Testing and implementing Stepped care 18+ in practice.
ID
Source
Brief title
Condition
- Vision disorders
- Mood disorders and disturbances NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The developed online modules in Minddistrict will be tested in a usability
study, after which the intervention can be adjusted/improved. Subsequently, the
intervention will be put into practice by means of a 1.5-year testing period.
During the testing period, it will be tested whether the intervention has an
effect on complaints of depression and anxiety. Quality of life will also be
measured before and after following the intervention. In addition, interviews
will be conducted with stakeholders within the organizations where the
intervention will be implemented (Royal Dutch Visio, Robert Coppes Foundation
and Amsterdam UMC ophthalmology department). From this follows an
implementation plan.
Secondary outcome
N/a.
Background summary
One in three (young) adults (18+) with a visual impairment experiences
subclinical complaints of depression and/or anxiety, which can lead to major
limitations in social, emotional and physical functioning. An effective
stepped-care method is available for these complaints for visually impaired
older adults (50+). Rehabilitation/care institutions for the blind and visually
impaired and Amsterdam UMC have called for this method to be made available to
(young) adults as well. The already implemented intervention for visually
impaired people over 50 has been adapted to better reflect the experience of
(young) adults with a visual impairment.
Study objective
Testing and implementing Stepped care 18+ in practice.
Study design
A mixed-methods design will be used in which both qualitative and quantitative
data will be collected during the application of this intervention in practice.
The study follows the principles of participatory action research and consists
of three parts: 1) usability and accesibility 2) living lab, 3) interviews.
During the usability and accessibility study, a small group of patients (n=8)
will test the online modules for usability and accessibility, in order to
improve them. During the living lab, the entire intervention will be applied in
practice within the organizations involved (Amsterdam UMC, Royal Dutch Visio,
Robert Coppes Foundation). During the interviews, interviews will be held with
various stakeholders within the organizations involved about implementation and
safeguarding of the intervention.
Intervention
The intervention has a step-by-step character (stepped care), with an
increasing intensity. The intervention consists of the following steps: 1)
period of vigilance (including psycho-education), 2) guided self-help 'Blik op
je Dip' based on cognitive behavioral therapy, 3) conversations based on
'Problem Solving Treatment' (PST) , and 4) referral for more intensive forms of
support. Patients who follow the intervention only move to the next step if the
gloom/anxiety complaints have not decreased sufficiently after the previous
step.
Study burden and risks
It takes time for the participants to get started with the intervention.
Participants are working on it for a maximum of 8 months. The intervention is
also offered online, which makes it easier to follow the modules. It can cause
fatigue when people follow the intervention in addition to their daily lives.
In addition, it could be confrontational to get started with the intervention
because certain themes can be sensitive, such as acceptance of the visual
impairment and gloomy feelings.
de Boelelaan 1118
Amsterdam 1081HV
NL
de Boelelaan 1118
Amsterdam 1081HV
NL
Listed location countries
Age
Inclusion criteria
Usability: People with visual impairment (visual acuity of max. 0.5 snellen)
Proeftuin: People with visual impairment, who have subclinical symptoms of
depression/anxiety
Interviews: stakeholders/professionals who can have an impact on the positive
implementation of stepped care in the organisaitons.
Exclusion criteria
Usability: not being able to use the computer.
Proeftuin: having a psychiatric disorder and being cognitively impaired.
Interviews: -
Design
Recruitment
Medical products/devices used
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 | NL84903.018.24 |