Major Depressive Disorder (MDD)

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT01662817
Collaborator
(none)
525
1
10
52.7

Study Details

Study Description

Brief Summary

The purpose of this study is to assess the effectiveness of systematic screening for depression in high-risk patient participants in everyday clinical practice. Systematic screening for depression in high-risk patients is recommended to be included as a usual practice but its effectiveness in this context remains controversial. In this study, 35 primary care physicians (PCPs) in Spain were assigned to intervention (receive one day training in depression screening guidelines and use guidelines for six months) and 34 PCPs were assigned to a control group (manage depression in the usual way for six months). There were a total of 525 patient participants with MDD.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Intervention
  • Behavioral: Control

Study Design

Study Type:
Observational
Actual Enrollment :
525 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Effectiveness of Physicians' Education, Implementation and Follow up of Current Recommendations Regarding Screening for Major Depressive Disorder in High Risk Patients on Improving the Under-Recognition Rates of Depression in Primary Care
Study Start Date :
Sep 1, 2009
Actual Primary Completion Date :
Jul 1, 2010
Actual Study Completion Date :
Jul 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Intervention

Intervention group primary care physician (PCP) receives one day training in depression screening guidelines and uses guidelines for six months

Behavioral: Intervention
PCP receives one day training in depression screening guidelines and uses guidelines for six months

Control

Control group PCP manages depression in the usual way for six months

Behavioral: Control
PCP manages depression in the usual way for six months

Outcome Measures

Primary Outcome Measures

  1. Percentage of Patient Participants with Under-Recognized Major Depressive Disorder (MDD) Episodes at 24 Weeks [24 Weeks]

Secondary Outcome Measures

  1. Percentage of Patient Participants with Under-Treatment of MDD Episodes at 24 Weeks [24 Weeks]

  2. Change from Baseline in Primary Care Physician (PCP) Adherence to Intervention Questionnaire at 24 Weeks [Baseline, 24 Weeks]

  3. Change from Baseline in PCP Feasibility of Intervention Questionnaire at 24 Weeks [Baseline, 24 Weeks]

  4. Change from Baseline in PCP Acceptance of Intervention Questionnaire at 24 Weeks [Baseline, 24 Weeks]

  5. Mean Duration of Depressive Episodes in Patient Participants [24 Weeks]

  6. Clinical Global Impressions: Severity (CGI-S) Score in Patient Participants [24 Weeks]

  7. Sheehan Disability Scale (SDS) Score in Patient Participants [24 Weeks]

  8. Mean Duration of Sick Leave Due to Depression in Patient Participants [24 Weeks]

  9. Percentage of Patient Participants with Sick Leave Due to Depression [24 Weeks]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • PCP Participants: PCPs informed of the study design and who agreed to be randomized to the intervention or control group

  • Patient Participants: Aged 18 years or older who provide a written consent for the collection and use of their clinical data

Exclusion Criteria:
  • PCP Participants: If they already follow the recommendations on screening or were planning to do so. If they will be absent from their practice for a significant period during the study, or if they do not usually manage depression

  • PCP Participants: Those who were not able to understand the aims of the study

Contacts and Locations

Locations

Site City State Country Postal Code
1 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Madrid Spain

Sponsors and Collaborators

  • Eli Lilly and Company

Investigators

  • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT01662817
Other Study ID Numbers:
  • 13487
  • H6U-XM-S007
First Posted:
Aug 10, 2012
Last Update Posted:
Aug 10, 2012
Last Verified:
Aug 1, 2012

Study Results

No Results Posted as of Aug 10, 2012