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Efficacy of Telepsychiatry in the Treatment of Depression



Efficacy of Telepsychiatry in the Treatment of Depression

For Condition: Depression
Status: Completed
Sponsor(s): Department of Veterans Affairs , Department of Veterans Affairs Health Services Research and Development Service
Synopsis: Telepsychiatry is a novel means of providing expert psychiatric treatment to patients who live far from a source of care. If it can be demonstrated that treatment via telepsychiatry is as effective as "live," in-person treatment, then many individuals with psychiatric illness will have easy access to psychiatric care, even if they live in geographically remote areas. The major goal of this study is to demonstrate that treatment of depressive disorders via telepsychiatry is as effective as live treatment. In addition, this study will show that depressed patients are as compliant and as satisfied with telepsychiatry as with live treatment. Another goal is to demonstrate that telepsychiatry is less expensive than and as cost effective as live treatment. In this randomized controlled trial, veterans who present with depression to any of three VA Maryland Health Care facilities with a SCID-IV depression diagnosis and a Ham-D score of 16 or above are eligible for participation. Eligible veterans are randomized to either "live" treatment or "remote" treatment. Treatment occurs over six months and consists of psychotropic medication and psycho-education concerning the disease, medications, and side effects. The major outcome variables include changes in HAM-D depression ratings and BDI self-reported depression ratings.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: - Depression - Hamilton 16 or above - SCID-IV depression diagnosis
Total Enrollment: 121

Location and Contact Information:

VA Maryland Health Care System
Baltimore,  Maryland,  21201
United States
 


Additional Information:
Study ID Numbers:
  ACC 97-034; 
Study Start Date: October 1997
Record last reviewed: October 2000
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00012610

Other Depression Studies:
1. Sequenced Treatment Alternatives to Relieve Depression (STAR*D)

2. Treatment of Depression in Nursing Homes

3. Fluoxetine as a Quit Smoking Aid for Depression-Prone Smokers

4. Women's Use of Alternative Medicine: A Multiethnic Study

5. The Depression in Alzheimer's Disease Study (DIADS)

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Efficacy of Telepsychiatry in the Treatment of Depression

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