Evaluation of the effectiveness of the Enhanced Management of home-Based Elders with Depression (EMBED) program in reducing depression among older adults receiving in-home aged care.

Not Applicable

• Conditions: Depression; Anxiety; Mental Health - Depression; Mental Health - Anxiety

• Registration Number: ACTRN12623001345673
• Lead Sponsor: Silverchain

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-12-20
• Last Update Posted: 15 January 2024

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 1050

Inclusion Criteria

.65 years of age or older.

Silverchain CHSP (Commonwealth home support programme) or HCP (Home care package) client.

Receipt of personal care, social, allied health or nursing services from Silverchain.

Current depressive symptoms: Participants with depressive symptoms are identified in two steps: (i) screening using the first two items of the PHQ-9 (also known as the PHQ-2 screening tool) - a score of 2 or more is required: and (ii) administration of the full PHQ-9 - a score of 5 or more is required.

Exclusion Criteria

Receiving only domestic support or gardening services as part of their CHSP or HCP service

Current receipt of psychological therapy for low mood or depression outside of the trial (i.e., current treatment by a psychological practitioner such as psychologist, counsellor, or other health care professional)

Moderate or severe cognitive impairment (A score of 18 or lower on the Telephone Administered Mini Mental State Examination (TMMSE), and/or presence of a diagnosis of cognitive impairment or dementia on the care record).

Severe acute medical illness likely to complicate participation in the trial.

Insufficient proficiency in English to take part in the trial.

Difficulty communicating over the telephone and/or video call

Diagnosis of one or more of the following psychiatric conditions: Schizophrenia or other psychotic disorder, bipolar disorder, alcohol or substance use disorder

Presence of severe suicidal ideation (classified as high risk on the Columbia-Suicide Severity Rating Scale, with (i) an intention to act on suicidal thoughts or (ii) suicide attempts within previous 3 months)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Symptoms of depression, measured using the Primary Health Questionnaire - 9 (PHQ-9). The PHQ-9 is a widely used self-rated questionnaire to assess severity of depression and measure treatment response, with scores ranging from 0-27. [ The PHQ-9 will be administered at baseline, 12 weeks from baseline (post-intervention; primary timepoint) and 24 weeks from baseline (follow-up). <br><br>The 12-week endpoint (post-intervention; T2) is identified as the primary endpoint.]