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Phase 2 N=85 Randomized Single-blind Treatment

Telephone Administered Psychotherapy for the Treatment of Depression for Veterans in Rural Areas

Depressive Disorder · Depression

Enrolled (actual)
85
Serious AEs
0.0%
Results posted
Dec 2014
Primary outcome: Primary: Change in Severity of Depression Using Hamilton Depression Rating Scale — 20.83; 19.23; 16.71; 17.27 units on a scale — p==.001

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Telephone cognitive behavioral therapy (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
US Department of Veterans Affairs
Primary completion
Dec 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Severity of Depression Using Hamilton Depression Rating Scale
20.83; 19.23; 16.71; 17.27; 15.43; 17.00 =.001 sig
PRIMARY
Change in Severity of Depression Using the Patient Health Questionnaire-9
17.12; 17.39; 12.19; 14.35; 11.15; 12.90 <.0001 sig
PRIMARY
Number of Participants Meeting Criteria for Major Depressive Disorder
41; 44; 20; 29; 19; 23 <0.0001 sig
SECONDARY
Maintenance of Treatment Effect
11.25; 12.26 >0.37
SECONDARY
Maintenance of Treatment Effect
11.25; 12.26 >0.37
SECONDARY
Number of Participants Meeting Criteria for Major Depression Disorder at 6 Month Follow-up
16; 18 >0.37

Summary

The purpose of this study is to examine the efficacy of telephone-administered cognitive-behavioral therapy (T-CBT) in treating major depression among veterans served by community-based outpatient clinics (CBOCs) in the Veteran's Integrated Service Network (VISN) 21, which serves rural areas in Northern California and (VISN) 12, which serves rural areas surrounding the Hines, IL VA Hospital.

Eligibility Criteria

Inclusion Criteria

  • Has a DSM-IV diagnosis of Major Depressive Disorder as assessed using the MINI
  • Has a telephone
  • Able to speak and read English
  • At least 18 years of age
  • Able to give informed consent
  • Must be registered at a VA community-based, outpatient clinic (CBOC) at VA Eureka or VA Ukiah or VA Santa Rosa, or VA Manteno, or VA Elgin, or VA La Salle

Exclusion Criteria

  • Has a hearing, voice or visual impairment that would prevent participation in T-CBT
  • Meets criteria for dementia
  • Is diagnosed with Psychotic Disorder, Bipolar Disorder, substance abuse with clinical consensus, or current severe PTSD.
  • Is currently receiving psychotherapy or planning to receive psychotherapy during the 20-week treatment phase of the study
  • Has a history of suicide attempts or is at high risk for suicide.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00223652). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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