No registrations found.
ID
Source
Brief title
Health condition
Minor to moderately severe depression; Diabetes Mellitus Type 1 or Type 2
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcomes are depressive symptoms and diabetes-related distress.
Secondary outcome
Secondary outcomes are satisfaction with the program, perceived health status, self-care, glycaemic control, days in bed/absence from work, and mental health care consumption.
Background summary
Depression is common among people with diabetes, negatively affecting quality of life, treatment adherence and diabetes outcomes. For diabetes patients access to mental health services is limited and internet counseling is a potentailly effective way to provide psychosocial care to large groups of patients at low costs. In this study we aim to deliver a moderated web-based 12-weeks program to adults with minor to moderately severe depression, and test its efficacy and appreciation. The program is based on the succesful program Coping with Depression (‘In de put, uit de put’), that will be tailored to the needs of persons living with diabetes. The program is offered on an individual basis, with a weekly moderated group chat (forum). We propose a RCT in 180 patients (90/90), with measurements at baseline, 3 and 6 months after completion of the program. Primary outcomes are depressive symptoms and diabetes-related distress. Secondary outcomes are satisfaction with the program, perceived health status, self-care, glycaemic control, days in bed/absence from work, and mental health care consumption. Questionnaires are administered via the internet. Patients in the control condition receive care-as-usual, supplemented with minimal depression education. We hypothesize that the on-line intervention will prove to be significantly more effective in improving mood and reducing diabetes-related distress in diabetes patients with minor to moderately severe depression compared to the control condition, both at 3 and 6 month follow-up.
Study objective
The on-line intervention will prove to be significantly more effective in improving mood and reducing diabetes-related distress in diabetes patients with minor to moderately severe depression compared to the control condition (CAU, supplementend with information on depression) both at 3 and 6 month follow-up.
Intervention
A moderated web-based 12-weeks program to adults with minor to moderately severe depression. The program is based on the succesful program Coping with Depression (‘In de put, uit de put’), that will be tailored to the needs of persons living with diabetes.
Department of Medical Psychology,
Diabetes Psychology Research Group,
Van der Boechorststraat 7,
MF A-312
K.M.P. Bastelaar, van
Amsterdam 1081 BT
The Netherlands
+31 (0)20 4448352
k.vanbastelaar@vumc.nl
Department of Medical Psychology,
Diabetes Psychology Research Group,
Van der Boechorststraat 7,
MF A-312
K.M.P. Bastelaar, van
Amsterdam 1081 BT
The Netherlands
+31 (0)20 4448352
k.vanbastelaar@vumc.nl
Inclusion criteria
1. 18 – 75 years of age;
2. Type 1 or type 2 diabetes (diagnosed by physician);
3. Minor to moderate depression (CES-D>16);
4. Easy acces to the Internet.
Exclusion criteria
1. Loss of significant other < previous 6 months;
2. History of suicide attempts;
3. Insufficient Dutch language skills;
4. Visually too impaired to read;
5. Major depressive disorder;
6. Currently taking anti-depressant medication;
7. Co-morbid organic psychiatric disorder;
8. Alcohol or drug addiction.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL782 |
| NTR-old | NTR793 |
| Other | MEC : 2007/047 |
| ISRCTN | ISRCTN24874457 |