Effectiveness of Case Management Versus Case Management Plus Problem-solving Therapy to Treat Depression in Low-income Elders
NCT00540865 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 187
Last updated 2014-12-10
Summary
This study will compare the effectiveness of case management combined with problem-solving therapy (CM-PST) versus case management (CM) alone for assisting elderly people with depression.
Conditions
Interventions
- BEHAVIORAL
-
Problem-solving therapy (PST)
The premise of PST is that psychotherapies implicitly help people to become better managers of their lives, in effect, to become better at solving problems. Unlike Case Management (CM) that seeks to increase its clients' availability and utilization of resources, PST focuses on the patients themselves and helps them develop skills in identifying, prioritizing, and solving problems, and thereby creates a sense of empowerment. Although CM and PST have different theoretical premises, they both focus on the resolution of concrete problems promoting depression.
- BEHAVIORAL
-
Case management (CM)
Different types of CM exist, but all share the theme of helping individuals cope with their illnesses through linkage to social services, advocacy, rehabilitation, and ongoing support during recovery from illnesses. CM will consist of the following components: 1) socialization to treatment; 2) needs assessment; 3) psychoeducation about depression; 4) service planning; 5) linkage to social services; 6) help with access to health care; 7) advocacy; and 8) exploration of barriers that perpetuate unmet needs.
Sponsors & Collaborators
-
National Institute of Mental Health (NIMH)
collaborator NIH -
Weill Medical College of Cornell University
lead OTHER
Principal Investigators
-
George S. Alexopoulos, MD · Weill Medical College of Cornell University
-
Patricia A. Arean, PhD · University of California, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 60 Years
- Max Age
- 95 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-05-31
- Primary Completion
- 2013-07-31
- Completion
- 2013-10-31
Countries
- United States
Study Locations
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