Health Care Management for the Elderly in Community Through Screening

• Sponsor: National Clinical Research Coordination Center, Seoul, Korea (Other)
• Overall Status: Completed
• CT.gov ID: NCT01347138
• Collaborator: (none)
• Enrollment: 57
• Location: 1
• Arms: 2
• Duration (Months): 11
• Patients Per Site Per Month: 5.2

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Major Depressive Disorders; Senile; Depression	Other: case management	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 57 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Outcomes Assessor)
• Primary Purpose: Screening
• Study Start Date: May 1, 2011
• Actual Primary Completion Date: Apr 1, 2012
• Actual Study Completion Date: Apr 1, 2012

Arms and Interventions

Arm	Intervention/Treatment
Experimental: case management case management regulary	Other: case management; confirmation of hospital visit date, checking the adverse effect and treatment compliance
No Intervention: Control usual care

Outcome Measures

Primary Outcome Measures

1. Geriatric Depression Score [6 months after baseline]

Secondary Outcome Measures

1. quality of life [6 months after baseline]

2. treatment compliance [6 months after baseline]

3. suicide ideation [6 months after baseline]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 60 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria:

• over 60 year old

• having medicare insurance

Exclusion Criteria:

• dementia and other psychiatric disorders

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	City of Choongju public health center	Choongju	Choongchungbuk-Do	Korea, Republic of

Sponsors and Collaborators

• National Clinical Research Coordination Center, Seoul, Korea

Investigators

• Principal Investigator: Hyeon Woo Yim, MD. Ph.D., The Catholic University of Korea

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Hyeon Woo Yim, Professor, National Clinical Research Coordination Center, Seoul, Korea
• ClinicalTrials.gov Identifier: NCT01347138
• Other Study ID Numbers: A102065
• First Posted: May 4, 2011
• Last Update Posted: Mar 11, 2016
• Last Verified: Mar 1, 2016

• Keywords provided by Hyeon Woo Yim, Professor, National Clinical Research Coordination Center, Seoul, Korea: Screening; depression; case management
• Additional relevant MeSH terms: Depression; Depressive Disorder; Depressive Disorder, Major

Study Results

No Results Posted as of Mar 11, 2016