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COPE is a telephone-based eight week, self-help
program for people with mild to moderate depression. COPE can be offered
by managed care organizations, Employee Assistance Programs (EAPs),
or individual clinicians. COPE is also an effective,
standardized component of clinical trials for antidepressants,
for both pre and post-study treatment.
- COPE can be used before a trial to enrich the sample with
subjects unresponsive to effective psychotherapy.
- COPE can also be used as a post-study treatment to increase
recruitment and reduce dropouts, leading to more rapid completion
of trials. COPE can be used alone or to complement post-study
pharmacotherapy for depression.
- COPE simplifies the collection and management of study data.
COPE supplies you with timely reports to summarize study subject
status.
- COPE provides sponsors with immediate feedback and summary
data based on subjects' responses through faxed reports.
- COPE requires little staff time. Patients guide themselves
through the self-directed program.
- COPE helps bond patients to study sites, making long-term
follow up easier.
- Offering COPE as a value added program can help increase
the number of study subjects recruited over a given period of
time, since even subjects getting placebo will have access to
treatment after the study.
- COPE contributes to more consistent, reliable, and valid
patient evaluations: If your protocols include psychotherapy
for depression, COPE offers advantages of standardization and
provides three separate techniques. Each has been shown to be
effective when used independently:
- 1. Cognitive-Behavior Therapy (Constructive Thinking)
- 2. Assertive Communication
- 3. Pleasant Activities.
The COPE program was developed by John Greist,
MD (Madison, Wisconsin); Isaac Marks, MD (London, England); Lee
Baer PhD and Deborah Osgood-Hynes, PsyD (Boston, Massachusetts).
Healthcare Technology Systems (HTS), the developer
of COPE as a computer-administered tool, is the leader in providing
clinical IVR systems in health care settings. HTS is the only
company providing self-help programs using this sophisticated
technology. Our research in computer-based clinical programs has
spanned over 30 years.
- COPE provides assessments at baseline and at weeks 1, 2,
4, and 8. Reports can be e-mailed or faxed weekly, or after
completion of each assessment, as preferred.
- These periodic progress reports help enhance the study subject-site
relationship, provide monitoring and give you feedback on study
subjects' progress.
- All data are stored directly in an Oracle relational database,
and can be accessed at any time. Data sets can be delivered
at specified intervals and at the end of your project.
COPE links computer technology to an ordinary
telephone, using Interactive Voice Response (IVR) technology.
The program consists of personalized and interactive telephone
calls along with seven (7) easy-to-read guides. During the calls,
subjects record their thoughts and practice skills to help them
overcome their depressed mood. Study subjects can call the COPE
phone system 24 hours a day from any touch-tone phone in the United
States or Canada, via a toll-free number.
- 24-hour availability: Over 68% of calls to COPE are made
after 5:00 p.m. and before 9:00 a.m., or on weekends, times
when clinicians are not always available.
- Confidentiality is carefully protected through individual
ID numbers and self-selected passwords, and patient acceptance
of this method is high.
- Patient satisfaction: During a 12 week clinical study, over
three-fourths of the patients who completed COPE reported it
was helpful and easy to use (Journal of Clinical Psychiatry
59: 358-365, 1998).
1. How comfortable were you using COPE? 89% reported
very or somewhat comfortable.
2. How well could you describe how you felt? 79% reported
very or somewhat well.
3. How easy was it to answer COPE questions? 89% reported
very easy or easy.
4. How useful were the COPE guides? 85% reported very or somewhat
useful.
COPE is confidential, convenient, and simple
to use. It includes seven guides and unlimited toll-free access
to the COPE phone system for six months. COPE begins with a Starter
Packet to introduce the program and show individuals how to make
COPE telephone calls. The acute phase of COPE treatment lasts
eight weeks. The COPE ID entitles the subject to six full months
of access to the telephone system. A yearlong course of treatment
including continuation and maintenance phases is also available.
Our studies show that patients and study subjects
feel comfortable using the IVR system, find it easy to use, and
find the guides very helpful.
- 11 interactive telephone calls that can be repeated and customized
as often as they like over 6 months
- 7 easy-to-read guides
- Around-the-clock access to the sophisticated COPE telephone
system when they need it
- Technical assistance from a live operator if they have questions
about the system
If you have more questions or would like to order
COPE, please call us at 1-800-316-2414 or E-mail us at sales@healthtechsys.com.
We'll be glad to talk with you and submit a proposal for your
use of COPE.
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