Telepsychology-Service Delivery for Depressed Elderly Veterans

This study is currently recruiting participants.

Verified by Department of Veterans Affairs, August 2009

First Received: May 9, 2006 Last Updated: August 24, 2009 History of Changes

Sponsors and Collaborators:	Department of Veterans Affairs Medical University of South Carolina University of Maryland
Information provided by:	Department of Veterans Affairs
ClinicalTrials.gov Identifier:	NCT00324701

Purpose

The purpose of this study is to see whether therapy for elderly adults with major depression can be delivered effectively using videoconferencing technology ("telepsychology"), which allows a therapist and patient who are not in the same room as one another to communicate. We are interested in learning if this form of mental health service delivery is an acceptable alternative to traditional face-to-face therapy delivered with the therapist in the same room as the patient.

Condition	Intervention
Depression Aged	Behavioral: Telepsychology Behavioral: Face-to-face therapy

Study Type:	Interventional
Study Design:	Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title:	Telepsychology-Service Delivery for Depressed Elderly Veterans

Resource links provided by NLM:

MedlinePlus related topics: Choosing a Doctor or Health Care Service Depression Mental Health

U.S. FDA Resources

Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:

Is in-home telepsychology for major depressive disorder in older adults as effective as same-room treatment on clinical and process outcomes? Is in-home telepsychology for major depressive disorder in older adults cost-effective? [ Time Frame: Outcome measured assessed at post treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

The ultimate objective is to obtain information on whether telepsychology is an acceptable and effective alternative to traditional face-to-face mental health treatment for elderly veterans living in rural areas, many of whom are minorities. [ Time Frame: Outcome measured assessed at post treatment ] [ Designated as safety issue: No ]

Estimated Enrollment:	224
Study Start Date:	September 2006
Estimated Study Completion Date:	June 2010
Estimated Primary Completion Date:	June 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1	Behavioral: Telepsychology therapy done at patients house Behavioral: Face-to-face therapy therapy delivered at the VAMC

Show Detailed Description

Eligibility

Ages Eligible for Study:	60 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Participants will be older male and female veterans,
age 60 and above,
with diagnoses of major depressive disorder (MDD) assigned on the basis of the Structured Clinical Interview for DSM-IV (SCID; Spitzer et al., 1997).

Exclusion Criteria:

Actively psychotic or demented persons,
individuals with both suicidal ideation and clear intent, and
individuals meeting criteria for substance dependence will be excluded from participation.

However, in order to maximize generalization of results, presence of other forms of psychopathology will not be a basis for exclusion. All of these structured interviews will be audiotaped in order to calculate inter-rater reliability on a randomly selected 20%. (See Human Subjects for procedures in place for suicidal participants or potential participants).

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00324701

Contacts

Contact: Sarah A Jackson, BA MA	(843) 789-7587	sarah.jackson@va.gov
Contact: Melissa L Koerner, BA MSW

Locations

United States, South Carolina
Ralph H Johnson VA Medical Center, Charleston	Recruiting
Charleston, South Carolina, United States, 29401-5799
Contact: Leonard E Egede, MD MS (843) 789-6670 egedel@musc.edu
Contact: Sarah A Jackson, BA MA (843) 789-7587 sarah.jackson@va.gov
Principal Investigator: Leonard E. Egede, MD MS
Sub-Investigator: Bartley Christopher Frueh, PhD
Sub-Investigator: Patrick D Mauldin, PhD MA BS
Sub-Investigator: Rebecca Grant Knapp, BS MS PhD
Sub-Investigator: Ronald E. Acierno, PhD MS BA
Sub-Investigator: Charles Ellis, BS MA PhD
Sub-Investigator: Carl W Lejuez, PhD MA BA

Sponsors and Collaborators

Department of Veterans Affairs

Medical University of South Carolina

University of Maryland

Investigators

Principal Investigator:

Leonard E. Egede, MD MS

Ralph H Johnson VA Medical Center, Charleston

More Information

No publications provided by Department of Veterans Affairs

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):

Egede LE, Frueh CB, Richardson LK, Acierno R, Mauldin PD, Knapp RG, Lejuez C. Rationale and design: telepsychology service delivery for depressed elderly veterans. Trials. 2009 Apr 20;10:22.

Responsible Party:	Department of Veterans Affairs ( Egede, Leonard - Principal Investigator )
Study ID Numbers:	IIR 04-421, HR16402
Study First Received:	May 9, 2006
Last Updated:	August 24, 2009
ClinicalTrials.gov Identifier:	NCT00324701 History of Changes
Health Authority:	United States: Federal Government

Keywords provided by Department of Veterans Affairs:

Mental Health
Geriatric Medicine
Depression
Health Service Delivery
Aged

Study placed in the following topic categories:

Depression
Mental Disorders
Mood Disorders
Depressive Disorder
Behavioral Symptoms

Additional relevant MeSH terms:

Depression
Mental Disorders
Mood Disorders
Depressive Disorder
Behavioral Symptoms

ClinicalTrials.gov processed this record on September 01, 2009