Effects and costs of a combined screening and treatment program for elderly (aged 75 years and over) with depressive symptoms in general practice

Effects and costs of a combined screening and treatment program for elderly (aged 75 years and over) with depressive symptoms in general practice - Proactive management of depression in the elderly/PROMODE

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON30250

Enrollment

4000

Registered

2007-03-01

Start date

2007-03-01

Completion date

Unknown

Last updated

2024-06-18

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

Conditions

depressed mood depression depressive symptoms

Interventions

In the intervention practices elderly with depressive symptoms will be offered a stepped care treatment program, including 1) individual counselling by a community psychiatric nurse 2) psycho-educat

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria for screening: elderly aged 75 years and over enlisted in general practices. Inclusion criteria for treatment-offer: screen positive for depression (GDS-15 > 4).

Exclusion criteria

Exclusion criteria: Exclusion criteria for screening: terminal illness (life expectancy

Design outcomes

Primary

Measure	Time frame
The primary outcome is the difference in severity of depressive symptoms as measured with the Montgomery-Asberg Depression Rating Scale (MADRS) between 0 and 6 months in patients in the intervention arm versus usual care patients.	—

Secondary

Measure	Time frame
Secondary outcome measures (at 6 and 12 months) are differences in percentage of responders, quality of life, use of (in)formal home care, medical consumption, mortality and costs per quality adjusted life years (QALYs).	—

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)