Disease management of depression and anxiety in primary care patients with diabetes, asthma and/or COPD.

Disease management of depression and anxiety (DiMaCoDeA) in primary care patients with diabetes mellitus, asthma and/or COPD.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON25921

Enrollment

320

Registered

2010-11-18

Start date

2011-01-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

depression, anxiety, diabetes, asthma, chronic obstructive pulmonary disease (COPD) depressie, angst, diabetes, astma, COPD

Interventions

The current study is a randomized control trial, with an intervention of one year and an additional one year follow up. Randomization will be at patient level. All eligible primary care patients with

2) Care as usual. Intervention group: Disease management for depression and anxiety. The patients in the disease management arm will receive stepped care program for depression and anxiety. After ea

Step 2: Coping with depression / anxiety course. The course takes approximately 10 weeks to complete and is given individually. Improved (PHQ-9 monitoring. Not improved --> step 3

Step 3: Extension of the course with an option for additional drug treatment. Monitoring phase: Each three months the patients are monitored using the PHQ

Eligibility

Inclusion criteria

Inclusion criteria: 1. Having diabetes, asthma and/or COPD in primary care; 2. Depressive symptoms or anxiety symptoms; 3. 18 years or older.

Exclusion criteria

Exclusion criteria: 1. Current treatment for depression and/or anxiety; 2. Major psychiatric problems (e.g. schizophrenia, suicidality, bipolar disorder); 3. Not being able to read or speak Dutch sufficiently; 4. Being younger than 18 years old.

Design outcomes

Primary

Measure	Time frame
1. Depressive symptoms (PHQ-9); 2. Anxiety symptoms (GAD-7).	—

Secondary

Measure	Time frame
1. Quality of life (SF-12, ADDQoL, CCQ); 2. Disease specific distress (PAID); 3. Health care costs (TiC-P, EuroQoL); 4. Self-management and life style behaviours (SDSCA, SQUASH, medication adherence); 5. Satisfaction (PEQD).	—

Contacts

Public ContactC.H. Stoop

Provincialeweg 44

c.stoop@pozob.nl+31 (0)40 2306945

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)