Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06556589
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-12
Brief Title:
Collaborative Care for Treatment of Depression and Anxiety
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Collaborative Care for Treatment of Depression and Anxiety
Status:
RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this project is to evaluate the effectiveness of a collaborative care model for primary care patients at Kaiser Permanente Colorado KPCO with depression andor anxiety Collaborative care uses evidence-based short-term treatments delivered to patients over the phone We will explore the use of cost-efficient automated processes for patient outreach and follow-up such as care pools of patients and using patient portal messaging risk-based results routing to providers and electronic health record EHR tools for patient tracking and outcome assessment Using a cluster randomized design we will compare results between clinics that are offering collaborative care to those that are not
Detailed Description:
We will answer the question does a collaborative care model in primary care clinics improve outcomes for patients with depression andor anxiety Specific components of the model include
Patient-centered team care - virtual care management to support patient outreach follow-up and navigation to appropriate care settings based on patient risk Shared care plans with primary care and behavioral health providers with a focus on patient preferences eg short-term therapy medications or both and fostering engagement in treatment
Population-based care - Automated workflows for population-based outreach with the Patient Health Questionnaire 9-item PHQ9 and Generalized Anxiety Disorder 7-item GAD7 questionnaires after diagnosis and treatment initiation for more accurate and comprehensive assessment of patient improvement This also includes automating risk-based routing of PHQ9 results to the collaborative care team to triage patients into the most appropriate care settings and developing similar automated risk-based routing procedures for GAD7 results
Measurement-based treatment to target - provide short-term psychotherapy andor pharmacotherapy with a focus on measuring treatment response with the PHQ9 andor GAD7 to guide treatment adjustments
Evidence-based care - provide short-term Problem-Solving Treatment-Primary Care PST-PC Behavioral Activation BA andor medications shown to be effective for patients in primary care settings These evidence-based interventions will include patient engagement strategies and be applicable to diverse patient populations
Accountable care - The collaborative care provider team will be accountable for quality of care and clinical outcomes for the patients they serve not just the volume of care provided
A cluster randomized design will be used to compare depression and anxiety outcomes for at least two randomly selected KPCO primary care clinics that implement collaborative care to those clinics that provide care as usual This design will allow us to study the effectiveness of the collaborative care model and its potential for dissemination across Kaiser Permanente regions
Patient-centered team care - virtual care management to support patient outreach follow-up and navigation to appropriate care settings based on patient risk Shared care plans with primary care and behavioral health providers with a focus on patient preferences eg short-term therapy medications or both and fostering engagement in treatment
Population-based care - Automated workflows for population-based outreach with the Patient Health Questionnaire 9-item PHQ9 and Generalized Anxiety Disorder 7-item GAD7 questionnaires after diagnosis and treatment initiation for more accurate and comprehensive assessment of patient improvement This also includes automating risk-based routing of PHQ9 results to the collaborative care team to triage patients into the most appropriate care settings and developing similar automated risk-based routing procedures for GAD7 results
Measurement-based treatment to target - provide short-term psychotherapy andor pharmacotherapy with a focus on measuring treatment response with the PHQ9 andor GAD7 to guide treatment adjustments
Evidence-based care - provide short-term Problem-Solving Treatment-Primary Care PST-PC Behavioral Activation BA andor medications shown to be effective for patients in primary care settings These evidence-based interventions will include patient engagement strategies and be applicable to diverse patient populations
Accountable care - The collaborative care provider team will be accountable for quality of care and clinical outcomes for the patients they serve not just the volume of care provided
A cluster randomized design will be used to compare depression and anxiety outcomes for at least two randomly selected KPCO primary care clinics that implement collaborative care to those clinics that provide care as usual This design will allow us to study the effectiveness of the collaborative care model and its potential for dissemination across Kaiser Permanente regions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None