-morbid Depression
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Depressed mood is common in patients with chronic disease and physical disability. It adversely affects quality of life, adherence to treatment and clinical outcome. Depression is expensive to the person, their family, employers and society. Recent developments in the UK General Practitioners' Contract mean that patients with two chronic diseases (Coronary Heart Disease- CHD and Diabetes - DM) are routinely screened for depression using a simple screening tool. We propose a study using an existing self help intervention in the specific context of patients with mild to moderately severe depression identified in this way.
This RCT is the second phase of a 2 phase mixed methods study examining the feasibility of a Full RCT. The first involved focus group with patients and health practitioners.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Aberdeen, Det Forenede Kongerige, AB10 7QG
- Rekruttering
- Faculty of Health and Social Care, Garthdee Campus, Robert Gordon University
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Edinburgh, Det Forenede Kongerige, EH8 9DX
- Rekruttering
- Community Health Sciences, GP Section, University of Edinburgh
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Have had a diagnosis of diabetes mellitus type 2 and / or coronary heart disease.
- Be aged 35 or over.
- Be attending a participating primary care practice.
- Have a depression severity scale rating indicating moderate to moderately severe depression, such as:Prime-MD-PHQ9 of 10-21; HADS-D of 8-15;BDI-2 of 23-44
Exclusion Criteria:
- Unable to provide informed consent to participate
- Already receiving psychological treatment for their depression
- Have commenced treatment with an SSRI within the past 8 weeks
- Likely to have difficulty communicating by telephone
- Likely to have difficulty completing the forms and questionnaires
- Have a serious physical disorder
- Have a serious mental disorder
- Express significant suicidal thoughts (PHQ9 or BDI-2 question 9 scoring >1)
- Took part in an earlier related focus group
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Ingen indgriben: Sædvanlig pleje
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Eksperimentel: Self-help CBT
A nurse supported self-help CBT intervention in addition to usual care.
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A nurse-supported, self-help, cognitive behavioural therapy with web, video and booklet formats.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
---|---|
The obstacles to providing access and support to a generic online self help computerised cognitive behavioural therapy (CBT) programme for such patients.
Tidsramme: 13 weeks
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13 weeks
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Sekundære resultatmål
Resultatmål |
Tidsramme |
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The proportion of patients would prefer or require a non-computerised treatment alternative to treatment (i.e. a book or DVD based form of the treatment).
Tidsramme: 13 weeks
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13 weeks
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The uptake, satisfaction with and completion of the self help programme when promoted and supported by practice nurses.
Tidsramme: 13 weeks
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13 weeks
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A change in depression (BDI-2), anxiety , social function (WASAS), quality of life (Euroqol 5D) or illness perception (IPQ-R) from participation in a self help programme.
Tidsramme: 13 weeks
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13 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Margaret Maxwell, PhD, University of Stirling
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Adfærdsmæssige symptomer
- Psykiske lidelser
- Hjerte-kar-sygdomme
- Karsygdomme
- Glukosemetabolismeforstyrrelser
- Metaboliske sygdomme
- Stemningsforstyrrelser
- Åreforkalkning
- Arterielle okklusive sygdomme
- Sygdomme i det endokrine system
- Diabetes mellitus
- Hjertesygdomme
- Depression
- Depressiv lidelse
- Koronararteriesygdom
- Myokardieiskæmi
- Koronar sygdom
- Diabetes mellitus, type 2
Andre undersøgelses-id-numre
- CZH/4/462
- MREC: 08/H0405/39
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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