Bipolar Disorder |
Bipolar Disorder research study
What is the primary objective of this study?
This study will determine if a version of the chronic care model for individuals with mood disorders seen in small or solo practices can improve patient health.
Who is eligible to participate?
Inclusion Criteria: - Currently covered by Aetna's HMO or preferred provider products (for whom Aetna provides mental and medical inpatient, outpatient, and pharmacy benefits) for at least 6 months - Recent (past 6-month) hospitalization for an acute psychiatric or partial hospital unit with a manic or depressive episode and confirmation of mood disorder diagnosis in the medical record (presence of one inpatient or two outpatient ICD-9 codes: 296.1x—296.8x in previous 6 months) - Ability to speak and read English and provide informed consent - Current principal outpatient prescribing provider is a solo practitioner or in a practice with <=3 providers. Exclusion Criteria: - No active substance intoxication - No acute medical illness or dementia
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:Chronic Care Model for Mood DisordersThe mood disorders CCM intervention ("Life Goals Collaborative Care") consists of: (a) a web-based patient self-management skills enhancement (CCM-1), (b) enhanced information flow and continuity of care via a care manager (CCM-2), and (c) decision support, or situation-specific evidence-based clinical practice guideline recommendations for providers (CCM-3). The CCM will be implemented utilizing telephonic contact with patients and providers by an Aetna care managers.The care managers will also use the Life Goals web portal as a guide for each session.
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.
Educational ControlPatients will receive their usual care from providers at their clinic. They will also receive in the mail a self-guided workbook.
Chronic Care Model for Mood DisordersLife Goals Collaborative Care
Start Date: July 2014
Completed Date: January 2018
Primary Outcome: Quality of Life
Secondary Outcome: Improved Guideline-Concordant Care
Study sponsors, principal investigator, and references
Principal Investigator: Amy M Kilbourne, PhD, MPH
Lead Sponsor: University of Michigan
Collaborator: Agency for Healthcare Research and Quality (AHRQ)