Depression Clinical Trial
— CDCareOfficial title:
Depression Care for Hospitalized Coronary Heart Disease Patients: Bridging the Gap Between Guidelines and Reality
The aims of this prospective, observational study are to assess the current use of depression care in Coronary Heart Disease (CHD) patients, and to provide estimates for the resources needed to implement guideline-oriented depression health care acceptable to CHD patients with comorbid depression.
Status | Completed |
Enrollment | 1265 |
Est. completion date | May 2016 |
Est. primary completion date | August 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - chronic CHD (confirmed by a clinician) Exclusion Criteria: - chart-documented dementia disorder - cognitive impairment - life expectancy < 1 year - unavailability for follow-up - insufficient proficiency in German or Turkish language |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Germany | Medizinische Klinik m. Schwerpunkt Kardiologie, Charité Universitätsmedizin | Berlin |
Lead Sponsor | Collaborator |
---|---|
Charite University, Berlin, Germany | University Hospital Muenster |
Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of participants in depression care during the 12 months after hospitalization | Assessed via questionnaire (self-reported psychotherapy for depression and / or antidepressant medication and / or other treatment) at baseline, 1month, 6 month and 12 months Additionally, antidepressant medication prescription will be assessed at baseline via chart review (antidepressant medication at admission and discharge) | Baseline and within one year after hospitalization | No |
Secondary | Percentage of participants reporting current utilization of mental health care and satisfaction with mental health care | Current mental health care utilization is assessed via questionnaire with a single item ("yes or no"). Satisfaction with current mental health care is assessed via questionnaire with a single continuous rating item (ranging from "very satisfied to not at all satisfied") at baseline and all follow-up assessments (1mo, 6mo and 12months) |
Baseline and within one year after hospitalization | No |
Secondary | Patient preferences for different providers and settings of mental health care services, as indicated by the percentage of patients who indicate actual receipt of or potential willingness to receive mental health care by specific providers and settings | Assessed via questionnaire with at baseline and all follow-up assessments (1mo, 6mo and 12months). A list of mental health care providers (e.g., general practitioner, psychotherapist, psychiatrist, ...) is provided and for each, patients are asked to indicated whether they currently receive mental health care from any provider and if not, if they would be willing to reciev mentral health care by that provider, should they ever be in need (answer options "yes, maybe, no"). | Baseline and within one year after hospitalization | No |
Secondary | Percentage of patients in need for depression health care according to existing recommendations | Baseline: Percentage of patients with a current Major Depressive Episode as assessed via the Composite International Diagnostic Interview (CIDI). 6 months assessment: percentage of patients with a current Major Depressive Episode as assessed via the Composite International Diagnostic Interview (CIDI) - this will only be conducted in a subsample of 300 consecutive participants. Follow-up assessments: percentage of patients with persistently elevated depressive symptoms as indicated by a score of >=10 on the Patient Health Questionnaire (PHQ-9) at baseline and the follow-up assessments. |
Baseline and within one year after hospitalization | No |
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