The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among Older Home Care Clients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 142
- 试验地点
- 1
- 主要终点
- Centre for Epidemiological Studies in Depression Scale
研究概览
简要总结
Objective: The objective of this study is to evaluate the feasibility, acceptability and effectiveness of a 6-month nurse-led, interprofessional mental health promotion intervention aimed at older home care clients with depressive symptoms using personal support services.
Methods/Design: This one-group pre-test post-test study aims to recruit a total of 250 long-stay (> 60 days) home care clients, 70 years or older, with depressive symptoms who are receiving personal support services through a home care program in Ontario, Canada. The nurse-led intervention is a multi-faceted 6-month program led by a Registered Nurse that involves regular home visits, monthly case conferences, and evidence-based assessment and management of depression using an interprofessional approach. The primary outcome is the change in severity of depressive symptoms from baseline to 6 months using the Centre for Epidemiological Studies in Depression Scale. Secondary outcomes include changes in the prevalence of depressive symptoms and anxiety, health-related quality of life, cognitive function, and the rate and appropriateness of depression treatment from baseline to 12 months. Changes in the costs of use of health services will be assessed from a societal perspective.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •long-stay (> 60 days) home care clients
- •70 years or older
- •newly referred to and receiving PSS through the CCAC
- •living in the community (not in a long-term care home)
- •mentally competent to give informed consent (or with a substitute decision-maker available)
- •competent in English (or with an interpreter available)
- •screens positive for depressive symptoms
排除标准
- •receiving palliative care services
- •not competent in English and no interpreter available
- •not mentally competent to give informed consent and no substitute decision-maker available
结局指标
主要结局
Centre for Epidemiological Studies in Depression Scale
时间窗: Baseline to 12 months
The CES-D consists of 20 items, which range from 0-60, with higher scores indicating greater severity of depressive symptoms. It has been used in prior randomized controlled trials by three of the study investigators that involved older home care clients with mood disorders and has a high degree of reliability, content, construct and criterion related validity, distinguishes between depressed and non-depressed people, and is a sensitive tool for measuring changes in depressive symptoms over time in psychiatric populations.
次要结局
- Generalized Anxiety Disorder Screener(Baseline and 12 months)
- SF-12 Vitality Index Score(Baseline and 12 months)
- SF-12 Social Functioning Index(Baseline and 12 months)
- SF-12 Mental Health Index(Baseline and 12 months)
- SF-12 Physical Functioning Index(Baseline and 12 months)
- SF-12 Role Limitation Physical Index(Baseline and 12 months)
- SF-12 General Health Index(Baseline and 12 months)
- SF-12 Physical Composite Index(12 months minus Baseline value)
- SF-12 Mental Health Composite Index(Baseline and 12 months)
- SF-12 Role Limitation Emotional Index(Baseline and 12 months)
- SF-12 Pain Index Score(Baseline and 12 months)