To evaluate the effects and costs of indicated prevention by a multicomponent, demand led stepped care programme, compared to usual care.
ID
Source
Brief title
Condition
- Psychiatric disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Incidence of depressive and/or anxiety disorders in residents after one and two
years as compared to usual care
Secondary outcome
Psychological measures such as life-satisfaction and wellbeing, satisfaction
with care and treatment costs
Background summary
Indicated prevention aims to counter the onset or development of a disorder in
those who already have symptoms. In homes for the elderly, psychiatric
ilnesses, mostly depressive and anxiety disorders, are very common and have an
enormous impact on well-being and daily functioning. As the Dutch population is
ageing rapidly and the policy is to keep elderly at home for as long as
possible, the level of psychological and physical frailty in homes of the
elderly has been increasing rapidly. Nurses and care workers suply generic
care, while GPs are medically responsible. However, residents with mental
problems require a different approach from everyday opportunistic general
practice. Several evidence based interventions are available for different
levels of symptoms. This stepped care model aims to maximize effectiveness and
efficiency of decisions about allocation of resources in therapy.
Study objective
To evaluate the effects and costs of indicated prevention by a multicomponent,
demand led stepped care programme, compared to usual care.
Study design
Randomised Clinical Trial
Intervention
Residents are screened with a validated self report Centre for Epidemiological
Studies Depression Scale. Subjects are randomized to a stepped care programme
or usual care. The Stepped Care program consists of biblio-therapy,
Life-review/PST and consultation of a mental health specialist.
Study burden and risks
Risks for the residential population are neglectable.
v.d. Boechorststraat
1081 BT Amsterdam
NL
v.d. Boechorststraat
1081 BT Amsterdam
NL
Listed location countries
Age
Inclusion criteria
living in residential home, age 75 and older, symptoms of depression and/or anxiety
Exclusion criteria
depressive and/or anxiety disorder according DSM-IV criteria, dementia
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 |
|---|---|
| CCMO | NL13363.029.06 |