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Psychiatric Care Via Videoconferencing

U

University of Sao Paulo General Hospital

Status

Completed

Conditions

Depression

Treatments

Procedure: Online consultation
Procedure: Face-to-face consultation

Study type

Interventional

Funder types

Other

Identifiers

NCT01901315
IPQ-0782/11

Details and patient eligibility

About

The purpose of this project is to compare the effectiveness between face-to-face consultations and consultations via videoconferencing among patients treated in the Institute of Psychiatry (IPq).

Full description

Introduction: Within the emergence of the Internet and for the purposes of providing psychiatric services across distances, the provision of mental health service via video counseling has become a possible way of mental health service delivery. An appropriate systematization of the propaedeutic methods in psychiatry, according to the interactive resources of telemedicine, and a standardized assessment based on clinical records turn this method to a viable alternative for service delivery all over the world. The main benefit of video counseling is an increased access to care services. But, so far, there is still limited research regarding to the effectiveness of telepsychiatry in the management of mental illnesses.

Objective: To verify the applicability of psychiatric attendance via Interned-based videoconferencing, comparing various quality characteristics between this method and face-to-face attendance, on the basis of a one-year follow-up study with a randomized clinical trial (RCT) design.

Material and methods: 100 patients of the Institute of Psychiatry (IPq) between 18 to 55 years old with depressive disorders are randomly allocated to a control (monthly face-to-face consultation with the attending psychiatrist) or intervention group. The intervention group will have consultations with the attending psychiatrist through internet-based videoconference. For reasons of patient safety, consultations at baseline, and after 6 and 12 months will be realized in a face-to-face form for all patients. At baseline, and after 6 and 12 months mental health, satisfaction with treatment, therapeutic relationship, and medical compliance will be assessed. Depression will be assessed at baseline, and after 3, 6, 9 and 12 months.

Enrollment

107 patients

Sex

All

Ages

18 to 55 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • depressive disorder
  • between 18 to 55 years
  • broadband Internet access

Exclusion criteria

  • Hamilton Depression Rating Scale total score > 15
  • severe cognitive limitations

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

107 participants in 2 patient groups

Online consultation
Experimental group
Description:
Monthly video consultations with psychiatrist
Treatment:
Procedure: Online consultation
Face-to-face consultation
Experimental group
Description:
Monthly face-to-face consultations with psychiatrist
Treatment:
Procedure: Face-to-face consultation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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