FACE-PC: Family-Centered Care for Older Adults With Depression and Chronic Medical Conditions in Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Changes in Mood assessed with Patient Health Questionnaire
研究概览
简要总结
Comorbid depression and multiple medical conditions in older adults are a serious public health problem. As an important facilitator of health-related activities, families are already involved in various aspects of self-management of chronic disease in older adults. Despite the benefits they provide, informal caregiving activities currently are organized outside the medical system, which potentially creates redundant or misaligned efforts.The purpose of the mentored research is to examine the feasibility and acceptability of the FACE-PC, a theory-driven, multi- component, technology-assisted interdisciplinary team-based care model that systematically involves family in chronic disease management. It aims to optimize the patient and family's collective ability to self-manage chronic disease.
详细描述
Comorbid depression and multiple medical conditions in older adults are a serious public health problem. As an important facilitator of health-related activities, families are already involved in various aspects of self-management of chronic disease in older adults. Despite the benefits they provide, informal caregiving activities currently are organized outside the medical system, which potentially creates redundant or misaligned efforts.The purpose of the mentored research is to examine the feasibility and acceptability of the FACE-PC, a theory-driven, multi- component, technology-assisted interdisciplinary team-based care model that systematically involves family in chronic disease management. It aims to optimize the patient and family's collective ability to self-manage chronic disease.
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
- 是
入选标准
- •for Patient:
- •60 years of age or older
- •Receives primary care
- •PHQ-9 score ≥ 5
- •Must have at least one medical condition actively managed at the study site.
- •Inclusion Criteria for Family:
- •Age 18 or older
- •Identified as family by the patient
- •Has a minimum of twice weekly total of 4 hour face-to face contact with the patient
- •Is willing and available to participate in the study;
- •Has access to internet.
排除标准
- •for Patient:
- •Inability to understand screening and assessment questions
- •Montreal Cognitive Assessment Scores <18
- •Known diagnosis of a severe chronic mental illness such as schizophrenia
- •Meeting the criteria for bipolar disorder or schizophrenia in PRIME-MD
- •Deemed to be a danger to self or others that may require treatment outside a primary care setting.
- •Exclusion Criteria for Family:
- •Institutionalized at the time of study.
研究组 & 干预措施
Intervention group
FACE-PC comprises 3 weekly and 2 bi-weekly sessions (total 5 sessions), delivered by a bachelors' prepared nurse care manager (CM) over 8 weeks. Over the five sessions, the nurse care manager will (1) review the patient medical history and set health goals for depression and chronic condition with the dyad, (2) review all medication, the level of adherence, challenges and facilitating factors of adherence, (3) deliver brief behavioral activation therapy.
干预措施: FACE-PC (Behavioral)
Enhanced usual care group
Participants in this group will receive a typical primary care enhanced with reporting of their depression status and their goal for medical condition to their PCP for 8 weeks. Upon enrolment, a research nurse will review the patient medical history and identify goals for depression and a chronic condition with the dyad.
结局指标
主要结局
Changes in Mood assessed with Patient Health Questionnaire
时间窗: at baseline, 2-months post-intervention, and 5-months follow-up
Patient Health Questionnaire
次要结局
未报告次要终点