Implementation Trial of Evidence Based Practices for Mood Disorders

Completed · Not applicable

Conditions studied: Bipolar Disorder, Treatment Resistant Depression

In brief

The objective of this Implementation Trial is to evaluate the implementation of evidence based practices for Bipolar Disorder and Treatment Resistant Depression in small rural Federally Qualified Health Centers. The evidence based practices chosen and adapted by Health Center providers and patients in consultation with clinical experts include: screening for and diagnosing Bipolar Disorder, prescribing mood stabilizers, on-line cognitive behavioral therapy, on-line peer support, collaborative care management and tele-psychiatry consultation. A quasi-experimental study design will be used, with each of the six participating Federally Qualified Health Centers choosing one implementation clinic and one control clinic. Implementation outcomes include: reach, adoption, implementation-fidelity and effectiveness. Providers and patients may choose to use all, any or none of the evidence based practices based on their needs and preferences. Data will be collected from chart review and patient surveys will be administered by an Interactive Voice Response telephone system.

Key facts

Study ID

NCT02150577

Run by

University of Arkansas

People needed

291

Starts

2014-05-01

Expected to finish

2017-11-01

Last updated by the study team

2017-12-08

Who can join

Age: 18 and older, up to 100. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Full sample - screening positive for depression Bipolar Disorder sample - screening positive for depression, screening positive for bipolar disorder, not currently in a manic state Treatment Resistant Depression - screening positive for depression, screening negative for bipolar disorder, currently prescribed an antidepressant by primary care provider

You may not qualify if…

• Full sample - none Bipolar Disorder sample - currently in a manic state Treatment Resistant Depression - none

Where it is running

• Mainline Health Systems Inc. — Eudora, Arkansas, United States
• Boston Mountain Rural Health Center — Huntsville, Arkansas, United States
• Lee County Cooperative Clinic — Marianna, Arkansas, United States
• ARcare — Melbourne, Arkansas, United States
• Jefferson Comprehensive Care System — Pine Bluff, Arkansas, United States
• East Arkansas Family Health Center — West Memphis, Arkansas, United States

Full record on ClinicalTrials.gov

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