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Depression in chronically ill elderly.


- candidate number0
- NTR NumberNTR70
- ISRCTNISRCTN92331982
- Date ISRCTN created12-sep-2005
- date ISRCTN requested15-aug-2005
- Date Registered NTR21-jun-2005
- Secondary IDsZONMW registration number: 945-03-047 
- Public TitleDepression in chronically ill elderly.
- Scientific TitleA clinical-economic trial evaluating a minimal psychological intervention, administered by trained nurses, aimed at reducing levels of depression and increasing quality of life in chronically ill elderly people.
- ACRONYMDELTA (Depression in Elderly with Long-Term Afflictions)
- hypothesisMPI will reduce levels of depression and will increase their quality of life, while reducing health care-related costs in chronically ill elderly people with a depressed mood.
- Healt Condition(s) or Problem(s) studiedDepression, Diabetes Mellitus Type 2 (DM type II), Chronic Obstructive Pulmonary Disease (COPD), COPD
- Inclusion criteria1. Established diagnosis of Diabetes Mellitus Type II or COPD;
2. age 60 years and over;
3. community dwelling;
4. minor depression or mild and moderate categories of major depression according to MINI and Hamilton-criteria (DSM-IV), completed informed consent.
- Exclusion criteria1. Treatment with antidepressants;
2. severe category of major depression;
3. major psychiatric problems;
4. current psychosocial/psychiatric treatment;
5. serious cognitive problems (demential syndrome);
6. on waiting list for nursing home;
7. bedridden;
8. recent loss of spouse (< 3 months);
9. non Dutch-speaking.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 15-jul-2003
- planned closingdate15-nov-2006
- Target number of participants360
- InterventionsMinimal psychological intervention (MPI) vs care as usual.
- Primary outcomeBeck Depression Inventory (BDI) assessed at baseline and at 3, 6 and 12 months after inclusion,
cost-effectiveness and cost-utility assessed using cost-diaries and the EuroQol at baseline and at 3, 6, 9 and 12 months after inclusion.
- Secondary outcomeQuality of life (SF-36) assessed at baseline and at 3, 6 and 12 months after inclusion.
- TimepointsN/A
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESProf. Dr. J.Th.M. Eijk, van
- CONTACT for SCIENTIFIC QUERIESProf. Dr. J.Th.M. Eijk, van
- Sponsor/Initiator University Maastricht (UM), CAPHRI Research Institute
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryUsing a randomised clinical-economic trial, it will be examined whether or not a minimal psychological intervention can diminish reports of depression, reduce health care-related costs, and stabilise or improve the underlying health status in diabetes and COPD patients. Analysis according to “intention to treat” principle.
The intervention group receives MPI, that is based on principles of cognitive behavioural therapy and self-management. This intervention is administered by a trained nurse. In 2 to 10 meetings, patients learn how to deal with the consequences of chronic illness in daily life, by changing the patient’s cognitions and providing self-management support. The control group receives usual care.
- Main changes (audit trail)
- RECORD8-aug-2005 - 14-sep-2009


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