Diabetes-Depression Care-management Adoption Trial (DCAT)
Depression, Diabetes Mellitus
About this trial
This is an interventional health services research trial for Depression focused on measuring Depression screening, Depression monitoring, Chronic illness, Behavioral health, Care management, Automatic telephone assessment, Clinical decision support, Suicide alert
Eligibility Criteria
Inclusion Criteria:
- age equal to or greater than 18 years
- receiving primary care at DHS safety net clinics
- having a current diagnosis of type 2 diabetes mellitus (non-gestational).
- have a working telephone or cellular phone.
Exclusion Criteria:
- current suicidal ideation;
- inability to speak either English or Spanish;
- a score of 2 or greater on the CAGE (4M) alcohol assessment;
- having schizophrenia, schizoaffective disorder, manic-depressive, or needing lithium;
- and cognitive impairment precluding ability to give informed consent or participating in the intervention, i.e., Short Portable Mental Status Questionnaire(SPMSQ) score of 6 or more errors.
Provider and administrator inclusion criteria are: practicing or managing at one of the eight study sites; involved with diabetes or depression care
No specific exclusion criteria will be applied to providers and administrators.
Sites / Locations
- El Monte Comprehensive Health Center
- High Desert Comprehensive Health Center
- Long Beach Comprehensive Health Center
- H. Claude Hudson Comprehensive Health Center
- Roybal Comprehensive Health Center
- Olive View-UCLA Medical Center Diabetes Clinic
- Mid-Valley Comprehensive Health Center
- Harbor Comprehensive Health Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
No Intervention
No Intervention
Technology-supported care
Supported-Care
Usual Care
This arm consists of Clinic Resource Management (CRM) clinics and serves as our intervention arm where the tested technology is implemented. Our overarching aim in these comparisons is to assess the potential effects of technology-facilitated depression symptom monitoring, relapse prevention, and medication adjustments and to examine depression care receipt and symptom improvement, patient/provider acceptance, and cost.
This arm consists of CRM (Clinic Resource Management) clinics and serves as one of the two control arms in the study.
This arm consists of non-CRM (Clinic Resource Management) clinics and serves as one of the two control arms in the study.