Project Name:
 Automated Virtual Follow-Up to Reduce Premature Treatment Discontinuation

Grant Number:
 U19MH092201 (Pilot study under MHRN II)

Principal Investigator:
Robert Penfold, PhD

Principal Investigator Contact Information:          
penfold.r@ghc.org

Funder
NIMH

Funding Period:
07/2017 – 06/2019

Abstract:
Recent developments in health informatics have created the potential for more efficient and more targeted outreach programs to address dropout from depression treatment.  First, electronic medical records databases allow real-time evaluation of patients who are "overdue" for prescription refills and follow-up visits.  Second, increasing use of standardized depression severity measures (such as the PHQ9), allow efficient identification of those at risk for unfavorable outcomes.  Third, increasing use of patient-provider online messaging will permit much more efficient outreach communication.  We are conducting a pilot study of a semi- automated outreach program for adult outpatients who appear to have dropped out of acute-phase depression treatment (either pharmacotherapy or psychotherapy). Participants with missed antidepressant refills or missed psychotherapy sessions are emailed a short questionnaire to ask about their intentions for treatment as well as a PHQ9, GAD2, and AUDIT-C. Feedback on patients’ answers is delivered immediately in a web-based format.

Participating Sites:                                       
Group Health Cooperative, Seattle, WA (Lead Site)
Kaiser Permanente Colorado, Denver, CO

Investigators:
Robert Penfold, PhD
Arne Beck, PhD

Major Goals:
Conduct a pilot study of a completely automated outreach program for adult outpatients who appear to have dropped out of acute-phase depression treatment (either pharmacotherapy or psychotherapy).

Description of study sample:
The study population will include up to 2400 adult patients in participating health systems who initiate medication or psychotherapy treatment for depression.   

Current Status:
This project began in July, 2017 and is currently in the planning phase for the intervention

Study Registration:
N/A – study hasn’t started yet

Publications:
N/A

Resources:
N/A

Lessons Learned:
N/A

What’s next?
N/A