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

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Psychotropic medication (at discretion of psychiatrist)
Collaborative psychiatric and primary medical care
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder focused on measuring Major Depressive Disorder, Telepsychiatry, Chinese American, Nursing Home

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Depression and Clinical Research Program at Massachusetts General Hospital
  • South Cove Manor

Outcomes

Primary Outcome Measures

Change in Mean Scores on Clinical Global Impressions
Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome)
Patient/Family Telepsychiatry Service Satisfaction Survey
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."
Nurse Telepsychiatry Services Satisfaction Questionnaire
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."

Secondary Outcome Measures

Full Information

First Posted
July 19, 2007
Last Updated
July 9, 2013
Sponsor
Massachusetts General Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00505518
Brief Title
Investigating the Effectiveness of Telepsychiatry for Treating Major Depression in a Chinese American Nursing Home
Official Title
Feasibility and Effectiveness of Telepsychiatry for Collaborative Management of Chinese Americans With Psychiatric Disorders in a Nursing Home
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Completed
Study Start Date
September 2006 (undefined)
Primary Completion Date
November 2007 (Actual)
Study Completion Date
November 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
Major Depressive Disorder, Telepsychiatry, Chinese American, Nursing Home

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Psychotropic medication (at discretion of psychiatrist)
Intervention Description
Antidepressant medication, prescribed at discretion of psychiatrist
Intervention Type
Behavioral
Intervention Name(s)
Collaborative psychiatric and primary medical care
Intervention Description
Regular care visits from health workers
Primary Outcome Measure Information:
Title
Change in Mean Scores on Clinical Global Impressions
Description
Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome)
Time Frame
Baseline, 30 days or 60 days (length depended on clinical needs of patients)
Title
Patient/Family Telepsychiatry Service Satisfaction Survey
Description
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."
Time Frame
30 days or 60 days (length depended on clinical needs of patients)
Title
Nurse Telepsychiatry Services Satisfaction Questionnaire
Description
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."
Time Frame
30 days or 60 days (length depended on clinical needs of patients)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Albert Yeung, S., M.D.
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Depression and Clinical Research Program at Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
South Cove Manor
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States

12. IPD Sharing Statement

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

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