Trial Outcomes & Findings for Telepsychology-Service Delivery for Depressed Elderly Veterans (NCT NCT00324701)

Last Updated: 2015-04-24

Results Overview

The Geriatric Depression Scale (GDS) is a 30-item self-report assessment designed specifically to identify depression in the elderly. Participants are asked to respond by answering yes or no in reference to how they felt over the past week. Higher scores indicate more severe depression.

Recruitment status

COMPLETED

Study phase

Target enrollment

241 participants

Primary outcome timeframe

8 week & 12 months

Results posted on

2015-04-24

Participant Flow

Participant milestones

Participant milestones
Measure	Telepsychology therapy done at patients house using in-home video conferencing technology	Face-to-face Therapy therapy delivered at the VAMC in the same room as the therapist
Overall Study STARTED	120	121
Overall Study Week 8 Assessment	108	107
Overall Study COMPLETED	100	104
Overall Study NOT COMPLETED	20	17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Telepsychology-Service Delivery for Depressed Elderly Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Telepsychology n=120 Participants therapy done at patients house using in-home video conferencing technology	Face-to-face Therapy n=121 Participants therapy delivered at the VAMC in the same room as the therapist	Total n=241 Participants Total of all reporting groups
Age, Continuous	63.5 years STANDARD_DEVIATION 4.4 • n=99 Participants	64.2 years STANDARD_DEVIATION 5.6 • n=107 Participants	63.9 years STANDARD_DEVIATION 5.1 • n=206 Participants
Sex: Female, Male Female	4 Participants n=99 Participants	2 Participants n=107 Participants	6 Participants n=206 Participants
Sex: Female, Male Male	116 Participants n=99 Participants	119 Participants n=107 Participants	235 Participants n=206 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=99 Participants	0 Participants n=107 Participants	0 Participants n=206 Participants
Race (NIH/OMB) Asian	0 Participants n=99 Participants	0 Participants n=107 Participants	0 Participants n=206 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=99 Participants	0 Participants n=107 Participants	0 Participants n=206 Participants
Race (NIH/OMB) Black or African American	49 Participants n=99 Participants	45 Participants n=107 Participants	94 Participants n=206 Participants
Race (NIH/OMB) White	68 Participants n=99 Participants	75 Participants n=107 Participants	143 Participants n=206 Participants
Race (NIH/OMB) More than one race	0 Participants n=99 Participants	0 Participants n=107 Participants	0 Participants n=206 Participants
Race (NIH/OMB) Unknown or Not Reported	3 Participants n=99 Participants	1 Participants n=107 Participants	4 Participants n=206 Participants
Education	13.5 years STANDARD_DEVIATION 2.3 • n=99 Participants	13.8 years STANDARD_DEVIATION 2.9 • n=107 Participants	13.7 years STANDARD_DEVIATION 2.6 • n=206 Participants
Income $0 - < $15,000	25 participants n=99 Participants	24 participants n=107 Participants	49 participants n=206 Participants
Income $15,000 - < $25,000	24 participants n=99 Participants	32 participants n=107 Participants	56 participants n=206 Participants
Income $25,000 - < $$50,000	49 participants n=99 Participants	44 participants n=107 Participants	93 participants n=206 Participants
Income $50,000 or more	20 participants n=99 Participants	20 participants n=107 Participants	40 participants n=206 Participants

PRIMARY outcome

Timeframe: 8 week & 12 months

Population: Participants completing 8 week and 12 month assessments.

Outcome measures

Outcome measures
Measure	Telepsychology n=108 Participants therapy done at patients house using in-home video conferencing technology	Face-to-face Therapy n=107 Participants therapy delivered at the VAMC in the same room as the therapist
At Least a 50% Improvement From Baseline to Post-treatment on the Geriatric Depression Scale (GDS) 8 weeks	17.6 % participants with treatment response Interval 11.6 to 23.6	22.4 % participants with treatment response Interval 15.8 to 29.1
At Least a 50% Improvement From Baseline to Post-treatment on the Geriatric Depression Scale (GDS) 12 months	22.0 % participants with treatment response Interval 15.2 to 28.8	20.2 % participants with treatment response Interval 13.7 to 26.7

SECONDARY outcome

Timeframe: 12 months

Population: Participants completing 12 month assessment

Structured clinical interview for the DSM-IV (SCID) administered by raters blind to subject condition. Structured interviews included psychiatric assessment for depression, PTSD, panic, generalized anxiety disorder (GAD) evaluated using the DSM-IV.

Outcome measures

Outcome measures
Measure	Telepsychology n=100 Participants therapy done at patients house using in-home video conferencing technology	Face-to-face Therapy n=104 Participants therapy delivered at the VAMC in the same room as the therapist
SCID: Structured Clinical Interview for the DSM-IV	50 % participants with treatment response Interval 41.8 to 58.2	44.2 % participants with treatment response Interval 36.2 to 52.2

Adverse Events

Telepsychology

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Face-to-face Therapy

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Leonard E. Egede, MD, MS

Ralph H. Johnson VAMC

Phone: 843-789-6670

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place