Screening for Mental Health Concerns for at-Risk Community Living Chinese Seniors

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2007 by Mount Sinai Hospital, Canada.
Recruitment status was  Not yet recruiting
Sponsor:
Information provided by:
Mount Sinai Hospital, Canada
ClinicalTrials.gov Identifier:
NCT00433238
First received: February 7, 2007
Last updated: NA
Last verified: February 2007
History: No changes posted
  Purpose

The study is designed to answer the following research questions:

  1. Evaluate the acceptability of mental health screening and of the instruments used in a sample of community living Chinese seniors;
  2. Determine rates of mental health service utilization in individuals identified at screening as having psychological disturbance;
  3. Determine if identifying mental illness and informing participants of screening results and with treatment alternatives alters help-seeking pathways.

The study hypotheses are:

  1. This community sample of Chinese seniors will show a higher prevalence of psychological disturbance than their counterparts in the general population;
  2. Emotional well-being will be positively correlated with individuals' physical health and social support network.

Condition Intervention Phase
Major Depressive Disorder
Dementia
Behavioral: Participants will be screened for depression and cognitive impairment, then receive screening results.
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Screening
Official Title: Screening for Mental Health Concerns for at-Risk Community Living Chinese Seniors - a Feasibility Study

Resource links provided by NLM:


Further study details as provided by Mount Sinai Hospital, Canada:

Primary Outcome Measures:
  • Rate of help seeking in intervention group
  • Rate of confirmed psychiatric diagnoses in intervention group
  • Type of intervention received

Estimated Enrollment: 100
Study Start Date: March 2007
Detailed Description:

A convenience sample will be drawn from 6 Congregate Dining (CD) groups in the Chinese community. There are six groups of CD programs run by Yee Hong Centre for Geriatric Care run at different locations in the Greater Toronto Area. The screening will be offered on site at regular CD meetings to participants who have given informed, written consent. All participants will attend a private post-screening interview. Those who score above the threshold for depression and/or cognitive impairment, and who have not previously been diagnosed or treated for these conditions, will be randomly assigned to one of two groups: an intervention group and a usual care group. Participants in the intervention group will receive their screening results at the post-screening interviews and will also be provided with suggestions for possible follow-up. They will be given the option of receiving further psychiatric assessment at the Wellness Centre, or seeking care with their family physician and assisted to obtain further care, if desired. Participants in the intervention group will attend an appointment 3 months after receiving screening results and follow-up options during which the rate of help seeking, rate of confirmed psychiatric diagnoses and types of intervention received will be determined. Participants in the usual care group will not be given screening results at the post-screening interview but will instead attend an appointment 3 months post screening to receive their results and information about follow-up options.

The results of this research will: demonstrate whether community living Chinese elders are at greater risk of psychiatric disorders and demonstrate the need for screening in older Chinese adults living in the community; aid in the development of systematic and targeted community-based screening and outreach to at-risk members of the target population; and help determine if identification of mental health issues and education about treatment resources has any effect on help-seeking for those conditions.

  Eligibility

Ages Eligible for Study:   55 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • capable of providing informed consent
  • informed consent

Exclusion Criteria:

  • Individuals who are unable to fully understand the nature of the study, its possible risks and benefits and the consequences of providing or withholding consent, and who are, therefore, not capable of providing informed consent will be excluded from the study.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00433238

Contacts
Contact: K.C. Chan 416-291-3883 ext 225 kcchan@mtsinai.on.ca
Contact: Joel Sadavoy, M.D. 416-586-4800 ext 5262 jsadavoy@mtsinai.on.ca

Locations
Canada, Ontario
Wellness Centre Not yet recruiting
Toronto, Ontario, Canada, M1V5L6
Principal Investigator: K.C. Chan         
Sponsors and Collaborators
Mount Sinai Hospital, Canada
Investigators
Principal Investigator: Joel Sadavoy, M.D. Mt. Sinai Hospital, Toronto, Canada
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00433238     History of Changes
Other Study ID Numbers: WCMSH
Study First Received: February 7, 2007
Last Updated: February 7, 2007
Health Authority: Canada: Ethics Review Committee

Keywords provided by Mount Sinai Hospital, Canada:
elderly
Chinese
community living
measurement
depression
dementia
Geriatric Depression Scale
MiniCog

Additional relevant MeSH terms:
Dementia
Depressive Disorder
Depression
Depressive Disorder, Major
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Delirium, Dementia, Amnestic, Cognitive Disorders
Mental Disorders
Mood Disorders
Behavioral Symptoms

ClinicalTrials.gov processed this record on August 20, 2014