UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055797
Receipt number R000063765
Scientific Title Development of the collaborative care system for chronic kidney disease patients with depression: (2) Verification of the feasibility and usefulness of the care system.
Date of disclosure of the study information 2024/10/09
Last modified on 2024/10/09 19:01:39

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Basic information

Public title

Feasibility and usefulness of the collaborative care for chronic kidney disease patients with depression

Acronym

Collaborative care for CKD patients with depression

Scientific Title

Development of the collaborative care system for chronic kidney disease patients with depression: (2) Verification of the feasibility and usefulness of the care system.

Scientific Title:Acronym

Feasibility study of the collaborative care for CKD patients with depression

Region

Japan


Condition

Condition

Hemodialysis patients aged 20 years and older with depressive symptoms (Patient Health Questionnaire-2 greater than or equal to 3)

Classification by specialty

Nephrology Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In order to develop a multidisciplinary collaborative care (MDCC) system for haemodialysis patients with depression, this study aims to test the feasibility and usefulness of this care system by practising MDCC with care managers trained by the MDCC educational programme.

Basic objectives2

Others

Basic objectives -Others

This study aims to test the feasibility of multidisciplinary collaborative care for haemodialysis patients with depression

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

1. participation rate in the intervention (defined as 50% or more as valid)
2. survey completion rate (defined as 80% or more valid responses to the PHQ-9 at all survey time points)

Key secondary outcomes

1. PHQ-9 (self-rated depression scale) score
2. phosphorus adsorbent adherence rate (self-rated, 0-100%) score
3. inter-dialysis weight gain (>5.7% of dry weight)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

The MDCC intervention will be conducted at their own facility by care managers (healthcare professionals who work in dialysis facilities and are clinically involved with dialysis patients, such as nurses, clinical engineers, social workers, pharmacists, dietitians, or physicians) who have completed a distance learning program on mental health care for dialysis patients, The MDCC program includes (1) standard psychotherapy, primarily problem-solving therapy for depression, and (2) support for self-management (diet, fluids, medication adherence, etc.) associated with dialysis. In parallel with patient interventions, the care manager, along with care managers from several other facilities, meets once a month for 60 minutes with a psychiatrist or licensed psychologist skilled in liaison psychiatry to obtain advice on interventions. In addition to the conferences, the psychiatrist consults with the care managers as appropriate.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Hemodialysis patients aged 20 years and older with depressive symptoms (Patient Health Questionnaire-2 greater than or equal to 3)

Key exclusion criteria

1. terminal illness
2. severe hearing impairment
3. history of treatment for cardiovascular disorder (myocardial infarction, angina pectoris, stroke) in the past year
4. dementia
5. alcohol/substance use disorder
6. other patients under psychiatric treatment for psychiatric disorders
7. other patients deemed inappropriate as research subjects by the principal investigator

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Katsuji
Middle name
Last name Nishimura

Organization

Tokyo Women's Medical University

Division name

Department of Psychiatry

Zip code

162-8666

Address

8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan

TEL

+81-3-3353-8111

Email

nishimura.katsuji@twmu.ac.jp


Public contact

Name of contact person

1st name Katsuji
Middle name
Last name Nishimura

Organization

Tokyo Women's Medical University

Division name

Department of Psychiatry

Zip code

162-8666

Address

8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan

TEL

+81-3-3353-8111

Homepage URL


Email

nishimura.katsuji@twmu.ac.jp


Sponsor or person

Institute

Tokyo Women's Medical University

Institute

Department

Personal name

Katsuji Nishimura


Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board, Tokyo Women's Medical University

Address

8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan

Tel

+81-3-3353-8111

Email

rinri.bm@twmu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 10 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2024 Year 08 Month 20 Day

Date of IRB

2024 Year 08 Month 20 Day

Anticipated trial start date

2024 Year 08 Month 20 Day

Last follow-up date

2025 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 10 Month 09 Day

Last modified on

2024 Year 10 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063765