No registrations found.
ID
Source
Brief title
Health condition
Stepped care for anxiety and depression, usual care
Sponsors and support
Mrs. S. Korff de Gidts, PhD
PO Box 83245
2509 AE The Hague
Intervention
Outcome measures
Primary outcome
Incidence of clinical anxiety and/or major depression in two years (Mini International Neuropsychiatric Interview, MINI).
Secondary outcome
1. Reduction of self-reported anxiety and/or depressive symptoms as measured with the CES-D, the Hospital Anxiety Depression Scale (HADS-A);
2. Improvement of quality of life (SF-36)
Mortality.
Background summary
Aim is to evaluate the effects versus usual care of a generic stepped care programme to reduce the incidence of anxiety and depression in the elderly living in the community to be used by home care nurses.
Study objective
The stepped care approach will lead to a significantly reduced incidence of clinical anxiety and depression in two years and will reduce symptoms level compared to usual care.
Study design
N/A
Intervention
Stepped care programme:
1. Symptom monitoring every three months (CES-D);
2. Leaflet and selfhelp book coached by homecare nurse;
3. Problem solving treatment by community psychiatric nurses (CPN);
4. Suggestion to discuss medication with general practitioner (GP).
Van der Boechorststraat 7
P.J. Veer-Tazelaar, van 't
Van der Boechorststraat 7
Amsterdam 1081 BT
The Netherlands
+31 (0)20 4449811
pj.vantveer@vumc.nl
Van der Boechorststraat 7
P.J. Veer-Tazelaar, van 't
Van der Boechorststraat 7
Amsterdam 1081 BT
The Netherlands
+31 (0)20 4449811
pj.vantveer@vumc.nl
Inclusion criteria
Persons 75 years of age and over living in the community Centre for Epidemiological Studies Depression (CES-D) score of 16 or higher.
Exclusion criteria
Meeting criteria for major depression and/or clinical anxiety. Insufficient mastery of the Dutch language. Unwilling or unable to give informed consent.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL378 |
| NTR-old | NTR418 |
| Other | : N/A |
| ISRCTN | ISRCTN26474556 |