Investigating the Effectiveness of Telepsychiatry for Treating Major Depression in a Chinese American Nursing Home - Full Text View

Sponsored by:	Massachusetts General Hospital
Information provided by:	Massachusetts General Hospital
ClinicalTrials.gov Identifier:	NCT00505518

Purpose

The current use of telepsychiatry, or psychiatric care using videoconferencing, is very limited. The present study investigates the use of this method with a depressed Chinese American population in a nursing home. It is believed that this population can benefit from telepsychiatric treatment when used in collaboration with the primary care they receive in the nursing home.

Condition	Intervention
Major Depressive Disorder	Drug: Psychotropic medication (at discretion of psychiatrist) Behavioral: Collaborative psychiatric and primary medical care

Study Type:	Interventional
Study Design:	Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title:	Feasibility and Effectiveness of Telepsychiatry for Collaborative Management of Chinese Americans With Psychiatric Disorders in a Nursing Home

Resource links provided by NLM:

MedlinePlus related topics: Depression Nursing Homes

U.S. FDA Resources

Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:

Change in mean scores on Hamilton Rating Scale for Depression [ Time Frame: Duration of treatment ] [ Designated as safety issue: No ]
Change in mean scores on Social Functioning rating scale [ Time Frame: Duration of treatment ] [ Designated as safety issue: No ]
Change in mean scores on Clinical Global Impressions [ Time Frame: Duration of treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Change in mean scores on patient satisfaction rating scale [ Time Frame: Duration of treatment ] [ Designated as safety issue: No ]
Scores on medication adherence scale (if on psychotropic medication) [ Time Frame: Duration of treatment ] [ Designated as safety issue: No ]

Estimated Enrollment:	12
Study Start Date:	September 2006
Estimated Study Completion Date:	December 2008
Primary Completion Date:	April 2008 (Final data collection date for primary outcome measure)

Intervention Details:

Antidepressant medication, prescribed at discretion of psychiatrist

Regular care visits from health workers

Detailed Description:

Individuals at the South Cove Manor nursing home will be referred to this study if they are experiencing depression. After meeting with the Principal Investigator (a psychiatrist), he will collaborate with the primary care physician and the nursing home staff to establish a treatment plan for the patient. Videoconferencing will be used by the P.I. for regular psychiatric visits with the patient as well as meetings with the nursing home staff to coordinate care for the patient. After collaboration between the two groups, treatment suggestions will be given to the patient's PCP to implement in the primary care setting. The patient's symptomology, mood, satisfaction of life and side effects of medication will be recorded regularly to measure the effects of treatment for analysis.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Clinical diagnosis of Major Depressive Disorder
Patient at South Cove Manor Nursing Home
Referred by nursing staff for psychiatric consultation

Exclusion Criteria:

Not competent to participate in psychiatric interviews

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00505518

Locations

United States, Massachusetts
Depression and Clinical Research Program at Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
South Cove Manor
Boston, Massachusetts, United States, 02118

Sponsors and Collaborators

Massachusetts General Hospital

Investigators

Principal Investigator:

Albert Yeung, S., M.D.

Massachusetts General Hospital

More Information

Additional Information:

Depression Clinical and Research Program This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party:	Massachusetts General Hospital ( Albert Yeung, Principal Investigator )
Study ID Numbers:	2006-P-001508
Study First Received:	July 19, 2007
Last Updated:	May 23, 2008
ClinicalTrials.gov Identifier:	NCT00505518 History of Changes
Health Authority:	United States: Institutional Review Board

Keywords provided by Massachusetts General Hospital:

Major Depressive Disorder
Telepsychiatry
Chinese American
Nursing Home

Study placed in the following topic categories:

Depression
Mental Disorders
Mood Disorders
Depressive Disorder, Major

Depressive Disorder
Antidepressive Agents
Behavioral Symptoms

Additional relevant MeSH terms:

Pathologic Processes
Disease
Depression
Mental Disorders

Mood Disorders
Depressive Disorder, Major
Depressive Disorder
Behavioral Symptoms

ClinicalTrials.gov processed this record on September 11, 2009