Primary registry and trial identifying number |
ISRCTN 45842879 |
Date of registration in primary registry |
24 July 2012 |
Secondary identifying numbers |
HTA - Project: 10/57/43 CASPER Plus |
Source of monetary of material support |
National Institute of Health Research Health Technology Assessment (NIHR HTA) |
Primary sponsor |
University of York |
Contact for scientific and/or public queries |
Professor Simon Gilbody 01904 430000 (simon.gilbody@york.ac.uk) |
Public title |
The CASPER Plus study |
Scientific title |
Collaborative Care for Screen-Positive Elders with major depressive disorder |
Countries of recruitment |
UK |
Health condition(s) or problem(s) studied |
Depression in older people |
Intervention(s) |
Behavioural activation (BA) and medication management delivered in a collaborative care framework by a case manager liaising with general practitioners/health professionals/third sector, with supervision from a mental health specialist |
Key inclusion and exclusion criteria |
Inclusion criteria: Aged 65 years and over; screen positive to at least one of the Whooley questions and who, on further assessment with the MINI diagnostic tool and PHQ-9 questionnaire, have DSM-IV Major Depressive Disorder (MDD). See protocol paper |
Exclusion criteria: Known alcohol dependency (as recorded on GP records); any known co-morbidity that would in the GP’s opinion make entry to the trial inadvisable (for example, recent evidence of self-harm, known current thoughts of self-harm, significant cognitive impairment); other factors that would make an invitation to participate in the trial inappropriate (for example, recent bereavement, terminal illness); known to be experiencing psychotic symptoms (as recorded on GP records) |
Study type |
Randomised controlled trial |
Interventional |
Allocation: randomised |
Masking: none |
Primary purpose: prevention and/or improvement of symptoms |
Date of first recruitment |
15 September 2012 |
Target sample size |
450 |
Recruitment status |
Recruiting |
Primary outcome(s) |
Depression severity at 4 months (following intervention) by self-report using the Patient Health Questionnaire 9 (PHQ-9) on a continuous scale. We will also measure outcome at 12 and 18 months using the PHQ-9 to examine any sustained impact of the intervention |
Secondary outcome(s) |
Secondary outcomes include the SF-12 and GAD-7 at 4, 12 and 18 months. We will also collect data on somatic symptom severity using the PHQ-15, participant resilience using the CD-RISC2 and cost effectiveness including the EQ-5D, prescribed medication and health and social care use. See protocol paper for references |