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Completed

NCT Number: NCT01561105

Improving Depression Care for Elders: Coordinating Center

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

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Key information

Conditions

Major Depression Both Major Depression and Dysthymic Disorder Depressive Disorder Depressive Disorder, Major Dysthymic Disorder Mental Disorders Mood Disorders

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

impact

Other

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

Other names: Improving Mood-Promoting Access to Collaborative Treatment

Primary outcomes

  1. Severity of depression symptoms

    Severity measured by the 21-item Hopkins Symptom Checklist.

Secondary outcomes

  1. Functioning

    measured by the Sheehan Health-Related Functioning Index

Sponsors and collaborators

Lead sponsor

University of California, Los Angeles

Other

Collaborators

  • California HealthCare Foundation
  • Hogg Foundation
  • Robert Wood Johnson Foundation
  • The John A. Hartford Foundation

Registry information

Official study 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.

Acronym: IMPACT

Important dates

Study start
1999
Primary completion
2004
Study completion
2004
First posted
Mar 22, 2012
Registry last updated
Mar 28, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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