COST-EFFECTIVE PRIMARY CARE PROGRAM FOR DEPRESSED WOMEN

Information

  • Research Project
  • 6186444
  • ApplicationId
    6186444
  • Core Project Number
    R01MH059368
  • Full Project Number
    5R01MH059368-02
  • Serial Number
    59368
  • FOA Number
  • Sub Project Id
  • Project Start Date
    9/1/1999 - 25 years ago
  • Project End Date
    8/31/2002 - 22 years ago
  • Program Officer Name
    GONZALES, JUNIUS J
  • Budget Start Date
    11/1/2000 - 24 years ago
  • Budget End Date
    8/31/2002 - 22 years ago
  • Fiscal Year
    2001
  • Support Year
    2
  • Suffix
  • Award Notice Date
    6/28/2001 - 23 years ago
Organizations

COST-EFFECTIVE PRIMARY CARE PROGRAM FOR DEPRESSED WOMEN

We propose a randomized trial of a multi-component intervention program to improve detection and management of depression among women in primary care. This study will be conducted in 3 public primary care clinics in deprived areas of Santiago, Chile. Using a two-stage screening process consecutive female attenders with current depressive disorders will be identified and invited to participate. Baseline assessment will include: symptom severity, diagnostic status, treatment history, medical and psychiatric co- morbidity and substance use, and functional status and disability. Consenting patients will be randomly assigned to usual care or to a comprehensive program with intensity of treatment adjusted according to symptom severity. For all patients in the intervention group the program will include a brief structured group program emphasizing education, behavioural activation and problem solving. Patients with more severe depression at the initial assessment will also be referred to the primary care physician to be evaluated for medication. All patients will be contacted for a formal assessment of treatment response after six weeks. Those with persistent depression will be referred to the primary care physician for evaluation. This evaluation will focus on initiating pharmacotherapy (for those not already receiving medication) or adjustments in existing pharmacotherapy. All patients, usual care and intervention, will complete blinded follow-up assessments at 1, 3 and 6 months after randomization. The assessments will include measurements of: symptom severity, functional status and disability, and health care utilization. These data will be used to answer the following questions: 1) Is delivery of organized depression treatment feasible in deprived public-sector primary care clinics? 2) Does the intervention program improve the clinical and functional outcome compared to usual care? 3) What are the incremental cost and cost-effectiveness of the intervention program compared to care as usual?

IC Name
NATIONAL INSTITUTE OF MENTAL HEALTH
  • Activity
    R01
  • Administering IC
    MH
  • Application Type
    5
  • Direct Cost Amount
  • Indirect Cost Amount
  • Total Cost
    50000
  • Sub Project Total Cost
  • ARRA Funded
  • CFDA Code
    242
  • Ed Inst. Type
  • Funding ICs
    NIMH:50000\
  • Funding Mechanism
  • Study Section
    SER
  • Study Section Name
    Services Research Review Committee
  • Organization Name
    UNIVERSITY OF CHILE
  • Organization Department
  • Organization DUNS
    980862122
  • Organization City
    SANTIAGO
  • Organization State
  • Organization Country
    CHILE
  • Organization Zip Code
    8330015
  • Organization District
    CHILE