IMPACT: Improving Depression Care for Elders: Coordinating Center

Sponsor

University of California, Los Angeles (Other)

Overall Status

Completed

CT.gov ID

NCT01561105

Collaborator

The John A. Hartford Foundation (Other), California HealthCare Foundation (Other), Hogg Foundation (Other), Robert Wood Johnson Foundation (Other)

1,801

Enrollment

Arms

Duration (Months)

Study Details

Study Description

Brief Summary

Purpose: To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment(IMPACT) collaborative care management program for late-life depression.

Condition or Disease	Intervention/Treatment	Phase
Major Depression Dysthymic Disorder Both Major Depression and Dysthymic Disorder	Other: IMPACT	N/A

Detailed Description

This study tested an organized method of delivering care for late life depression in primary care. Specifically, the investigators evaluated the effectiveness of this intervention as compared to 'care as usual'. The investigators studied the effect of the intervention on clinical outcomes such as depressive symptoms, functional status, health related quality of life. They also determined the cost-effectiveness of the intervention compared to care as usual.

Study Design

Study Type:

Interventional

Actual Enrollment :

1801 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

This Was a Five-year Seven-site Trial to Study the Cost-effectiveness of a Population Based Disease Management Program for Late Life Depression in Primary Care.

Study Start Date :

Jan 1, 1999

Actual Primary Completion Date :

Jun 1, 2004

Actual Study Completion Date :

Jun 1, 2004

Arms and Interventions

Arm	Intervention/Treatment
Experimental: IMPACT	Other: IMPACT IMPACT is a collaborative care management program for late-life depression Other Names: Improving Mood-Promoting Access to Collaborative Treatment
No Intervention: Care as Usual Patients received all depression care available to them as part of care as usual in the participating primary care clinics.

Arm

Intervention/Treatment

Experimental: IMPACT

Other: IMPACT

IMPACT is a collaborative care management program for late-life depression

Other Names:

Improving Mood-Promoting Access to Collaborative Treatment

No Intervention: Care as Usual

Patients received all depression care available to them as part of care as usual in the participating primary care clinics.

Outcome Measures

Primary Outcome Measures

Severity of depression symptoms []
Severity measured by the 21-item Hopkins Symptom Checklist.

Secondary Outcome Measures

Functioning []
measured by the Sheehan Health-Related Functioning Index

Eligibility Criteria

Criteria

Ages Eligible for Study:

60 Years and Older

Sexes Eligible for Study:

All

Inclusion Criteria:

Major depression or dysthymia as diagnosed by a structured diagnostic interview.
Patient plans to receive primary care at the study clinic for the next year.

Exclusion Criteria:

Age under 60.
Current symptoms or history of psychosis or mania as determined by structured diagnostic interview.
Cognitive impairment as defined by a score less than 23 on a Mini Mental Status Examination.
Terminal illness - defined as having a life expectancy of less than 6 months.
Active alcohol abuse as determined by a screening interview.
High suicide risk as determined by current plan for suicide or a history of more than 3 prior suicide attempts in the past 10 years.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

University of California, Los Angeles
The John A. Hartford Foundation
California HealthCare Foundation
Hogg Foundation
Robert Wood Johnson Foundation

Investigators

Principal Investigator: Jurgen Unutzer, MD, MPH, University of Washington

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Jurgen Unutzer, MD, MPH, Professor and Vice-Chair of Psychiatry, Psychiatry and Behavioral Sciences, University of Washington

ClinicalTrials.gov Identifier:

NCT01561105

Other Study ID Numbers:

JAHF 98297

First Posted:

Mar 22, 2012

Last Update Posted:

Mar 28, 2012

Last Verified:

Mar 1, 2012

Additional relevant MeSH terms:

Disease

Depression

Depressive Disorder

Depressive Disorder, Major

Dysthymic Disorder

Study Results

No Results Posted as of Mar 28, 2012