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Tablet-based support for older adults with severe mood disorders treated in an ambulatory geriatric psychiatry setting: protocol of a pilot study of the eCare@home system


- candidate number24116
- NTR NumberNTR5778
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR15-mrt-2016
- Secondary IDsNL50436.029.14, CWO-2014004, 2014.428  CCMO in ToetsingOnline, CWO GGZ inGeest, METc VU Medisch Centrum
- Public TitleTablet-based support for older adults with severe mood disorders treated in an ambulatory geriatric psychiatry setting: protocol of a pilot study of the eCare@home system
- Scientific TitleTablet-based support for older adults with severe mood disorders treated in an ambulatory geriatric psychiatry setting: protocol of a pilot study of the eCare@home system
- ACRONYMeCare@home (ECH)
- hypothesis
- Healt Condition(s) or Problem(s) studiedE-health, Mental health, Depression, Older adults
- Inclusion criteriaPatients who are eligible:
- are 60 years of age or older;
- are currently treated by GGZ inGeest for recurrent depression (minimally two former depressive episodes including the present episode) or bipolar disorder (as determined by the GGZ inGeest registration records);
- have been in treatment at GGZ inGeest for at least 6 months;
- have sufficient command of the Dutch language, both verbally and in writing;
- provide signed informed consent.
- Exclusion criteriaThere are no exclusion criteria for this pilot study
- mec approval receivedyes
- multicenter trialno
- randomisedno
- group[default]
- TypeSingle arm
- Studytypeintervention
- planned startdate 1-sep-2016
- planned closingdate1-mrt-2017
- Target number of participants50
- InterventionsECH is an Internet-based multi-user system that connects applications on different types of computers. It is an add-on to the existing treatment of older patients with recurrent depressive or bipolar disorder, which consists of a tablet computer application for the patients (the “HomeTab”) and a web-based clinician’s portal (“CP”). HomeTab is the tablet computer application that provides:
A personal mood-monitoring platform for patients to daily monitor certain aspects associated with their illness, psycho-educational resources on disease-management, medication and self-management activities, in the form of a wellness library, and, videoconferencing to facilitate easy access to a clinician. During the study period, the clinician will contact the patient at week 8 and at week 16 by videoconferencing, or sooner if necessary.
The CP of the ECH system is a web-based platform. Through it, the patient's self-reported mood, sleep and activity are visible to the clinician. Clinicians will be instructed to use these measures to prepare for face-to-face sessions, or during face-to-face sessions, to discuss salient patterns in tracked symptoms. In addition, the CP allows clinicians to push relevant psycho-educational material to the HomeTab.
- Primary outcomeSystem Acceptability
System Usability
Client Satisfaction
- Secondary outcomeIn our study, they are called 'other outcomes'
Technology use
Depressive symptoms
Manic symptoms
- Timepointsbaseline (T0)
week 8 (T1)
week 16 (T2)
- Trial web site
- statusplanned
- CONTACT FOR PUBLIC QUERIESDrs. Juliette van der Linden
- CONTACT for SCIENTIFIC QUERIES J. Schuurmans
- Sponsor/Initiator VU University Medical Center, Department of Psychiatry and GGZ Buitenamstel, EMGO Institute, VU University Medical Center, FPP and Clinical Psychology Departments,
- Funding
(Source(s) of Monetary or Material Support)
Ambient Assisted Living Joint Program (AAL)
- Publications
- Brief summaryStudies show that mood disorders show an unfavourable prognosis in late life, with a higher risk of relapse and chronicity than in younger populations. Elderly patients with these disorders face a number of challenges in terms of managing the disorder. The eCare@home (ECH) platform aims to optimize long-term face-to-face treatment for these patients using a user-friendly tablet computer. The platform is designed to 1) to improve patient’s awareness and knowledge of recurrent mood disorders and their treatment, 2) to promote self-management through a simple daily monitoring tool, and 3) to facilitate (online) contact about their treatment with clinicians. The study aims to assess system acceptability, system usability and client satisfaction of the ECH platform from the perspective of patients and their clinicians. If tablet-based support for this group is shown to be feasible, the implication is to design a large-scale process and outcome evaluation.
- Main changes (audit trail)
- RECORD15-mrt-2016 - 25-mei-2016


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