Text Size

A Study of the Cost Effectiveness of Generalist Care Managers for Depression Treatment in Medicaid Recipients

This study has been completed.
Sponsor:
Collaborator:
Robert Wood Johnson Foundation
Information provided by:
University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT00373477
First received: September 6, 2006
Last updated: NA
Last verified: September 2006
History: No changes posted

September 6, 2006
September 6, 2006
July 2003
Not Provided
Baseline, 3 and 6-month Patient Health Questionnaire (PHQ9) scores
Same as current
No Changes Posted
Baseline and 6-month Short Form (SF)-12 scores, Medicaid claims data; patient perception of treatment by self-report; review of GCM case notes, physician and office staff time study; physician and office staff focus groups
Same as current
Not Provided
Not Provided
 
A Study of the Cost Effectiveness of Generalist Care Managers for Depression Treatment in Medicaid Recipients
A Randomized Trial of the Cost Effectiveness of Generalist Care Managers for the Treatment of Depression in Medicaid Recipients

This project will enable the investigators to conduct a randomized clinical trial to demonstrate the value of generalist care managers in the treatment of depression in Medicaid patients seen in primary health care practices. Depressed patients will be recruited at two primary care practices in Western North Carolina and randomly assigned to either generalist care management or usual care. Patients in each condition will be assessed at baseline and six months follow-up. Outcomes will include depressive symptoms, level of functioning, and cost-effectiveness measures.

Randomized trial among depressed Medicaid patients aged 18 years and older in 2 primary care practices in Western NC comparing an intervention with a GCM to usual care (UC) between July 2003 and February 2005. GCMs, already providing diabetes and asthma services, were further trained and given ongoing supervision to provide algorithm–based depression care to enhance guideline concordant treatment. GCMs provided elements of self-management, decision support, use of information systems, and core care management components.
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Major Depressive Disorder
Procedure: Generalist Care Manager vs Usual Care
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
300
February 2005
Not Provided

Inclusion Criteria:

  • scoring 10 or greater on PHQ-9 and primary care physician verification of major depression by clinical exam; and
  • willing to begin or continue antidepressant medication

Exclusion Criteria:

  • bipolar disorder, psychotic symptoms, or active suicidal ideation requiring psychiatric admission (
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00373477
03-fam/med-161, RWJF ID number: 048128
Not Provided
Not Provided
University of North Carolina
Robert Wood Johnson Foundation
Principal Investigator: Suzanne Landis, MD, MPH University of North Carolina
University of North Carolina, Chapel Hill
September 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP