Clinical trial NCT03945136: Implementation of Brief Dynamic Interpersonal Therapy at the VA
Official title: Implementation of Brief Dynamic Interpersonal Therapy at the VA
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Depression
Anxiety
Keywords: veterans
depression
anxiety
psychodynamic
psychotherapy
treatment
Lead sponsor: VA New York Harbor Healthcare System
Sponsor class: FED
First posted: 2019-05-10
Enrollment: 150
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Veterans that have received DIT treatment for clinically indicated depression and/or anxiety at VANYHHS (Manhattan) between 2012 to present.

Brief summary: The goal of the proposed project is to collect data from clinician files and the electronic medical record to describe the clinical implementation of Brief Dynamic Interpersonal Therapy (DIT), an individual psychotherapy for depression and anxiety, at the VA through psychology staff and trainees between 2012-present.

Detailed description: The goal of the proposed project is to collect data from clinician files and the electronic medical record to describe the clinical implementation of Brief Dynamic Interpersonal Therapy (DIT), an individual psychotherapy for depression and anxiety, at the VA through psychology staff and trainees between 2012-present. The study will collect data on patient characteristics (e.g. demographics, diagnoses, reasons for referral, etc.), attendance, and treatment outcome of depression, anxiety and psychosocial functioning to evaluate and describe the feasibility of implementing DIT at the VA.

Medical records of veterans who were provided with DIT treatment between 2012-present will be reviewed and data on patient characteristics (which will include demographic information, diagnoses, reasons for referral, etc.), treatment compliance, and treatment outcome as measured by changes in depression, anxiety, and psychosocial functioning during the treatment period and up to the present will be collected. The investigators estimate that approximately 100 Veterans have been offered and/or provided DIT since 2012 by psychology trainees and staff. This study will provide preliminary data on the feasibility of implementing DIT treatment at the VA. The first trial of DIT for MDD in the VHA is currently being conducted by the PI and the information from the retrospective chart review would help to provide additional data as part of a proposal for a larger scale RCT of DIT.

Eligibility criteria: Inclusion Criteria:

- receive DIT treatment at VANYHHS between 2012-present

Exclusion Criteria:

- was not referred for, or did not receive at least 1 DIT session at VANYHHS between 2012-present

Primary outcomes:
measure: Patient Health Questionnaire (PHQ-9)
timeFrame: Total score collected at each weekly session of DIT, up to 16 weeks.; Scale: 0-4: Minimal depression; 5-9: Mild depression; 10-14: Moderate Depression; 15-19: Moderately Severe Depression; 20-27: Severe Depression
measure: Generalized Anxiety Disorder Scale - 7 Item (GAD-7)
timeFrame: Total score collected at each weekly session of DIT, up to 16 weeks. Scale: 0-5: Mild Anxiety; 6-10: Moderate Anxiety; 11-15: Severe Anxiety
Secondary outcomes:
Other outcomes:
Locations:
city: New York
country: United States
facility: VA New York Harbor Healthcare System
state: New York
Study officials:
affiliation: VA New York Harbor Healthcare System
name: Cory K Chen, PhD
role: PRINCIPAL_INVESTIGATOR
References: