Ignite Creation Date:
2024-05-06 @ 4:40 PM
Last Modification Date:
2024-10-26 @ 2:13 PM
Study NCT ID:
NCT05050227
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-02-09
First Post:
2021-09-09
Brief Title:
Improving Depression Management
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Improving Depression Management in Primary Care CDA 19-108
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
IDMPC
Brief Summary:
Depression is disabling and affects one in five Veterans VAs Primary Care-Mental health Integration PC-MHI enables specialists to support medication treatment in primary care but timely and sufficient access to psychotherapy is unattainable despite Veteran preference for psychotherapy This study aims to close the gap in psychotherapy access for VA primary care patients with depression by adapting and pilot testing PC-MHI collaborative care models to improve uptake of computerized cognitive behavioral therapy cCBT
Detailed Description:
Background VAs Primary Care-Mental Health Integration PC-MHI is rooted in evidence-based collaborative care models where care managers mental health specialists and primary care providers jointly treat depression in primary care While PC-MHI enabled specialists to support medication treatment in primary care timely and sufficient access to psychotherapy is unattainable Alternative therapy modalities are needed
SignificanceImpact Depression is disabling and affects one in five Veterans Psychotherapy is preferred by Veterans but fraught with multilevel barriers eg staff availability patient travel to clinic limited clinic hours Without enhancing existing PC-MHI models to enable better primary care patient access to effective psychotherapies Veteran engagement in depression treatment is unlikely to improve
Innovation This study aims to close the gap in psychotherapy access for VA primary care patients with depression by adapting PC-MHI collaborative care models to improve uptake of computerized cognitive behavioral therapy cCBT cCBT is accessible 247 via the internet and has effectively treated depression in more than 30 trials With modest specialist support it is non-inferior to face-to-face psychotherapy PC-MHI can facilitate Veteran uptake of cCBT using an evidence-based collaborative care model to provide the follow-up care management and mental health specialist back-up that characterizes the most effective cCBT trials
Specific AimsMethodology To pilot test the feasibility acceptability and potential effects of cCBT-enhanced collaborative care on Veterans depression symptoms and related outcomes in VA Greater Los Angeles Healthcare System A pilot randomized controlled trial RCT will be conducted to examine feasibility acceptability and potential effects on depression patient activation and health-related quality of life in VA primary care patients with depression receiving either 1 cCBT-enhanced collaborative care n37 or 2 usual care n37 in West Los Angeles VA from baseline to 3-months post-intervention
Next StepsImplementation Adapting PC-MHIs collaborative care model to incorporate cCBT can improve access to psychotherapy and engage the 400000 untreated Veterans with depression who prefer psychotherapy especially OIFOEFOND Veterans seeking care that is convenient
SignificanceImpact Depression is disabling and affects one in five Veterans Psychotherapy is preferred by Veterans but fraught with multilevel barriers eg staff availability patient travel to clinic limited clinic hours Without enhancing existing PC-MHI models to enable better primary care patient access to effective psychotherapies Veteran engagement in depression treatment is unlikely to improve
Innovation This study aims to close the gap in psychotherapy access for VA primary care patients with depression by adapting PC-MHI collaborative care models to improve uptake of computerized cognitive behavioral therapy cCBT cCBT is accessible 247 via the internet and has effectively treated depression in more than 30 trials With modest specialist support it is non-inferior to face-to-face psychotherapy PC-MHI can facilitate Veteran uptake of cCBT using an evidence-based collaborative care model to provide the follow-up care management and mental health specialist back-up that characterizes the most effective cCBT trials
Specific AimsMethodology To pilot test the feasibility acceptability and potential effects of cCBT-enhanced collaborative care on Veterans depression symptoms and related outcomes in VA Greater Los Angeles Healthcare System A pilot randomized controlled trial RCT will be conducted to examine feasibility acceptability and potential effects on depression patient activation and health-related quality of life in VA primary care patients with depression receiving either 1 cCBT-enhanced collaborative care n37 or 2 usual care n37 in West Los Angeles VA from baseline to 3-months post-intervention
Next StepsImplementation Adapting PC-MHIs collaborative care model to incorporate cCBT can improve access to psychotherapy and engage the 400000 untreated Veterans with depression who prefer psychotherapy especially OIFOEFOND Veterans seeking care that is convenient
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| IK2HX002867 | NIH | None | httpsreporternihgovquickSearchIK2HX002867 |