- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT02206386
Homecare Agency-Randomized Trial of Web Implementation Strategy for Depression
연구 개요
상세 설명
MHTraining-Net uses a web-based platform and several long distance tools (e.g., e-learning modules, telephone or web consultation, telephone calls, toolkits, and discussion boards) to deliver four types of implementation activities: infrastructure development, training and education, quality improvement, and social networking. MHTraining-Net was developed to ensure that the Depression CAREPATH (CARE for PATients at Home), specifically, and evidence-based practices, generally, can be implemented widely and successfully across independent organizations within a sector of care.
PROCEDURES: The effectiveness of MHTraining-Net on the implementation of the Depression CAREPATH will be tested in an agency-randomized trial of 160 HHAs. All HHAs are clients of Brightree (formerly CareAnyware, Inc), a software company that offers web-based point-of-care clinical management and administrative support for HHA nationwide. HHA clinicians record relevant data that is transmitted directly to Brightree for clinical and administrative purposes, including quality improvement initiatives. As part of each HHA's contract with Brightree is permission for using these data for performance enhancement research.
Brightree has already programmed Cornell's Depression CAREPATH, a depression care management protocol, into its clinical management system so that all nurses use the protocol. To promote the use of the protocol, Brightree has posted two relevant videos (archived Patient Health Questionnaire-9 training web seminar training); demonstration of how to navigate the protocol within the software) on its user education website.
Brightree will randomize HHAs to either MHTraining-Net, (N=100) or to Enhanced Support (N=60). Enhanced Support will have access to only the two training videos until the end of the study when they will be invited to MHTraining-Net. These procedures represent Brightree's typical "roll-out" approach on introducing new training and products to their client HHAs.
The study will test its hypotheses using three sets of data:
- Summary statistics describing the size and type of the 160 HHAs as well as their average nurse productivity over the 12 months preceding and following the study;
- Routinely collected administrative data on patients age >65 who screen positive for depression over one year, including Medicare-mandated assessments, medication lists, transaction files, indicators of whether the depression care management protocol was used, and Medicare case-mix adjustment and reimbursement indicators. We are using to term 'patients' to refer to a full episode of patient care, defined from the Start-of-Care date to Discharge, recognizing that a small proportion of unique individuals may have more than one full episode of care. We will not be able to identify such individuals. These data will be aggregated at the patient level in preparation for performance enhancement analyses using Brightree's routine procedures. Brightree will code the data, remove identifiers, and transmit them to Weill Cornell on a regular basis using the Weill Cornell ITS Department secure servers and protocols.
- Agency-level data on the use of the MHTraining-Net website (e.g., summary reports on 'hits' of each webpage) and agency-initiated contacts (telephone, email) through records maintained by Cornell project staff.
연구 유형
등록 (예상)
단계
- 해당 없음
연락처 및 위치
연구 장소
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New York
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White Plains, New York, 미국, 10605
- Weill Cornell Medical College
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Geriatric patients 65 and older
- Patients screened for depression using the Patient Health Questionnaire-2
Exclusion Criteria:
- Geriatric patients under age 65
- Patients who were not screened for depression using the Patient Health Questionnaire-2
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: MentalHealthTraining-Net
MHTraining-Net is an implementation strategy that uses a web-based platform with several long distance tools (e.g.
e-learning modules, consultation, telephone calls, toolkits, and discussion boards) to deliver four types of implementation activities: infrastructure development, training and education, quality improvement, and social networking.
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See Arm Description for more details.
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활성 비교기: Enhanced Support
Nurses in agencies randomized to Enhanced Support have full access to the study protocol and to recorded trainings in the use of the protocol and depression screening posted by Brightree.
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Nurses in agencies randomized to Enhanced Support have full access to the study protocol and to recorded training in the use of the protocol and depression screening posted by Brightree.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Nurse adherence to the depression care management protocol (Depression CAREPATH intervention).
기간: one episode (60 days)
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At least one follow-up depression assessment and evidence of case coordination (e.g., contacting the patient's physician or a specialist) to evaluate treatment needs.
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one episode (60 days)
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Patient reduction in depression symptoms
기간: one episode of care (60 days)
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Patient Health Questionnaire (two item version and nine item version)
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one episode of care (60 days)
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공동 작업자 및 조사자
수사관
- 수석 연구원: Martha L Bruce, PhD, MPH, Weill Medical College of Cornell University
간행물 및 유용한 링크
일반 간행물
- Bruce ML, Raue PJ, Sheeran T, Reilly C, Pomerantz JC, Meyers BS, Weinberger MI, Zukowski D. Depression Care for Patients at Home (Depression CAREPATH): home care depression care management protocol, part 2. Home Healthc Nurse. 2011 Sep;29(8):480-9. doi: 10.1097/NHH.0b013e318229d75b.
- Bruce ML, Sheeran T, Raue PJ, Reilly CF, Greenberg RL, Pomerantz JC, Meyers BS, Weinberger MI, Johnston CL. Depression care for patients at home (Depression CAREPATH): intervention development and implementation, part 1. Home Healthc Nurse. 2011 Jul-Aug;29(7):416-26. doi: 10.1097/NHH.0b013e31821fe9f7.
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
MHTraining-Net에 대한 임상 시험
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Rush University Medical CenterNational Institutes of Health (NIH); National Center for Advancing Translational Sciences...모병
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IWK Health CentreCanadian Institutes of Health Research (CIHR); University of New Brunswick완전한
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World BankVivo international e.V.; Fonds Social de la République Démocratique du Congo완전한
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University of KonstanzVivo international e.V.; Université Lumière de Bujumbura완전한
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IWK Health CentreCanadian Institutes of Health Research (CIHR); Child-Bright Network완전한
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Ospedale Generale Di Zona Moriggia-PelasciniOspedale di Vipiteno-Sterzing (SABES-ASDAA)완전한
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University of California, San FranciscoKenya Medical Research Institute; Organic Health Response; Microclinic International완전한
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David BushnellNational Cancer Institute (NCI); Holden Comprehensive Cancer Center; Perspective Therapeutics모집하지 않고 적극적으로신경내분비종양 | 폐의 신경내분비종양 | 신경내분비종양 2등급 | 신경내분비종양 1등급 | 췌장의 신경내분비종양미국
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Benten Technologies, Inc.National Institute on Minority Health and Health Disparities (NIMHD); George Washington... 그리고 다른 협력자들초대로 등록모유 수유 | 독점 모유 수유미국