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An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces

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ClinicalTrials.gov Identifier: NCT03786328
Recruitment Status : Completed
First Posted : December 25, 2018
Last Update Posted : December 25, 2018
Sponsor:
Collaborator:
Spar Nord Foundation
Information provided by (Responsible Party):
Helle Østermark Sørensen, Aalborg Psychiatric Hospital

Brief Summary:

Depression and anxiety are prevalent mental disorders among the working population with potentially high personal and financial cost. The aim of the study is to test the applicability of an outreach collaborative model for early identification and treatment of clinical and sub-clinical mental disorders among Danish employees. applicability was examined by I) investigating the fractions of identified and treated clinical and subclinical cases, II) describing the distribution and characteristics of cases identified and III) investigating the effect of allocated treatment.

A longitudinal study design with four assessments over 16 months are applied. Six medium-large companies will be included, both public and private cooperations. Self-reporting questionnaires probing for psychopathology will be distributed to all employees in the six consecutively enrolled companies at the four time points. Employees meeting the screening criteria at T1 will be assessed diagnostically. Subjects diagnosed with a clinical mental disorder will be allocated to outpatient psychiatric treatment, and subjects with subclinical conditions will be allocated to preventive cognitive behavioural therapy. Follow-up is conducted 6 and 12 months after initiation of treatment.

Participation in the study is voluntary at all levels. Written informed consent will be obtained from participant selected for diagnostic interview and treatment.


Condition or disease Intervention/treatment Phase
Depression, Anxiety Behavioral: Standard Psychiatric Treatment Behavioral: Preventive Psychological Treatment Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 73 participants
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Screening
Official Title: An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces
Actual Study Start Date : April 1, 2008
Actual Primary Completion Date : August 31, 2013
Actual Study Completion Date : August 31, 2013

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Clinical cases of Mental Disorder
The group of individuals identified with a clinical mental disorder on the basis of the diagnostic interviews This group will be assigned to Standard Psychiatric Treatment
Behavioral: Standard Psychiatric Treatment
Standard psychiatric treatment is offered individuals identified with a clinical mental disorder. Treatment will follow golden standard treatment in the psychiatric clinic, meaning a combination of therapy and psychopharmacological treatment.

Subclinical cases of Mental Disorder
The group of individuals identified with a sub-clinical mental condition on the basis of the diagnostic interviews This group will be assigned to Preventive Psychological Treatment
Behavioral: Preventive Psychological Treatment
Preventive Psychological Treatment is offered individuals identified with a sub-clinical mental condition. Treatment consists of 8 sessions of cognitive-behavioural therapy.




Primary Outcome Measures :
  1. Change in Severity of Psychopathological symptoms [ Time Frame: Measured at baseline and 6 and 12 month follow-up ]
    The change in severity of psychopathological symptoms are measured with the Symptom Checklist 90, revised (SCL-90-R) that is a psychiatric self-report inventory with high reliability and validity to measure overall psychological distress and to detect changes.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

Individuals for the diagnostic interview and treatment are selected on the basis of their response to the SCL-90-R questionnaire.

Hence, individuals are included in diagnostic interview, if scores on the SCL90-R inventory one of the following criteria:

  • Global Severity Index score > 0.63 or
  • values of > 0.63 in two or more subscales or
  • values of > 0.63 in the Depression subscale

Exclusion criteria:

  • Individuals not meeting the above screening criteria will not participate in diagnostic interview and treatment

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Helle Østermark Sørensen, MHSc, Research Nurse, Aalborg Psychiatric Hospital
ClinicalTrials.gov Identifier: NCT03786328     History of Changes
Other Study ID Numbers: 2013-18
First Posted: December 25, 2018    Key Record Dates
Last Update Posted: December 25, 2018
Last Verified: December 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Helle Østermark Sørensen, Aalborg Psychiatric Hospital:
Early detection and treatment

Additional relevant MeSH terms:
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Mental Disorders
Psychotic Disorders
Schizophrenia Spectrum and Other Psychotic Disorders