Ignite Creation Date:
2024-05-05 @ 11:44 AM
Last Modification Date:
2024-10-26 @ 9:12 AM
Study NCT ID:
NCT00119028
Status:
WITHDRAWN
Last Update Posted:
2012-04-24
First Post:
2005-07-01
Brief Title:
Expanding and Testing VA Collaborative Care Models for Depression
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Expanding and Testing VA Collaborative Care Models for Depression
Status:
WITHDRAWN
Status Verified Date:
2012-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
This study was withdrawn prior to enrollment
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ReTIDES
Brief Summary:
Based on the published evidence collaborative care for depression is both necessary and sufficient for improving care and outcomes for depressed patients in primary care settings The Translating Initiatives in Depression into Effective Solutions TIDES project upon which ReTIDES is based developed a VA-adapted version of collaborative care through input from veterans clinicians and managers The initial TIDES project resulted in a clinically stable and effective model as tested in seven primary care practices in three VISNs This positive result provided the basis for spreading and sustaining the TIDES model and initiating the study of national implementation strategies and issues
Detailed Description:
Background
Based on the published evidence collaborative care for depression is both necessary and sufficient for improving care and outcomes for depressed patients in primary care settings The Translating Initiatives in Depression into Effective Solutions TIDES project upon which ReTIDES is based developed a VA-adapted version of collaborative care through input from veterans clinicians and managers The initial TIDES project resulted in a clinically stable and effective model as tested in seven primary care practices in three VISNs This positive result provided the basis for spreading and sustaining the TIDES model and initiating the study of national implementation strategies and issues
Objectives
The objective of this grant was to carry out preparatory steps toward national implementation including developing and investigating TIDES sustainability and partnering and marketing strategies The project supported VISNs as learning organizations in the area of depression care improvement and ultimately aimed to support as many as 8 to 10 of veterans nationally in improving their health and quality of life Preparatory steps included 1 development of easily disseminated tools including CPRS decision support panel monitoring and care manager and team training materials 2 national and local dissemination to support TIDES model sustainability and spread and 3 evaluation using tools that would assess not only the success of this project but could be used for quality monitoring during roll-out
Methods
Tools We used the Chronic Illness Care model and Evidence Based Quality Improvement methods to develop tools for disseminating TIDES to additional medical centers and practices in 3 TIDES VISNs and two medical centers with 10 practices in one additional VISN These tools were then used for national implementation Dissemination We served as technical expert consultants by 1 carrying out national and regional training 2 linking to national patient care services employee education and information technology methods and priorities and 3 supporting evidence-based quality improvement in new sitesWe organized these efforts through a national dissemination plan
Evaluation We developed and applied 1 formative evaluation tools 2 fine-tuned performance measure tools based on electronic data and applied in a non-randomized quasi-experimental design untreated control group with pretest and posttest 3 a web-based survey for primary care clinicians and 4 an innovative implementation cost assessment approach We also used 5 qualitative information on the process of dissemination including links to national resources and 6 a randomized design to evaluate long term 18-month cost effectiveness of TIDES
Status
Completed
Based on the published evidence collaborative care for depression is both necessary and sufficient for improving care and outcomes for depressed patients in primary care settings The Translating Initiatives in Depression into Effective Solutions TIDES project upon which ReTIDES is based developed a VA-adapted version of collaborative care through input from veterans clinicians and managers The initial TIDES project resulted in a clinically stable and effective model as tested in seven primary care practices in three VISNs This positive result provided the basis for spreading and sustaining the TIDES model and initiating the study of national implementation strategies and issues
Objectives
The objective of this grant was to carry out preparatory steps toward national implementation including developing and investigating TIDES sustainability and partnering and marketing strategies The project supported VISNs as learning organizations in the area of depression care improvement and ultimately aimed to support as many as 8 to 10 of veterans nationally in improving their health and quality of life Preparatory steps included 1 development of easily disseminated tools including CPRS decision support panel monitoring and care manager and team training materials 2 national and local dissemination to support TIDES model sustainability and spread and 3 evaluation using tools that would assess not only the success of this project but could be used for quality monitoring during roll-out
Methods
Tools We used the Chronic Illness Care model and Evidence Based Quality Improvement methods to develop tools for disseminating TIDES to additional medical centers and practices in 3 TIDES VISNs and two medical centers with 10 practices in one additional VISN These tools were then used for national implementation Dissemination We served as technical expert consultants by 1 carrying out national and regional training 2 linking to national patient care services employee education and information technology methods and priorities and 3 supporting evidence-based quality improvement in new sitesWe organized these efforts through a national dissemination plan
Evaluation We developed and applied 1 formative evaluation tools 2 fine-tuned performance measure tools based on electronic data and applied in a non-randomized quasi-experimental design untreated control group with pretest and posttest 3 a web-based survey for primary care clinicians and 4 an innovative implementation cost assessment approach We also used 5 qualitative information on the process of dissemination including links to national resources and 6 a randomized design to evaluate long term 18-month cost effectiveness of TIDES
Status
Completed
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
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| PCC 2004-121657 | None | None | None |
| Project 0024 | None | None | None |