Depression
Conditions
Keywords
chronic or recurrent depression
Brief summary
The purpose is to test the effectiveness of an organized care program for chronic or recurrent depression. Using a two-arm design, the investigators will randomly assign 300 participants with chronic or recurrent depression to one of two conditions: continued usual care (UC); or an 18-month organized treatment program focused on outreach and engagement, including a weekly group self-management training program, monthly visits with a psychotherapist (in-person or by telephone), and optional one-on-one visits with a peer support specialist. All intervention components are intended as adjuncts to any existing depression treatment (usually antidepressant medication) provided by participants' regular providers.
Interventions
BEHAVIORALorganized care program for chronic or recurrent depression
Sponsors
Swedish Medical Center
Kaiser Permanente
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* all patients will meet criteria for recurrent major depression or dysthymia
Exclusion criteria
* bipolar disorder or psychotic disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the program's effectiveness, i.e., the effects of the intervention on patient outcomes (depressive symptoms, functional impairment, and disability/lost productivity) and process of care (self-efficacy and self-management behaviors) | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Examination of moderators of treatment response | 18 months |
| An estimate of the program's costs and effect on the costs of treatment for depression | 18 months |
Countries
United States
Outcome results
None listed