Integrated Care for Older Adults With Major Depression and Physical Multimorbidity - The I-CONNECT

What this Trial Is About

Researchers are evaluating the I-CONNECT program, an integrated care model designed for older adults aged 65 and above who have major depression or bipolar disorder along with at least two chronic physical health conditions. This study aims to see if I-CONNECT can improve overall health and well-being, enhance patient experiences, reduce treatment burden, and improve how care is delivered compared to usual care. The research also explores how well the care model is implemented and its effects on healthcare use. Participants are randomly assigned to one of two groups. The I-CONNECT group receives personalized care coordination from a trained coordinator who works closely with their general practitioner, psychiatrist, pharmacist, and specialists to create a care plan, conduct medication reviews, support shared decision-making, and provide regular follow-up either by phone or in person. The control group continues with their usual medical and mental healthcare without this additional coordination or structured follow-up. The intervention lasts for 12 months, with flexible contacts based on patients' needs. During the study, participants complete questionnaires assessing mood, quality of life, care experience, and treatment burden at multiple time points, including baseline, 3, 6, and 12 months. Their healthcare use, such as emergency visits and hospital admissions, is tracked at 6 and 12 months. Researchers measure changes in physical and mental health using the SF-36 survey at baseline and 6 months. They also monitor how the care model is delivered and gather feedback from participants and providers to understand challenges and support for broader use. The total participation period is up to 12 months.

Integrated Care for Older Adults With Major Depression and Physical Multimorbidity - The I-CONNECT