Major Depressive Disorders Clinical Trial
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.
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 |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Screening
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | City of Choongju public health center | Choongju | Choongchungbuk-Do |
Lead Sponsor | Collaborator |
---|---|
National Clinical Research Coordination Center, Seoul, Korea |
Korea, Republic of,
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 |
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