Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04078282
Other study ID # LCKO001
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 15, 2019
Est. completion date December 30, 2023

Study information

Verified date February 2024
Source University of Oslo
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The first part of this study aims to identify the occurence of depression in the elderly. In the second part, older patients with depression will be invited to a collaborative care with his or her family physician and a psychiatrist specialized in psychiatry in the elderly in accordance with a study protocol. The intervention includes two sessions where the patient will meet the psychiatrist together with the family physician, and between the two sessions the patient will have three treatment sessions with the family physician based on the evaluation by the psychiatrist. Following the last session with the psychiatrist the intervention ends with three more treatment sessions with the family physician.


Description:

The frequency of depression in the elderly is little known and experiences from family practice indicate that older people not always communicate their mental health issues or present physical complaints which may arise from a state of depression. In this study we aim to register the occurence of depression among all patients at the age of 65 or older who visit their family physician. During a period of four weeks, all patients meeting the eligibility criteria will be asked to answer a questionnaire about mental and physic health issues. Those who respond in a manner that gives reasons to believe there is a depression will be contacted by their family physician to meet for a consultation and examination. If this examination confirms the diagnosis the patient will either be treated as usual by their family physician (control group) or be invited to a collaborative care with the family physician in cooperation with a psychiatrist who is specialized in psychiatry in the elderly (intervention group). In the control group the patients will receive usual care at their family physician or be referred to a psychiatrist or a psychologist if appropriate. In the intervention group the patients will have a evaluation session with the family physician and the psychiatrist together. Following this session, the patient and the family physician will meet for three treatment consultations based on the evaluation and recommendations given by the psychiatrist. Then there will be one more joint session with the patient, the family physician and the psychiatrist and the whole treatment program ends with three more treatment consultations at the family physician. - The aim of this intervention is to examine whether this treatment program is more or equally efficient to treat depression in the elderly as usual care and at lower cost and use of specialized care.


Recruitment information / eligibility

Status Completed
Enrollment 30
Est. completion date December 30, 2023
Est. primary completion date September 30, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria: - all patients visiting one of the collaborative family physicians during the enrollment period of four weeks Exclusion Criteria: - cognitive dysfunction - speaking Norwegian language

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Intervention group
see above

Locations

Country Name City State
Norway University of Oslo Oslo

Sponsors (1)

Lead Sponsor Collaborator
University of Oslo

Country where clinical trial is conducted

Norway, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of patients with a change in clinical significant depression Change in depression as described by the Patient Health Questionnaire (PHQ-9). The questionnaire is a 9-item questionnaire, each with a 0-4 point scale. A change of 3,9 points in the sumscale is regarded significant. At start and at 12 and 18 month following treatment
Secondary Number of patients with a change in the level of anxiety Change in anxiety as described by the Generalized Anxiety Disorder 7-item score GAD-7. The questionnaire is a 7-item questionnaire, each with a 0-4 point scale. There is no consensus on which level of change is regarded significant. At start and at 12 and 18 month following treatment
Secondary Number of Subjective Health Complaints among patients with depression Change in subjective Health Complaints as described by the Subjective Health Complaints questionnaire. The questionnaire is a 9-item questionnaire, each with a 0-4 point scale. A change of 3,9 points in the sumscale is regarded significant. The questionnaire is a 29-item questionnaire, each with a 0-4 point scale. There is no consensus on which level of change is regarded significant. At start and at 12 and 18 month following treatment
See also
  Status Clinical Trial Phase
Completed NCT04289298 - Reaching and Engaging Depressed Senior Center Clients N/A
Not yet recruiting NCT06042283 - Efficacy of Metacognitive Training in Older Adults With Depression N/A
Withdrawn NCT04055155 - Technology-enabled Task-sharing for Depression in Primary Care
Recruiting NCT06270121 - Development of a Healthcare Service Platform for Successful Aging N/A
Recruiting NCT05611996 - PEERS Plus mHealth Enhanced Peer Support N/A
Completed NCT04979299 - Assessment of Depression (iCGI) in Older People, According to Their Presentation in a Wheelchair or an Ordinary Chair. N/A
Completed NCT04404621 - Computer Presented and Physical Exercises to Maintain Cognitive Function and Emotional Health in Older Adults N/A
Not yet recruiting NCT06358404 - Developing a Peer Support Intervention for Depression in SCD N/A
Recruiting NCT06107283 - Study of the Reduction of the Prescriptions of Benzodiazepines and Related
Enrolling by invitation NCT04747756 - Creating a Virtual Village for People Aging With HIV During COVID-19 N/A
Completed NCT05308082 - Programme Evaluation on Effectiveness of The Use of Movement-based x 'Elderspirituality - Fu Le Mun Sum' Intervention to Support Elderly People With Depressive Symptoms N/A
Recruiting NCT05356611 - Engage for Late-Life Depression and Comorbid Executive Dysfunction N/A
Recruiting NCT03304301 - Effect of Sunlight Exposure and Outdoor Activities on Depression, Cognition and Quality of Life in the Elderly N/A
Recruiting NCT05967390 - Localized Analysis of Normalized Distance From Scalp to Cortex and Personalized Evaluation (LANDSCAPE)
Recruiting NCT05331599 - Recurrence Markers, Cognitive Burden and Neurobiological Homeostasis in Late-Life Depression
Completed NCT04258579 - Trial to Test Effectiveness of Depression Intervention for Mistreated Older Adults N/A
Withdrawn NCT04836533 - Enhancing Processing Speed and Executive Functioning in Depressed Older Adults With Computerized Cognitive Training Phase 1
Recruiting NCT05739370 - Internet Delivered Psychotherapy for Older Adults N/A
Recruiting NCT03256760 - Sleep and Healthy Aging Research for Depression (SHARE-D) Study Phase 1
Recruiting NCT05322863 - High-definition Transcranial Direct Current Stimulation (HD-tDCS) in Late-life Depression (LLD) N/A