An exploratory randomised trial of the effectiveness of a training intervention delivered to staff of a district nursing service in improving the knowledge and detection of common mental disorders in a mixed adult and older adult caseload
Not Applicable
Completed
- Conditions
- Mental and Behavioural Disorders
- Registration Number
- ISRCTN91170552
- Lead Sponsor
- Medical Research Council (MRC) (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 900
Inclusion Criteria
1. All consenting state qualified nursing staff will be included, home care staff (levels I & II) will be randomly selected
2. Patients on their caseloads aged over 18, who provide consent, will be included
Exclusion Criteria
For patients, diagnoses of: severe mental illness; current substance misuse disorder; moderate or severe organic brain disorder.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Changes in measures of case recognition utilising standard properties of diagnostic instruments will be compared between intervention and control groups pre- and post-intervention, and at 12 months. Included patients will complete Hospital Anxiety Depression Scale (Zigmond & Snaith, 1983)<br> those over 65 will additionally complete the Short Geriatric Depression Scale (15) (Sheik & Yesavage, 1986). Staff will concurrently complete a five-point measure of presence and severity of mental disorder for their patients. Staff knowledge and attitudes will be measured at baseline and at three and 12 month intervals using an adapted version of the Depression Attitude Questionnaire (Botega, Blizard, Wilkinson, Mann, 1992), and multiple choice questions based upon World Health Organisation (WHO) primary care mental health literature.
- Secondary Outcome Measures
Name Time Method ot provided at time of registration