Self-help for those at risk of depression: The SHARD Trial
- Conditions
- Sub-threshold depression in people 65 years and olderMental and Behavioural DisordersDepressive episode
- Registration Number
- ISRCTN95270332
- Lead Sponsor
- niversity of York (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 332
Participants will be identified in primary care. Our target population will be older people (aged 65 and above) who screen-positive for depression on a two question brief depression screen (sometimes referred to as the 'Whooley' questions after their initial validation study), but who on further assessment do not fulfil criteria for DSM-IV Major Depressive Disorder (MDD), and therefore have sub-threshold depression.
Aged 65+ years and with a read code for any one of the following:
1. Depression
2. Anti-depressant medication
3. Ischemic heart disease (IHD)
4. Diabetes
5. Chronic obstructive pulmonary disease (COPD)
6. Arthritis
7. Carer
1. Not currently experiencing psychotic symptoms
2. No known alcohol dependency (as recorded on GP records)
3. No known significant cognitive impairment; unable to give informed consent (as recorded on GP records)
4. No known recent bereavement (as recorded on GP records)
5. No known terminal malignancy (as recorded on GP records)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Patient-reported depression severity (Patient Health Questionnaire 9 - PHQ-9) at 4 months and again at 12 months to examine any sustained impact of the intervention.
- Secondary Outcome Measures
Name Time Method <br> 1. Health-related quality of life (physical and mental component of the SF-12) at 4 months and 12 months<br> 2. Health-state utility (EQ-5D) at 4 months and 12 months<br>