Depression Attention for Women Now (The DAWN Study)
| Status: | Completed |
|---|---|
| Conditions: | Depression |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | November 2009 |
| End Date: | May 2015 |
Reducing Disparities and Improving Care for Depression in OB-GYN Clinics: Depression Attention for Women Now (The DAWN Study)
Major depressive disorder (MDD) is a common disabling illness that disproportionately
affects women, with prevalence rates two times those of men. In addition to suffering, MDD
has been shown to have a marked effect on social and vocational functioning, with increased
disability, lost productivity, and excess mortality. Women with MDD have an increased
prevalence of comorbid anxiety disorders and medical conditions.
Our model of care utilizes a social worker as a depression care manager (DCM) to support
both patients and physicians in optimizing care in the OB-GYN clinical setting. This
intervention will be compared to usual care for depression.
affects women, with prevalence rates two times those of men. In addition to suffering, MDD
has been shown to have a marked effect on social and vocational functioning, with increased
disability, lost productivity, and excess mortality. Women with MDD have an increased
prevalence of comorbid anxiety disorders and medical conditions.
Our model of care utilizes a social worker as a depression care manager (DCM) to support
both patients and physicians in optimizing care in the OB-GYN clinical setting. This
intervention will be compared to usual care for depression.
A large number of women receive their routine care in OB-GYN clinics, including a
disproportionate percentage of low-income and minority women. For many of these women,
OG-GYNs are the only provider they see on a regular basis. OB-GYNs take care of women across
their lifespan, addressing gynecologic, health care maintenance, pregnancy and primary care
concerns in their everyday practices. There are multiple aspects of OG-GYN care that are
uniquely suited for detection and treatment of depression, but there are also significant
barriers to such care that must be addressed.
In this randomized controlled trial, we are testing this depression care management program
for women attending two OB-GYN clinics in the University of Washington health care system.
Our research aims to test the hypothesis that a depression care management intervention,
integrated into the OB-GYN clinic setting, will improve treatment outcomes for depression,
functional outcomes, and satisfaction with depression care. The results of our research will
greatly impact clinical care by satisfying an unmet need for effective depression services
for women seen in OB-GYN clinical settings.
The study compares a depression care management intervention, delivered by a depression care
manager, to usual care for depression in the clinics. The primary aims of the study are to
evaluate, compared to usual care, a depression intervention consisting of enhanced
education, engagement, and depression care management (with a choice of antidepressant
medication monitoring and/or provision of brief psychotherapy).
disproportionate percentage of low-income and minority women. For many of these women,
OG-GYNs are the only provider they see on a regular basis. OB-GYNs take care of women across
their lifespan, addressing gynecologic, health care maintenance, pregnancy and primary care
concerns in their everyday practices. There are multiple aspects of OG-GYN care that are
uniquely suited for detection and treatment of depression, but there are also significant
barriers to such care that must be addressed.
In this randomized controlled trial, we are testing this depression care management program
for women attending two OB-GYN clinics in the University of Washington health care system.
Our research aims to test the hypothesis that a depression care management intervention,
integrated into the OB-GYN clinic setting, will improve treatment outcomes for depression,
functional outcomes, and satisfaction with depression care. The results of our research will
greatly impact clinical care by satisfying an unmet need for effective depression services
for women seen in OB-GYN clinical settings.
The study compares a depression care management intervention, delivered by a depression care
manager, to usual care for depression in the clinics. The primary aims of the study are to
evaluate, compared to usual care, a depression intervention consisting of enhanced
education, engagement, and depression care management (with a choice of antidepressant
medication monitoring and/or provision of brief psychotherapy).
Inclusion Criteria:
- PHQ-9 score ≥10 for Major Depressive Disorder (with 1 cardinal symptom) and/or ≥10
for Dysthymia (with 1 cardinal symptom)
- MINI confirmation of PHQ-9 diagnoses
- Access to a telephone
- English-speaking
Exclusion Criteria:
- High suicide risk (PHQ-9 response)
- ≥2 prior suicide attempts
- Lifetime history of schizophrenia or bipolar disorder (MINI response)
- Substance abuse/dependence within the previous 3 months (CAGE-AID)
- Current severe intimate partner violence
- Currently seeing a psychiatrist
We found this trial at
2
sites
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Seattle, Washington 98195
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