Major Depression | A Family-based Primary Care Intervention to Enhance Older Men's Depression Care
Major Depression research study
What is the primary objective of this study?
Despite the public health importance of clinical depression, more than 50% of depressed adults receive inadequate or no treatment, with even higher rates of under-treatment in men and minorities. Family members and/or friends often assist older adults in their health care and may help overcome barriers to formal care, yet there is a lack of primary care-based interventions that mobilize family members and friends to improve depression treatment. In partnership with a community-based clinic, this research will address this scientific gap by developing and then testing the feasibility and acceptability of a family-based intervention that can be delivered pragmatically in a primary care setting serving large numbers of older minorities.
Who is eligible to participate?
Inclusion Criteria: - men, age 60 and above, English or Spanish speaking, significant depressive symptoms (i.e. PHQ > 15, have at least one criteria A symptom (depressed mood or anhedonia), depression-related functional impairment, have an adult family member willing to participate in the study Exclusion Criteria: - psychotic, demented, institutionalized
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Behavioral:Family-based depression interventionThe primary focus of our approach is on effectively engaging family members of depressed older men in the care of the patient. The interventionist (social worker) will 1) work jointly with a family member and older men to strengthen depression self-management and participation during primary care visits and 2) conduct a brief training module for primary care provider skills to strengthen their skills in working with family members.
Behavioral:Usual care plus educational materialsControl subjects will receive usual care in the clinic augmented by psychoeducation. Family members will be given standard psychoeducational materials on depression.
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
Family-based depression interventionThe family-focused component will consist of up to up to 10 joint (i.e. older man alone and/or with family members) sessions that will cover specific topics related to family support of men's depression care provided by a clinic-based social worker
Usual care plus educational materialsControl subjects will receive usual care in the clinic enhanced by a single depression psychoeducation session.
Start Date: November 1, 2015
Completed Date: December 31, 2016
Primary Outcome: Depressive symptoms
Study sponsors, principal investigator, and references
Principal Investigator: Ladson Hinton, MD
Lead Sponsor: University of California, Davis
Collaborator: University of Washington