Effektivität Und Effizienz Von Behandlungspfaden für Patienten Mit Depressiven Erkrankungen: Stepped Care Als Ansatz für Ein Leitliniengerechtes Und Integriertes Versorgungsmanagement (SCM)

NCT01731717 NA COMPLETED

The main aim of the project is the implementation and evaluation of a stepped care model (SCM) for patients with depression with 6 treatment options of varying intensity and setting, including innovative technologies (e-mental health, telephone-based psychotherapy). Within this complex intervention, patients are treated by a multiprofessional network of health care providers in Hamburg, Germany. The study compares the SCM condition (intervention group) to a control group receiving treatment as usual (cluster randomization on the level of participating general practitioners). It is expected that the SCM condition will show better results regarding reduction of mental symptoms, improvement of quality of life, more efficient access to care and better cost-benefit ratio.

Details

Lead sponsor	Universitätsklinikum Hamburg-Eppendorf
Phase	NA
Status	COMPLETED
Enrolment	737
Start date	2012-09
Completion	2015-05

Conditions

• Depression

Interventions

• Active monitoring
• Bibliotherapy
• Online self-help
• Outpatient psychotherapy
• Psychiatric treatment
• Combined psychotherapy and psychopharmacological treatment
• Control group: treatment as usual

Primary outcomes

• Change in depression severity (PHQ-D-9) — Baseline, 3 months, 6 months, 12 months
  Change in patient-rated depression symptom severity: Patient Health Questionnaire 9, German version (PHQ-D-9; Löwe, Zipfel \& Herzog, 2002)

Countries

Germany