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The current use of telepsychiatry, or psychiatric care using videoconferencing, is very limited. The present study investigates the use of this method with a depressed Chinese American population in a nursing home. It is believed that this population can benefit from telepsychiatric treatment when used in collaboration with the primary care they receive in the nursing home.
Individuals at the South Cove Manor nursing home will be referred to this study if they are experiencing depression. After meeting with the Principal Investigator (a psychiatrist), he will collaborate with the primary care physician and the nursing home staff to establish a treatment plan for the patient. Videoconferencing will be used by the P.I. for regular psychiatric visits with the patient as well as meetings with the nursing home staff to coordinate care for the patient. After collaboration between the two groups, treatment suggestions will be given to the patient's primary care physician (PCP) to implement in the primary care setting. The patient's symptomology, mood, satisfaction of life and side effects of medication will be recorded regularly to measure the effects of treatment for analysis.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychotropic medication (at discretion of psychiatrist) | Drug | Antidepressant medication, prescribed at discretion of psychiatrist | ||
| Collaborative psychiatric and primary medical care | Behavioral | Regular care visits from health workers |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Mean Scores on Clinical Global Impressions | Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome) | Baseline, 30 days or 60 days (length depended on clinical needs of patients) |
| Patient/Family Telepsychiatry Service Satisfaction Survey | Patients' (or their family members' for those who had severe cognitive deficits) satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied." | 30 days or 60 days (length depended on clinical needs of patients) |
| Nurse Telepsychiatry Services Satisfaction Questionnaire | The charge nurse's satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied." | 30 days or 60 days (length depended on clinical needs of patients) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Albert Yeung, S., M.D. | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Depression and Clinical Research Program at Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States | ||
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The study was conducted from September 2006 to November 2007 as a collaborative project between Massachusetts General Hospital and South Cove Manor Nursing Home, which is located in Boston's Chinatown.
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| ID | Title | Description |
|---|---|---|
| FG000 | Telepsychiatry Treatment | Patients in the telepsychiatry treatment group will videoconference the P.I. for regular psychiatric visits in addition to meeting with nursing home staff. Treatment suggestions will be provided to the patient's primary care physician to be implemented. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| South Cove Manor |
| Boston |
| Massachusetts |
| 02118 |
| United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Telepsychiatry Treatment | Patients in the telepsychiatry treatment group will videoconference the P.I. for regular psychiatric visits in addition to meeting with nursing home staff. Treatment suggestions will be provided to the patient's primary care physician to be implemented. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Mean Scores on Clinical Global Impressions | Minimum score - 1 (better outcome) Maximum score - 7 (worse outcome) | Posted | Mean | Standard Deviation | units on a scale | Baseline, 30 days or 60 days (length depended on clinical needs of patients) |
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| Primary | Patient/Family Telepsychiatry Service Satisfaction Survey | Patients' (or their family members' for those who had severe cognitive deficits) satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied." | Posted | Number | participants | 30 days or 60 days (length depended on clinical needs of patients) |
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| Primary | Nurse Telepsychiatry Services Satisfaction Questionnaire | The charge nurse's satisfaction with the telepsychiatry services were surveyed using a satisfaction questionnaire specifically designed for this study. The satisfaction questionnaire is a scale with three choices: "not satisfied", "satisfied", and "highly satisfied." | Posted | Number | Participants | 30 days or 60 days (length depended on clinical needs of patients) |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Telepsychiatry Treatment | Patients in the telepsychiatry treatment group will videoconference the P.I. for regular psychiatric visits in addition to meeting with nursing home staff. Treatment suggestions will be provided to the patient's primary care physician to be implemented. | 0 | 9 | 0 | 9 |
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Many subjects in the study suffered from dementia and psychotic symptoms, thus their responses may not be reliable.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Albert Yeung | Massachusetts General Hospital | 617-724-5138 | ayeung@partners.org |
| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
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| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Highly Satisfied |
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| Satisfied |
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| Not Satisfied |
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