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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00283270
Other study ID # RESCEP
Secondary ID HCPF 218016
Status Completed
Phase Phase 4
First received January 26, 2006
Last updated January 26, 2006
Start date November 2002
Est. completion date August 2005

Study information

Verified date December 2005
Source The University of Hong Kong
Contact n/a
Is FDA regulated No
Health authority Hong Kong: Department of Health
Study type Interventional

Clinical Trial Summary

The aim of the study is to test whether screening followed by brief problem-solving counselling in primary care could improve the quality of life of elderly patients with undiagnosed psychological problems. We hypothesize that undiagnosed psychological problems detectable by screening are common in the elderly and brief counselling could improve the quality of life of these patients.


Description:

Objectives: The aim of the study is to test if screening followed by brief problem-solving counselling by primary care doctors can improve the health-related quality of life (HRQOL) of elderly patients with previously undiagnosed psychological problems. It will also find out the effects of undiagnosed psychological problems on HRQOL and consultation rates of elderly patients.

Design, Setting & Subjects: This is a prospective single-blinded randomised controlled trial on 450 patients aged 60 or above attending a Government General Outpatient Clinic in Hong Kong, who have been screened for psychological problems.

Methods: Elderly patients attending the General Outpatient Department of the Ap Lei Chau Clinic who are not known to have the diagnosis of psychological problems with the Hospital Anxiety & Depression Scale (HADS) were screened in order to recruit 300 subjects who are screened positive for undiagnosed psychological problems will be randomised into the counselling or no-counselling groups, and 150 subjects who are screened negative for psychological problems will be selected as normal controls

Interventions: The counselling group will receive brief problem-solving counselling from a trained primary care doctor in addition to their usual medical care; the no-counselling group will receive general health education and their usual medical care; and the normal control group will continue with their usual care only.

Main Outcome Measures: Health-related quality of life measured by the SF-36, the HADS scores and consultation rates. The baseline and changes in outcomes of the three groups will be compared at 0, 6, 12, 36 and 52 weeks after screening.

Conclusions: The results will provide evidence on whether screening followed by brief problem-solving counselling in primary care is effective in improving quality of life and reducing consultation rates for the elderly with undiagnosed psychological problems.


Recruitment information / eligibility

Status Completed
Enrollment 450
Est. completion date August 2005
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 60 Years and older
Eligibility Inclusion Criteria:

1. Aged 60 or above

2. Attending the study primary care clinic

3. No known diagnosis of psychological problem

4. Written consent provided

Exclusion Criteria:

1. Known psychological disease diagnosed by a registered practitioner

2. Taking any psychotropic drug prescribed by a registered practitioner of Western medicine within the last year;

3. Has suicidal plan or strong suicidal thought;

4. Has psychotic symptom;

5. any impairment in cognitive function; or

6. any communication problem

7. refuses to participate

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Behavioral:
Brief counselling

Behavior


Locations

Country Name City State
n/a

Sponsors (2)

Lead Sponsor Collaborator
The University of Hong Kong The Health Care and promotion Fund, the Governement of the Hong Kong SAR.

Outcome

Type Measure Description Time frame Safety issue
Primary Health-related quality of life scores
Primary Hospital Anxiety and Depresssion scores
Secondary Consultation rates
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