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Main
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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
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Register:
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Netherlands Trial Register |
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Last refreshed on:
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28 April 2013 |
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Main ID: |
NTR889 |
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Date of registration:
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07/02/2007 |
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Primary sponsor: |
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Public title:
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Effectiveness of a Breakthrough Collaborative aimed at the implementation of depression guidelines in primary and secondary care.
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Scientific title:
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Effectiveness of a Breakthrough Collaborative aimed at the implementation of depression guidelines in primary and secondary care. - Effectiveness of a Depression Breakthrough Collaborative |
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Date of first enrolment:
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1/9/2006 |
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Target sample size:
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585 |
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Recruitment status: |
pending |
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URL:
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http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=889 |
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Study type:
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intervention |
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Study design:
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Randomised: No; Masking: None; Control: Active; Group: Parallel; Type: -
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Countries of recruitment
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The Netherlands
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Contacts
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Name:
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G.
Franx |
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Address:
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Trimbos-institute
PO Box 725
3500 AS
Utrecht
The Netherlands |
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Telephone:
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+31 30-2959437 |
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Email:
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gfranx@trimbos.nl |
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Affiliation:
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Name:
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G.
Franx |
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Address:
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Trimbos-institute
PO Box 725
3500 AS
Utrecht
The Netherlands |
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Telephone:
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+31 30-2959437 |
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Email:
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gfranx@trimbos.nl |
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Affiliation:
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Key inclusion & exclusion criteria
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Inclusion criteria: 1. Aged 18-65;
2. Sufficient Dutch language skills.
Exclusion criteria: 1. Aged younger than 18 and older than 65;
2. Insufficient Dutch langauage skills
Age minimum:
Age maximum:
Gender:
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Health Condition(s) or Problem(s) studied
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Depression, Implementation, Guidelines
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Intervention(s)
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The intervention group receives depression care according to guidelines, the control group receives care as usual. Depression care according to guidelines concerns a series of effective interventions, in a specific order. According to this stepped care principle patients start at the lowest level of treatment from which effect can be expected in order to step up to a more intense level of treatment, when the first step has not generated the expected effect within a number of weeks. The levels of treatment consist of one of more of the following interventions: information, psycho-education, individual or group selfhelp course, running therapy, problem solving treatment or brief psychotherapeutic interventions, antidepressants, psychotherapy (cognititve therapy, cognitive behavioral therapy, interpersonal psychotherapy). Stepped care assumes that depression symptoms are being monitored. In the intervention group a Beck Depression Inventory will be administered every 6 weeks until the score is under 10.
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Primary Outcome(s)
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Outcomes are on the professional, organisational and on the patient level.
1. The primary outcome measure of professional performance is:
a. A reduction of antidepressants prescription for patients with non-severe depression (reduction of overtreatment);
2. The primary outcome measure of organisational performance is:
a. A reduction of the waiting time to specialised depression treatment for patients with severe or long term depression (reduction of undertreatment);
3. The primary outcome measures on the patient level are:
a. A reduction in depressive symptoms and an improvement in disability status (effectiveness).
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Secondary Outcome(s)
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Secondary measures are:
1. Professional performance: satisfaction with collaboration, patient education delivered;
2. Organisational level: monitoring system in use;
3. Patient level outcomes: care consumption, satisfaction with care.
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Secondary ID(s)
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ISRCTN99634826
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N/A
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Source(s) of Monetary Support
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ZON-MW, The Netherlands Organization for Health Research and Development, RVVZ
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