Health Care Management for the Elderly in Community Through Screening

Major Depressive Disorders Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01347138
• Other study ID #: A102065
• Status: Completed
• Phase: N/A
• First received: April 27, 2011
• Last updated: March 10, 2016
• Start date: May 2011
• Est. completion date: April 2012

Study information

• Verified date: March 2016
• Source: National Clinical Research Coordination Center, Seoul, Korea
• Contact: n/a
• Is FDA regulated: No
• Health authority: Korea: Ministry for Health and Welfare
• Study type: Interventional

Clinical Trial Summary

Depression in late life has been associated with losses in functioning and quality of life, mortality, and increased health care costs. Although late life depression can be successfully treated with antidepressant medication or psychotherapy, few older adults receive adequate trials of such treatment in community in Korea. Barriers, such as loss of loved ones, medical illnesses, and social stigma associated with depression, lack of social and financial support, to effective treatment of depression can be especially problematic for older adult. Screening has been valuable in overcoming barriers to diagnosis. Over 60 year old community dwelling people will be screened for symptoms of four geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder). Those who will be screened positive for each condition will be refer to clinic for diagnosis. Among them only those cases confirmed as depression by psychiatrists will be enrolled in this study. Enrolled patients will be randomly assigned to either case management or usual care conditions.

The objective of the study is to test whether a system of screening, assessment, and follow-up provided by case manager improves in recognizing the target geriatric conditions (depression, dementia, urinary incontinence, and sleep disorder) and healthcare outcomes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 57
• Est. completion date: April 2012
• Est. primary completion date: April 2012
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

• over 60 year old

• having medicare insurance

Exclusion Criteria:

• dementia and other psychiatric disorders

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Screening

Related Conditions & MeSH terms

• Depression
• Depressive Disorder
• Depressive Disorder, Major
• Major Depressive Disorders
• Senile; Depression

Intervention

Other:
• case management
confirmation of hospital visit date, checking the adverse effect and treatment compliance

Locations

Country	Name	City	State
Korea, Republic of	City of Choongju public health center	Choongju	Choongchungbuk-Do

Sponsors (1)

Lead Sponsor	Collaborator
National Clinical Research Coordination Center, Seoul, Korea

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Geriatric Depression Score		6 months after baseline	No
Secondary	quality of life		6 months after baseline	No
Secondary	treatment compliance		6 months after baseline	No
Secondary	suicide ideation		6 months after baseline	No