About this trial
The SUpporting Seniors Receiving Treatment And INtervention (SUSTAIN) program is a telephone-based clinical service designed to help identify and manage behavioral health issues among PACE/PACENET enrollees. The purpose of the current project is to a) explore moderators of treatment response among beneficiaries in the SUSTAIN Clinical Program and b) to evaluate the sustained clinical effects of the program.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 65 and older, males and females.
Participating in the SUSTAIN Clinical Program
For the 6 Month Outcome Research Evaluation, in addition to meeting criteria 1 and 2, willing to provide verbal informed consent to participate in the 6 Month Outcome Research Evaluation at the end of the acute phase of clinical care, usually at three months.
Disqualifiers
Not meeting the inclusion criteria listed above.
Trial population
PACE/PACENET beneficiaries who are participating in the PACE/PACENET SUSTAIN Clinical Program.
Trial design
Case-only
Other
Treatments tested in this trial
SUSTAIN Monitoring and Care Management
BehavioralProgram participants are offered clinical services based on symptom severity and clinical need. Follow-up Monitoring consists of up to 4 brief, structured assessments following the baseline clinical assessment. These follow-up contacts are conducted over the telephone by the HT/BHP and take place during the initial 12 weeks of pharmaceutical treatment. These brief interviews monitor symptoms, adherence, side effects, and response to treatment. Care Management incorporates the use of a BHP who has expertise in mental health assessment and is well versed in the delivery of algorithm-based management strategies. The BHP monitors and encourages patient acceptance and adherence to treatment recommendations through support, education, and motivational engagement.
Treatment groups
Trial outcomes
Primary outcomes
Veterans Rand - 12 Item Health Survey (VR-12)
A measure of physical and mental health functioning
Secondary outcomes
Patient Health Questionnaire - 9 item Scale (PHQ-9)
A measure of depression severity
Generalized Anxiety Disorder - 7 item Scale (GAD-7)
A measure of anxiety severity
Sponsors and contacts
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University of Pennsylvania
Lead sponsor
Magellan Health Services
Collaborator