Depression Clinical Trial
Official title:
A Collaborative Care Program to Improve Depression Treatment in Cardiac Patients
Depression in cardiac patients is common, persistent, and deadly. However, the vast majority
of cardiac patients with depression go unrecognized and untreated, despite the existence of
treatments that clearly improve depressive symptoms and may favorably impact survival. Our
research group and others have found that depression recognition and treatment appears
particularly limited among patients with acute cardiac illness, though this population may
be the most vulnerable to the deleterious effects of depression. We propose a project,
building on successful collaborative care depression management programs in outpatient
settings, to address this important issue.
The specific hypotheses behind the proposed research are that a collaborative care
depression management program can be successfully adapted to inpatient cardiac units, and
that such a program will lead to greater rates of adequate depression treatment and
improvements in secondary outcomes.
The following specific aims capture the stepwise goals of this program:
1. To determine whether a collaborative care depression management program ('Enhanced
Care') leads to significantly increased rates of adequate depression treatment compared
to usual care (screening and feedback) (Primary Aim).
2. To assess whether this Enhanced Care program has a lasting impact on adequate
depression treatment, depressive symptoms, health-related quality of life, and
adherence to medical recommendations at 6 weeks, 12 weeks, and 6 months, compared to
usual care.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research
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