Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Telemedicine-Based Collaborative Care to Reduce Rural Disparities
Brief Summary: Across the country, Community Health Centers are participating in the Health Disparities Collaboratives sponsored by the Health Services Resources and Services Administration (HRSA). The Health Disparities Collaboratives integrate three complementary conceptual frameworks: 1) the Institute for Healthcare Improvement's (IHI) Breakthrough Series Model; 2) the Improvement Model (i.e., Plan-Do-Study-Act cycles); and 3) Wagner's Chronic Care Model. The Chronic Care model uses patient self-management, delivery system re-design, decision support, and clinical information systems to maximize the effectiveness of interactions between prepared proactive care teams and informed activated patients with chronic illnesses such as diabetes, asthma, and depression. The Chronic Care model for depression, also known as Collaborative Care, involves primary care providers working with a depression care team comprising non-physicians (e.g., nurses, pharmacists) and mental health specialists (e.g., psychiatrists). Practice-based collaborative care involves primary care providers working with an on-site depression care team. In contrast, telemedicine-based collaborative care involves primary care providers working with an off-site depression care team using telemedicine technologies. The purpose of this research project is to compare the effectiveness and cost effectiveness of practice-based and telemedicine-based collaborative care in Community Health Centers (without on-site mental health specialists) implementing the Health Disparities Collaborative for depression.


Options:
A: Arm Label: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Intervention Group; Type: EXPERIMENTAL; Interventions: Behavioral: Pharmaceutical care program for antidepressant treatment | Intervention Type: BEHAVIORAL; Name: Pharmaceutical care program for antidepressant treatment; Assigned to Arm(s): Intervention Group
B: Arm Label: Arm 1: Collaborative Care Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Collaborative Care Interventions | Arm Label: Arm 2: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Collaborative Care Interventions; Assigned to Arm(s): Arm 1: Collaborative Care Intervention
C: Arm Label: Telemedicine-Based Collaborative Care; Type: ACTIVE_COMPARATOR; Interventions: Other: Telemedicine-Based Collaborative Care | Arm Label: Practice Based Collaborative Care; Type: ACTIVE_COMPARATOR; Interventions: Other: Practice Based Collaborative Care | Intervention Type: OTHER; Name: Telemedicine-Based Collaborative Care; Assigned to Arm(s): Telemedicine-Based Collaborative Care | Intervention Type: OTHER; Name: Practice Based Collaborative Care; Assigned to Arm(s): Practice Based Collaborative Care
D: Arm Label: Arm 1: Depression Collaborative Care; Type: EXPERIMENTAL; Interventions: Other: Depression collaborative care model | Arm Label: Arm 2: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Depression collaborative care model; Assigned to Arm(s): Arm 1: Depression Collaborative Care

Answer: C