Physician Led Counseling in Management of Depression in Type 2 Diabetes Mellitus

Adwin Life Care

Status: Completed

Conditions: Type 2 Diabetes Mellitus; Depression

Treatments: Behavioral: Physician Supported Care; Other: Usual care

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT02185482

Adwin112

Details and patient eligibility

About

There is a high prevalence of depression in patients with diabetes mellitus. Depression has been shown to be associated with poor self-management (adherence to diet, exercise, checking blood glucose levels) levels in patients with diabetes.To determine whether enhancing quality physician's care for depression improves both depression and diabetes outcomes in patients with depression and diabetes.

Enrollment: 150 patients

Sex: All

Ages: 35 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Eligible patients are ambulatory,
• Had adequate hearing to complete a telephone interview,
• Diabetic patients screened for depression

Exclusion criteria

• Currently in care with a psychiatrist;
• Diagnosis of bipolar disorder or schizophrenia;
• Use of antipsychotic or mood stabilizer medication
• Mental confusion on interview, suggesting significant dementia.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 2 patient groups

Physician Supported Care

Experimental group

Description:

The intervention is an individualized, stepped-care depression treatment program provided by a depression clinical specialist primary care physician.

Treatment:

Behavioral: Physician Supported Care

Usual care

Other group

Description:

Usual care patients will be advised to consult with their primary care physician regarding depression. Primary care physicians prescribe antidepressant medication and can refer patients to the Mental Health Services.

Treatment:

Other: Usual care