Improving Depression Care for Elders: Coordinating Center (IMPACT)

University of California, Los Angeles (UCLA)

Status

Completed

Conditions

Major Depression

Both Major Depression and Dysthymic Disorder

Dysthymic Disorder

Treatments

Other: IMPACT

Study type

Interventional

Funder types

Other

Identifiers

NCT01561105

JAHF 98297

Details and patient eligibility

About

Purpose: To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment(IMPACT) collaborative care management program for late-life depression.

Full description

This study tested an organized method of delivering care for late life depression in primary care. Specifically, the investigators evaluated the effectiveness of this intervention as compared to 'care as usual'. The investigators studied the effect of the intervention on clinical outcomes such as depressive symptoms, functional status, health related quality of life. They also determined the cost-effectiveness of the intervention compared to care as usual.

Enrollment

1,801 patients

Sex

All

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Major depression or dysthymia as diagnosed by a structured diagnostic interview.
Patient plans to receive primary care at the study clinic for the next year.

Exclusion criteria

Age under 60.
Current symptoms or history of psychosis or mania as determined by structured diagnostic interview.
Cognitive impairment as defined by a score less than 23 on a Mini Mental Status Examination.
Terminal illness - defined as having a life expectancy of less than 6 months.
Active alcohol abuse as determined by a screening interview.
High suicide risk as determined by current plan for suicide or a history of more than 3 prior suicide attempts in the past 10 years.