Ignite Creation Date:
2024-05-05 @ 11:40 AM
Last Modification Date:
2024-10-26 @ 9:11 AM
Study NCT ID:
NCT00105690
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2005-03-16
Brief Title:
TEAM Study to Improve Depression Care in Rural CBOCs
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Telemedicine Intervention to Improve Depression Care in Rural CBOCs
Status:
COMPLETED
Status Verified Date:
2006-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
We adapted the collaborative care model using telemedicine eg telephone interactive video electronic medical records to support antidepressant therapy initiated by primary care providers in small rural practices and evaluated the effectiveness and cost-effectiveness of telemedicine-based collaborative care
Detailed Description:
BACKGROUND RATIONALE Implementing collaborative care for depression in small rural Primary Care PC practices without on-site mental health specialists presents unique challenges We adapted the collaborative care model using telemedicine eg telephone interactive video electronic medical records to support antidepressant therapy initiated by PC providers in small rural practices The Telemedicine Enhanced Antidepressant Management TEAM collaborative care intervention was implemented by offsite personnel and all intervention components were implemented using telemedicine technologies OBJECTIVES Specific Aim 1 Determine whether the TEAM intervention improves quality and outcomes compared to usual care Specific Aim 2 Determine whether the TEAM intervention will be cost-effective in routine practice settings METHODS Seven VISN 16 CBOCs participated in the study CBOCs were included if they 1 treated 1000 and 5000 unique veterans 2 had no on-site psychiatrists and 3 had interactive video equipment Matched CBOCs were randomized to receive the intervention or usual care Of the 24882 clinic patients 736 n18306 were successfully screened and 69 screened positive for depression PHQ9 12 Of those eligible for the study 913 agreed to participate and 919 of those attended their appointment and were consented Over an 18-month period 395 patients were enrolled and 911 n360 were followed-up at six months Telephone research interviews were conducted at baseline six and twelve months Effectiveness was tested using an intent-to-treat analysis Cost-effectiveness analysis was assessed from the perspective of the VA Costs included intervention costs encounter costs and medication costs Quality Adjusted Life Years QALYs were calculated using the Quality of Well Being Scale
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None