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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01924715
Other study ID # AA003
Secondary ID
Status Completed
Phase N/A
First received July 25, 2013
Last updated August 15, 2013
Start date January 2008
Est. completion date March 2009

Study information

Verified date July 2013
Source Nova Scotia Health Authority
Contact n/a
Is FDA regulated No
Health authority Canada: Ethics Review Committee
Study type Observational

Clinical Trial Summary

Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.

Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.


Description:

Importance: Psychiatric and psychological disorders result in excess health care service use and costs. Brief psychotherapy methods may be effective across a broad range of mental disorders and could therefore result in healthcare cost reduction.

Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.

Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.

Setting: Treatments were provided at an urban University based psychotherapy service.

Participants: All cases from the province of Nova Scotia treated within the research time frame were included. 890 patients were included with a very broad range of psychiatric disorders including anxiety, mood, somatoform, personality and psychotic disorders. 192 referred but never see cases served as non randomized controls.

Intervention(s): ISTDP is an emotionally focused form of brief psychotherapy which has supportive, cognitive, experiential and primarily psychodynamic elements. In this setting the average length of treatment was 7.3 sessions and cost an estimated $500 dollars per treatment course.


Recruitment information / eligibility

Status Completed
Enrollment 1082
Est. completion date March 2009
Est. primary completion date March 2009
Accepts healthy volunteers No
Gender Both
Age group 12 Years to 90 Years
Eligibility Inclusion Criteria:

- All patients referred for ISTDP treatment

Exclusion Criteria:

- Patients not referred for ISTDP treatment

Study Design

Observational Model: Case Control, Time Perspective: Retrospective


Intervention

Behavioral:
ISTDP
An emotion focused brief psychotherapy format.

Locations

Country Name City State
Canada Capital Health Halifax Nova Scotia

Sponsors (1)

Lead Sponsor Collaborator
Nova Scotia Health Authority

Country where clinical trial is conducted

Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Total Doctor and Hospital Costs Total Physician and Hospital billings per patient 1 year pre versus 3 years post No
Secondary Hospital costs Total Hospital costs per patient 1 year pre versus 3 years post No
Secondary Hospital Days Hospital days per patient 1 year per versus 3 years post No
Secondary Doctor Visits Doctor Costs per patient 1 year pre versus 3 years post No
Secondary Doctor Costs Doctor costs per patient 1 year pre versus 3 years post No
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