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Trial record 1 of 1 for:    NCT01924715
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Evaluating the Cost Effectiveness of ISTDP: A Quasi Experimental Study (CEISTDP)

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ClinicalTrials.gov Identifier: NCT01924715
Recruitment Status : Completed
First Posted : August 16, 2013
Last Update Posted : August 16, 2013
Sponsor:
Information provided by (Responsible Party):
Nova Scotia Health Authority

Brief Summary:

Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.

Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.


Condition or disease Intervention/treatment
Anxiety Somatoform Disorders Personality Disorders Depression Psychotic Disorders Behavioral: ISTDP

Detailed Description:

Importance: Psychiatric and psychological disorders result in excess health care service use and costs. Brief psychotherapy methods may be effective across a broad range of mental disorders and could therefore result in healthcare cost reduction.

Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.

Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.

Setting: Treatments were provided at an urban University based psychotherapy service.

Participants: All cases from the province of Nova Scotia treated within the research time frame were included. 890 patients were included with a very broad range of psychiatric disorders including anxiety, mood, somatoform, personality and psychotic disorders. 192 referred but never see cases served as non randomized controls.

Intervention(s): ISTDP is an emotionally focused form of brief psychotherapy which has supportive, cognitive, experiential and primarily psychodynamic elements. In this setting the average length of treatment was 7.3 sessions and cost an estimated $500 dollars per treatment course.

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Study Type : Observational
Actual Enrollment : 1082 participants
Observational Model: Case Control
Time Perspective: Retrospective
Official Title: Evaluating the Cost Effectiveness of ISTDP: A Quasi Experimental Study
Study Start Date : January 2008
Actual Primary Completion Date : March 2009
Actual Study Completion Date : March 2009

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
ISTDP
Patients provided Intensive Short term Dynamic Psychotherapy
Behavioral: ISTDP
An emotion focused brief psychotherapy format.
Other Name: Intensive Short-term Dynamic Psychotherapy

Control Group
Patients referred for ISTDP but never seen for any reason



Primary Outcome Measures :
  1. Total Doctor and Hospital Costs [ Time Frame: 1 year pre versus 3 years post ]
    Total Physician and Hospital billings per patient


Secondary Outcome Measures :
  1. Hospital costs [ Time Frame: 1 year pre versus 3 years post ]
    Total Hospital costs per patient

  2. Hospital Days [ Time Frame: 1 year per versus 3 years post ]
    Hospital days per patient

  3. Doctor Visits [ Time Frame: 1 year pre versus 3 years post ]
    Doctor Costs per patient

  4. Doctor Costs [ Time Frame: 1 year pre versus 3 years post ]
    Doctor costs per patient



Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years to 90 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All Major DSM IV categories included including mood, anxiety, personality, somatoform, dissociative, eating and psychotic disorders
Criteria

Inclusion Criteria:

  • All patients referred for ISTDP treatment

Exclusion Criteria:

  • Patients not referred for ISTDP treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01924715


Locations
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Canada, Nova Scotia
Capital Health
Halifax, Nova Scotia, Canada, B3H 2E2
Sponsors and Collaborators
Nova Scotia Health Authority
Investigators
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Principal Investigator: Allan A Abbass, MD, FRCPC Nova Scotia Health Authority
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Nova Scotia Health Authority
ClinicalTrials.gov Identifier: NCT01924715    
Other Study ID Numbers: AA003
First Posted: August 16, 2013    Key Record Dates
Last Update Posted: August 16, 2013
Last Verified: July 2013
Keywords provided by Nova Scotia Health Authority:
somatoform disorder
psychotherapy
depression
anxiety
personality disorder
Additional relevant MeSH terms:
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Disease
Depression
Mental Disorders
Psychotic Disorders
Personality Disorders
Somatoform Disorders
Pathologic Processes
Behavioral Symptoms
Schizophrenia Spectrum and Other Psychotic Disorders