Investigating the Effectiveness of Telepsychiatry for Treating Major Depression in a Chinese American Nursing Home

Major Depressive Disorder Clinical Trial

Official title:

Feasibility and Effectiveness of Telepsychiatry for Collaborative Management of Chinese Americans With Psychiatric Disorders in a Nursing Home

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00505518
• Other study ID #: 2006-P-001508
• Status: Completed
• Phase: N/A
• First received: July 19, 2007
• Last updated: July 9, 2013
• Start date: September 2006
• Est. completion date: November 2007

Study information

• Verified date: July 2013
• Source: Massachusetts General Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The current use of telepsychiatry, or psychiatric care using videoconferencing, is very limited. The present study investigates the use of this method with a depressed Chinese American population in a nursing home. It is believed that this population can benefit from telepsychiatric treatment when used in collaboration with the primary care they receive in the nursing home.

Description:

Individuals at the South Cove Manor nursing home will be referred to this study if they are experiencing depression. After meeting with the Principal Investigator (a psychiatrist), he will collaborate with the primary care physician and the nursing home staff to establish a treatment plan for the patient. Videoconferencing will be used by the P.I. for regular psychiatric visits with the patient as well as meetings with the nursing home staff to coordinate care for the patient. After collaboration between the two groups, treatment suggestions will be given to the patient's primary care physician (PCP) to implement in the primary care setting. The patient's symptomology, mood, satisfaction of life and side effects of medication will be recorded regularly to measure the effects of treatment for analysis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 9
• Est. completion date: November 2007
• Est. primary completion date: November 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Clinical diagnosis of Major Depressive Disorder

• Patient at South Cove Manor Nursing Home

• Referred by nursing staff for psychiatric consultation

Exclusion Criteria:

• Not competent to participate in psychiatric interviews

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Depression
• Depressive Disorder
• Depressive Disorder, Major
• Major Depressive Disorder

Intervention

Drug:
• Psychotropic medication (at discretion of psychiatrist)
Antidepressant medication, prescribed at discretion of psychiatrist

Behavioral:
• Collaborative psychiatric and primary medical care
Regular care visits from health workers

Locations

Country	Name	City	State
United States	Depression and Clinical Research Program at Massachusetts General Hospital	Boston	Massachusetts
United States	South Cove Manor	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Massachusetts General Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Mean Scores on Clinical Global Impressions	Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome)	Baseline, 30 days or 60 days (length depended on clinical needs of patients)	Yes
Primary	Patient/Family Telepsychiatry Service Satisfaction Survey	Patients' (or their family members' for those who had severe cognitive deficits) satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."	30 days or 60 days (length depended on clinical needs of patients)	No
Primary	Nurse Telepsychiatry Services Satisfaction Questionnaire	The charge nurse's satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."	30 days or 60 days (length depended on clinical needs of patients)	No

External Links

•   Depression Clinical and Research Program