FACE-PC: Family-Centered Care for Older Adults With Depression and Chronic Medical Conditions in Primary Care (FACE-PC)
Chronic Medical Conditions, Depression
About this trial
This is an interventional treatment trial for Chronic Medical Conditions
Eligibility Criteria
Inclusion Criteria for Patient:
- 60 years of age or older
- Receives primary care
- PHQ-9 score ≥ 5
- Must have at least one medical condition actively managed at the study site.
Inclusion Criteria for Family:
- Age 18 or older
- Identified as family by the patient
- Has a minimum of twice weekly total of 4 hour face-to face contact with the patient
- Is willing and available to participate in the study;
- Has access to internet.
Exclusion Criteria for Patient:
- Inability to understand screening and assessment questions
- Montreal Cognitive Assessment Scores <18
- Known diagnosis of a severe chronic mental illness such as schizophrenia
- Meeting the criteria for bipolar disorder or schizophrenia in PRIME-MD
- Deemed to be a danger to self or others that may require treatment outside a primary care setting.
Exclusion Criteria for Family:
- Institutionalized at the time of study.
Sites / Locations
- University of California San Francisco
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention group
Enhanced usual care group
FACE-PC comprises 3 weekly and 2 bi-weekly sessions (total 5 sessions), delivered by a bachelors' prepared nurse care manager (CM) over 8 weeks. Over the five sessions, the nurse care manager will (1) review the patient medical history and set health goals for depression and chronic condition with the dyad, (2) review all medication, the level of adherence, challenges and facilitating factors of adherence, (3) deliver brief behavioral activation therapy.
Participants in this group will receive a typical primary care enhanced with reporting of their depression status and their goal for medical condition to their PCP for 8 weeks. Upon enrolment, a research nurse will review the patient medical history and identify goals for depression and a chronic condition with the dyad.