Integrated Care Pathway for Youth Depression
NCT03428555 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2018-08-09
Summary
Major Depressive Disorder in adolescence is prevalent and debilitating. Our group aims to improve treatment response through the use of an Integrated Care Pathway (ICP) based on a high quality Clinical Practice Guideline and measurement-based care (MBC; where periodic symptom scale scores are used to make treatment decisions). We propose a controlled clinical trial comparing ICP to treatment-as-usual (TAU) across two sites.
Conditions
- ICP1
- Depression
- Adolescent Behavior
Interventions
- BEHAVIORAL
-
Integrated Care Pathway
The intervention is a integrated care pathway based on the NICE Clinical Practice Guidelines and measurement-based care in the form of a flow chart. Each decision point on the pathway is guided by results of self-report measures for depression (the Mood and Feelings Questionnaire), functional impairment (Columbia Impairment Scales) and family functioning (the McMaster Family Assessment Device). The results of these scales and protocol recommendations are fed back to the patients, families and clinicians in order to make further treatment decisions
- BEHAVIORAL
-
Treatment As Usual
Treatment As Usual represents what clinicians would typically do when presented with an adolescent with depression. There is no algorithm provided to guide clinical decision-making and no systematic measurement-based care.
Sponsors & Collaborators
-
Sunnybrook Health Sciences Centre
collaborator OTHER -
Centre for Addiction and Mental Health
lead OTHER
Principal Investigators
-
Peter Szatmari, MD · The Center for Addiction and Mental Health
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 14 Years
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-03-29
- Primary Completion
- 2019-08-29
- Completion
- 2020-02-21
Countries
- Canada
Study Locations
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