Investigating the Effectiveness of Telepsychiatry for Treating Major Depression in a Chinese American Nursing Home

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Albert Yeung, Massachusetts General Hospital
ClinicalTrials.gov Identifier:
NCT00505518
First received: July 19, 2007
Last updated: July 9, 2013
Last verified: July 2013
  Purpose

The current use of telepsychiatry, or psychiatric care using videoconferencing, is very limited. The present study investigates the use of this method with a depressed Chinese American population in a nursing home. It is believed that this population can benefit from telepsychiatric treatment when used in collaboration with the primary care they receive in the nursing home.


Condition Intervention
Major Depressive Disorder
Drug: Psychotropic medication (at discretion of psychiatrist)
Behavioral: Collaborative psychiatric and primary medical care

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Feasibility and Effectiveness of Telepsychiatry for Collaborative Management of Chinese Americans With Psychiatric Disorders in a Nursing Home

Resource links provided by NLM:


Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • Change in Mean Scores on Clinical Global Impressions [ Time Frame: Baseline, 30 days or 60 days (length depended on clinical needs of patients) ] [ Designated as safety issue: Yes ]
    Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome)

  • Patient/Family Telepsychiatry Service Satisfaction Survey [ Time Frame: 30 days or 60 days (length depended on clinical needs of patients) ] [ Designated as safety issue: No ]
    Patients' (or their family members' for those who had severe cognitive deficits) satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."

  • Nurse Telepsychiatry Services Satisfaction Questionnaire [ Time Frame: 30 days or 60 days (length depended on clinical needs of patients) ] [ Designated as safety issue: No ]
    The charge nurse's satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied."


Enrollment: 9
Study Start Date: September 2006
Study Completion Date: November 2007
Primary Completion Date: November 2007 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Psychotropic medication (at discretion of psychiatrist)
    Antidepressant medication, prescribed at discretion of psychiatrist
    Behavioral: Collaborative psychiatric and primary medical care
    Regular care visits from health workers
Detailed Description:

Individuals at the South Cove Manor nursing home will be referred to this study if they are experiencing depression. After meeting with the Principal Investigator (a psychiatrist), he will collaborate with the primary care physician and the nursing home staff to establish a treatment plan for the patient. Videoconferencing will be used by the P.I. for regular psychiatric visits with the patient as well as meetings with the nursing home staff to coordinate care for the patient. After collaboration between the two groups, treatment suggestions will be given to the patient's primary care physician (PCP) to implement in the primary care setting. The patient's symptomology, mood, satisfaction of life and side effects of medication will be recorded regularly to measure the effects of treatment for analysis.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of Major Depressive Disorder
  • Patient at South Cove Manor Nursing Home
  • Referred by nursing staff for psychiatric consultation

Exclusion Criteria:

  • Not competent to participate in psychiatric interviews
  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: NCT00505518

Locations
United States, Massachusetts
Depression and Clinical Research Program at Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
South Cove Manor
Boston, Massachusetts, United States, 02118
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
Principal Investigator: Albert Yeung, S., M.D. Massachusetts General Hospital
  More Information

Additional Information:
No publications provided

Responsible Party: Albert Yeung, Principal Investigator, Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT00505518     History of Changes
Other Study ID Numbers: 2006-P-001508
Study First Received: July 19, 2007
Results First Received: February 24, 2012
Last Updated: July 9, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Massachusetts General Hospital:
Major Depressive Disorder
Telepsychiatry
Chinese American
Nursing Home

Additional relevant MeSH terms:
Depressive Disorder
Depression
Depressive Disorder, Major
Mood Disorders
Mental Disorders
Behavioral Symptoms
Psychotropic Drugs
Central Nervous System Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on July 28, 2014