RECRUITING

Collaborative Care for Treatment of Depression and Anxiety

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of this project is to evaluate the effectiveness of a collaborative care model for primary care patients at Kaiser Permanente Colorado (KPCO) with depression and/or anxiety. Collaborative care uses evidence-based short-term treatments delivered to patients over the phone. We will explore the use of cost-efficient automated processes for patient outreach and follow-up, such as care pools of patients and using patient portal messaging, risk-based results routing to providers, and electronic health record (EHR) tools for patient tracking and outcome assessment. Using a cluster randomized design, we will compare results between clinics that are offering collaborative care to those that are not.

Official Title

Collaborative Care for Treatment of Depression and Anxiety

Quick Facts

Study Start:2023-03-01
Study Completion:2025-03-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06556589

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:Yes
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * 18+
  2. * Current membership and active on patient portal
  3. * Depression Diagnosis in the prior year
  4. * Overdue for PHQ9 Screening based on the following criteria:
  5. * High Risk: Last PHQ9 screener was completed greater than 4 months ago AND total Score is greater than or equal 10 or item 9 is greater than 0.
  6. * Low Risk: Last PHQ9 screener was completed greater than 12 months ago AND Last PHQ9 Total Score is less than 10 and item 9 is equal to 0.
  7. * Anxiety diagnoses in the prior year
  8. * Has a baseline GAD7 in the same prior year; score = 10+ (\*Note: Provider referrals could be GAD7 score of 7 or higher)
  9. * No Behavioral Health (BH) engagement in the prior year
  10. * Patient is not in a Skilled Nursing Facility or Hospice
  11. * Patient has no record of psychiatric hospitalization in the last year
  12. * Patient does not need an interpreter (i.e., English speaking)
  13. * Primary care location is one of the intervention clinics
  1. * Psychosis
  2. * Dementia
  3. * Bipolar
  4. * Personality Disorders
  5. * Post Traumatic Stress Disorder (PTSD)
  6. * Obsessive Compulsive Disorder (OCD)
  7. * Panic Disorder
  8. * Cognitive Disorder

Contacts and Locations

Study Contact

Arne Beck, PhD
CONTACT
720-989-5181
Arne.Beck@kp.org
Erica Morse, MA
CONTACT
720-978-5214
Erica.F.Morse@kp.org

Study Locations (Sites)

Kaiser Permanente Colorado
Aurora, Colorado, 80011
United States

Collaborators and Investigators

Sponsor: Kaiser Permanente

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-03-01
Study Completion Date2025-03-31

Study Record Updates

Study Start Date2023-03-01
Study Completion Date2025-03-31

Terms related to this study

Keywords Provided by Researchers

  • Collaborative Care
  • Depression
  • Anxiety
  • Evaluation

Additional Relevant MeSH Terms

  • Depression
  • Anxiety