Treatment of Depressed Chronic Obstructive Pulmonary Disease Patients

Completed · Not applicable

Conditions studied: Pulmonary Disease, Chronic Obstructive, Major Depression

In brief

Approximately 20% of patients with chronic obstructive pulmonary disease (COPD) have major depression, a condition that contributes to suffering but also to poor treatment adherence leading to increased disability and morbidity. This study investigates the effectiveness of a care management intervention aimed at facilitating adherence to a treatment algorithm based on the Agency for Health Care Policy and Research (AHCPR) guidelines. The investigators hypothesize that this intervention, in comparison to usual care, will increase the prescription of adequate antidepressant treatment by physicians, enhance treatment adherence by patients, and reduce depressive symptoms, suicide ideation, and disability at a 28-week follow-up period.

Key facts

Study ID

NCT00151372

Run by

Weill Medical College of Cornell University

People needed

141

Starts

2002-03-01

Expected to finish

2008-07-01

Last updated by the study team

2010-01-11

Who can join

Age: 50 and older, up to 95. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Chronic obstructive pulmonary disease by American Thoracic Society criteria
• Major depression by DSM-IV criteria
• 17-item Hamilton score >14
• English speaking

You may not qualify if…

• Inability to give informed consent
• MiniMental score <24
• Aphasia
• Nursing home placement after discharge

Where it is running

• Helen Hayes Hospital — West Haverstraw, New York, United States
• Burke Rehabilitation Hospital — White Plains, New York, United States
• Weill Medical College of Cornell University — White Plains, New York, United States

Full record on ClinicalTrials.gov

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