Depression Clinical Trial
Official title:
Improving Depression Management Through Peer Support
We conducted a randomized controlled trial (RCT) that compared the effectiveness of a telephone delivered, recovery focused, peer-support intervention to enhanced usual care for VA patients with depression.
Peer-support interventions have been recommended by prestigious national task forces and
incorporated into the VA Comprehensive Mental Health Strategic Plan. Patients who cope with
longer term depressive symptoms may benefit from these interventions.This study examines the
effectiveness of a feasible, scalable mutual peer-support intervention for VA patients in
depression treatment and will inform leaders who are considering implementing peer-support
initiatives.
In this study, each study participant (a veteran in treatment for depression) was matched
with another participating veteran and the pairs were randomized to enhanced usual care or
to the telephone based peer-support intervention (DIAL-UP). All study participants received
usual care plus written materials outlining depression self-management strategies,
behavioral activation, and recovery.
DIAL-UP participants also received: a) a peer-support manual that outlined peer support
principles and provided peer discussion topics and b) access to a specialized telephone
platform that permited free calls to their partners, ready access to mental health staff for
back-up and advice, and recorded tips on depression management. Patients were encouraged to
call their partners at least once per week during the 6-month intervention period. Patient
outcomes were assessed at 3, 6, and 12 months following enrollment.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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