Shared Decision-Making for Elderly Depressed Primary Care Patients

Completed · Not applicable

Conditions studied: Depression

In brief

Shared decision-making (SDM), in contrast to traditional medical decision-making, involves a collaborative process where patients discuss personal values and preferences and clinicians provide information to arrive at an agreed upon treatment decision. The proposed study will evaluate the impact of a brief SDM nursing intervention among elderly, depressed primary care patient subjects in comparison to physician recommended Usual Care. The focus of the SDM intervention is to empower depressed patients and help them arrive at a treatment decision that can be successfully carried out.

Key facts

Study ID

NCT01031134

Run by

Weill Medical College of Cornell University

People needed

202

Starts

2010-04-01

Expected to finish

2016-04-01

Last updated by the study team

2017-06-16

Who can join

Age: 65 and older, up to 95. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age: 65 years and older;
• Medical outpatient presenting to Lincoln Hospital, Bronx NY, the New York City Health and Hospitals Corporation (HHC);
• Screen positive (PHQ-9 score>9 for depression, in addition to primary care physician recommendation for depression treatment.

You may not qualify if…

• Presence of significant alcohol or substance abuse, psychotic disorder, or bipolar disorder;
• High suicide risk, i.e. intent or plan to attempt suicide in near future;
• Current treatment with antidepressant medication or psychotherapy prior to index physician visit (with the exception of low doses of antidepressant medication for pain disorders);
• Cognitive impairment: MMSE score <20 or clinical diagnosis of dementia;
• Acute or severe medical illness, i.e., delirium, metastatic cancer, decompensated cardiac, liver, or kidney failure, major surgery, stroke or myocardial infarction during the three months prior to entry; or drugs often causing depression, e.g., steroids, reserpine, alpha-methyl-dopa, tamoxifen, vincristine;
• Aphasia interfering with communication.

Where it is running

• Lincoln Hospital - the New York City Health and Hospitals Corporation (HHC) — The Bronx, New York, United States
• Cornell Institute of Geriatric Psychiatry — White Plains, New York, United States

Full record on ClinicalTrials.gov

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