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NCT Number: NCT00505518

Investigating the Effectiveness of Telepsychiatry for Treating Major Depression in a Chinese American Nursing Home

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.

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Key information

Conditions

Major Depressive Disorder Depressive Disorder Depressive Disorder, Major Mental Disorders Mood Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Depression and Clinical Research Program at Massachusetts General Hospital, Boston, Massachusetts, United States

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About this study

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 primary care physician (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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Psychotropic medication (at discretion of psychiatrist)

Drug

Antidepressant medication, prescribed at discretion of psychiatrist

Collaborative psychiatric and primary medical care

Behavioral

Regular care visits from health workers

Primary outcomes

  1. Change in Mean Scores on Clinical Global Impressions

    Time frame: Baseline, 30 days or 60 days (length depended on clinical needs of patients)

    Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome)

  2. Patient/Family Telepsychiatry Service Satisfaction Survey

    Time frame: 30 days or 60 days (length depended on clinical needs of patients)

    Patients' (or their family members' for those who had severe cognitive deficits) satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."

  3. Nurse Telepsychiatry Services Satisfaction Questionnaire

    Time frame: 30 days or 60 days (length depended on clinical needs of patients)

    The charge nurse's satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Registry information

Official study title

Feasibility and Effectiveness of Telepsychiatry for Collaborative Management of Chinese Americans With Psychiatric Disorders in a Nursing Home

Important dates

Study start
2006
Primary completion
2007
Study completion
2007
First posted
Jul 23, 2007
Registry last updated
Sep 17, 2013

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

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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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