Development of a Telephone-based Continuation Treatment for Patients With Chronic Depression.

Sponsor

University of Zurich (Other)

Overall Status

Completed

CT.gov ID

NCT02397850

Collaborator

(none)

Enrollment

Location

Arm

32.8

Duration (Months)

0.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

There is a high risk for relapse in people suffering from depression. Studies indicate that the continuation of an acute psychotherapeutic treatment can reduce the likelihood of relapse. Therefore, this pilot study is aimed to investigate the feasibility of a continuation psychotherapy over 6 months, to support people suffering from chronic forms of depression in their daily life. The investigated continuation therapy itself includes about one telephone call per month (therapist - patient), focussing on the integration of strategies into the patient's daily routine. The patients receive either 30 minutes or 50 minutes phone calls. On the one hand, these phone calls are supported by a workbook for patients containing psychoeducative elements, strategies and exercises. On the other hand, the therapist's work is based on a manual containing several modules and strategies. Both tools (workbook, manual) are understood as a framework, using the appropriate sections according to the patient's needs. As a result, the patients receive a continuation treatment which is appropriate and adapted to their individual situation.

The main purpose of this pilot study is to evaluate the feasibility of a telephone based psychotherapeutic continuation treatment with a small sample of 20 patients suffering from chronic depression. In case of promising results the effectiveness of this kind of treatment is going to be investigated within a comparative trial (including face-to-face intervention, no intervention).

Condition or Disease	Intervention/Treatment	Phase
Chronic Depressive Disorder	Behavioral: phone calls 30 min Behavioral: phone calls 50 min	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

7 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Optimizing Psychotherapeutic Aftercare for Patients Suffering From Chronic/Recurrent Depression: Development and First Evaluation of a Telephone-based Continuation Treatment (Pilot Study).

Study Start Date :

Feb 1, 2015

Actual Primary Completion Date :

May 20, 2017

Actual Study Completion Date :

Oct 25, 2017

Arms and Interventions

Arm	Intervention/Treatment
Experimental: 30 min or 50 min Patients receive either seven 30 minutes or 50 minutes phone calls over 6 months (psychotherapy/continuation treatment)	Behavioral: phone calls 30 min Patients receive either seven 30 minutes phone calls over 6 months (psychotherapy/continuation treatment) Behavioral: phone calls 50 min Patients receive either seven 50 minutes phone calls over 6 months (psychotherapy/continuation treatment)

Arm

Intervention/Treatment

Experimental: 30 min or 50 min

Patients receive either seven 30 minutes or 50 minutes phone calls over 6 months (psychotherapy/continuation treatment)

Behavioral: phone calls 30 min

Patients receive either seven 30 minutes phone calls over 6 months (psychotherapy/continuation treatment)

Behavioral: phone calls 50 min

Patients receive either seven 50 minutes phone calls over 6 months (psychotherapy/continuation treatment)

Outcome Measures

Primary Outcome Measures

number of patients dropping out of treatment [6 months]
change of depressive symptoms from baseline to posttreatment [6 months]
assessed by the Patient Health Questionnaire

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Written informed consent
Diagnosis of chronic (300.4) or recurrent (296.31-3) depression (according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition)
Currently in partial or full remission
Previous psychotherapy (acute treatment; some kind of cognitive-behavioral therapy)
adequate knowledge of German language
in case of taking antidepressants: long-term and stable dosage (with unchanged taking since 3 months at least)

Exclusion Criteria:

acute suicidality
psychotic symptoms
severe cognitive impairments
in case of taking antidepressants: anticipated stopping medication within treatment period (6 months)

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	UniversitätsSpital Zürich Klinik für Psychiatrie und Psychotherapie Ambulatorium	Zurich		Switzerland	8091

Sponsors and Collaborators

University of Zurich

Investigators

Principal Investigator: Birgit Watzke, Prof. Dr., University of Zurich

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

University of Zurich

ClinicalTrials.gov Identifier:

NCT02397850

Other Study ID Numbers:

WATZKE-892

First Posted:

Mar 25, 2015

Last Update Posted:

Nov 7, 2017

Last Verified:

Nov 1, 2017

Keywords provided by University of Zurich

depression, chronic, psychotherapy, telephone, feasibility

Additional relevant MeSH terms:

Depression

Depressive Disorder

Study Results

No Results Posted as of Nov 7, 2017