Telephone Administered Psychotherapy for the Treatment of Depression for Veterans in Rural Areas - Article Depression/depressive Disorders
Clinical Trial: Telephone Administered Psychotherapy for the Treatment of Depression for Veterans in Rural Areas
This study is not yet open for patient recruitment.
Verified by Department of Veterans Affairs September 2005
|Depressive Disorder |
| Behavior: Telephone-administered Cognitive-Behavioral Therapy (T-CBT) ||Phase I |
MedlinePlus related topics: Depression; Mental Health
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Factorial Assignment, Efficacy Study
Official Title: Tele-Mental Health Intervention to Improve Depression Outcomes in CBOCs
Secondary Outcomes: Maintenance of treatment gains at 6 month follow-up (week 48).
Expected Total Enrollment: 154
Study start: November 2005; Expected completion: November 2009
Last follow-up: May 2009
More that 20% of patients in primary care have depressive disorders. While primary care is the principal venue for treatment for depression, fewer than 25% of depressed patients receive adequate treatment for their depression. These outcomes can be worse when there are barriers to treatment such as living in a rural area. Several studies have found that given a choice, about two-thirds of depressed primary care patients prefer psychotherapy or counseling over antidepressant medication.
This is a controlled, randomized trial in which subjects meeting criteria for major depressive disorder (MDD) from primary care settings in VISN 21 including CBOCs will be randomly assigned to one of two conditions: 1) a 16-session manualized telephone administered cognitive behavioral therapy (T-CBT) delivered over 24 weeks or 2) a treatment-as-usual (TAU) condition. Telephone-administered cognitive behavioral therapy (T-CBT) is an intervention aimed at improving coping skills and social functioning. It is divided into two phases: 1) an initial treatment phase consisting of 12 weekly sessions aimed at reducing symptoms of depression, and 2) a booster phase in which 4 sessions are provided at increasingly greater intervals to target maintenance of treatment gains. T-CBT, administered by doctoral level psychologists, will be compared to a treatment-as-usual (TAU) condition that controls for the natural course of depression during the course of treatment.
- Has a DSM-IV diagnosis of Major Depressive Disorder as assessed using the SCID
- Has a telephone
- Able to speak and read English
- At least 18 years of age
- Able to give informed consent
- Has a hearing, voice or visual impairment that would prevent participation in T-CBT
- Meets criteria for dementia
- Is diagnosed with Psychotic Disorder, Bipolar Disorder, current PTSD or substance abuse
- Is currently receiving psychotherapy or planning to receive psychotherapy suring the 24-week treatment phase of the study
- Has a history of suicide attempts.
- Has initiated treatment with an antidepressant in the past 2 months prior to enrollment.
Location and Contact Information
San Francisco, San Francisco, California, 94121, United States
Claudine Catledge, MA (415) 221-4810 Ext. 4954 firstname.lastname@example.org
David C. Mohr, PhD, Principal Investigator
David C. Mohr, PhD, Principal Investigator, San Francisco
Last Updated: September 26, 2005
Record first received: September 20, 2005
ClinicalTrials.gov Identifier: NCT00223652
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-09-27
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