No registrations found.
ID
Source
Brief title
Intervention
Outcome measures
Primary outcome
Beck Depression Inventory (BDI) assessed at baseline and at 3, 6 and 12 months after inclusion,
cost-effectiveness and cost-utility assessed using cost-diaries and the EuroQol at baseline and at 3, 6, 9 and 12 months after inclusion.
Secondary outcome
Quality of life (SF-36) assessed at baseline and at 3, 6 and 12 months after inclusion.
Background summary
Using a randomised clinical-economic trial, it will be examined whether or not a minimal psychological intervention can diminish reports of depression, reduce health care-related costs, and stabilise or improve the underlying health status in diabetes and COPD patients. Analysis according to “intention to treat” principle.
The intervention group receives MPI, that is based on principles of cognitive behavioural therapy and self-management. This intervention is administered by a trained nurse. In 2 to 10 meetings, patients learn how to deal with the consequences of chronic illness in daily life, by changing the patient’s cognitions and providing self-management support. The control group receives usual care.
Study objective
MPI will reduce levels of depression and will increase their quality of life, while reducing health care-related costs in chronically ill elderly people with a depressed mood.
Study design
N/A
Intervention
Minimal psychological intervention (MPI) vs care as usual.
P.O. Box 616
J.Th.M. Eijk, van
Universiteitssingel 40
Maastricht 6200 MD
The Netherlands
+31 (0)43 3882283
j.vaneijk@zw.unimaas.nl
P.O. Box 616
J.Th.M. Eijk, van
Universiteitssingel 40
Maastricht 6200 MD
The Netherlands
+31 (0)43 3882283
j.vaneijk@zw.unimaas.nl
Inclusion criteria
1. Established diagnosis of Diabetes Mellitus Type II or COPD;
2. age 60 years and over;
3. community dwelling;
4. minor depression or mild and moderate categories of major depression according to MINI and Hamilton-criteria (DSM-IV), completed informed consent.
Exclusion criteria
1. Treatment with antidepressants;
2. severe category of major depression;
3. major psychiatric problems;
4. current psychosocial/psychiatric treatment;
5. serious cognitive problems (demential syndrome);
6. on waiting list for nursing home;
7. bedridden;
8. recent loss of spouse (< 3 months);
9. non Dutch-speaking.
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 | NL43 |
| NTR-old | NTR70 |
| Other | : ZONMW registration number: 945-03-047 |
| ISRCTN | ISRCTN92331982 |