RecruitingNot ApplicableNCT07211750

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

Sponsor

KU Leuven

Enrollment

82 participants

Start Date

Oct 1, 2025

Study Type

INTERVENTIONAL

Conditions

Depression - Major Depressive Disorder Older Adults (65 Years and Older)Mood Disorders Multimorbidity Bipolar Integrated Care

Summary

The goal of this clinical trial is to learn if I-CONNECT (Integrated Care for Older Adults with Major Depression and Physical Multimorbidity) can improve the health and well-being of older adults with depression or bipolar disorder and at least two chronic physical conditions, such as diabetes or high blood pressure. It will also study if the care model improves how people experience their care, lowers treatment burden, and how well the program is delivered. Researchers will compare two groups: I-CONNECT group: participants receive care coordination, a personalized care plan, medication review, shared decision-making support, and regular follow-up from a care coordinator working with their GP, psychiatrist, pharmacist, and specialists. Usual care group: participants continue with their normal healthcare from their GP and psychiatrist. Participants will: Receive either I-CONNECT or usual care, depending on their group Complete questionnaires about their mood, quality of life, and care experience Have their healthcare use (emergency visits and hospitalizations) tracked during the study

Eligibility

Min Age: 65 Years

Plain Language Summary

Simplified for easier understanding

The I-CONNECT study tests a coordinated care approach for older adults who have both significant depression and multiple physical health conditions (like heart disease, diabetes, or arthritis). It aims to improve outcomes by better connecting psychiatric care with general medical care. **You may be eligible if...** - You are 65 or older - You have a clinical diagnosis of depression or bipolar disorder - You are currently receiving care from a psychiatrist - You have at least two ongoing physical health conditions - You live independently at home in the Leuven region (Belgium) - Both a GP and a psychiatrist are involved in your care **You may NOT be eligible if...** - You have severe cognitive impairment (e.g., advanced dementia) that prevents you from participating in assessments - You are unable to provide informed consent Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERintegrated care intervention tailored to the needs of older adults leaving at home with mood disorders and multimorbidity in Leuven

The six guiding principles are translated into practice through a structured six-step care model. Each step operationalizes one or more principles, ensuring that the model is consistently applied across patient trajectories. The program takes 12 months, with flexible contacts depending on patient's needs.