A Randomised Controlled Trail on the Effectiveness of Screening and Brief Counselling (Problem-Solving Therapy) for Elderly Patients With Psychological Problems in Primary Care.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 299
- 试验地点
- 1
- 主要终点
- Health-related quality of life scores
研究概览
简要总结
The aim of this study was to determine whether screening followed by brief PSC provided by primary care doctors could improve the quality of life of elderly patients with unrecognized psychological problems in primary care. The following hypotheses were tested:
- Elderly patients screened positive of psychological problems had poorer health-related quality of life (HRQOL) than those who were screened negative.
- Primary care doctors could be trained to provide brief PST.
- Brief PST by a trained primary care doctor could improve the HRQOL of the elderly who were screened positive for psychological problems.
详细描述
Design & methods: A prospective single-blind randomised controlled trial (RCT) on 299 patients aged 60 or above without any known psychological diseases but screened positive for psychological problems by the Hospital Anxiety and Depression Scale (HADS). Subjects were randomised to problem-solving (PST) or video-viewing (placebo). All subjects continued with their usual care and were followed up by telephone at 6, 12, 26 and 52 weeks.Changes in SF-36 HRQOL scores, HADS scores and monthly consultation rates at 6, 12, 26 and 52 weeks within groups and between groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 60 or above
- •not known to have any psychological problem
- •HADS Depression score 6 or above, or Anxiety Score 3 or above
- •Written consent to study
排除标准
- •known psychological disease diagnosed by a registered doctor
- •history of taking any psychotropic drug prescribed by a registered doctor within the last year;
- •suicidal plan or strong suicidal thought;
- •psychotic symptom;
- •impairment in cognitive function; or
- •communication problem.
结局指标
主要结局
Health-related quality of life scores
时间窗: 6, 12, 26 and 52 weeks
次要结局
- Hospital Anxiety & Depression Scale scores(6, 12, 26 and 52 weeks)