An indicated, stepped care prevention programme is feasible in homes for the elderly in Amsterdam and reduces the incidence of major disorders of depression and anxiety with 15% compared to care as usual. Total costst of health care use will be…
ID
Bron
Verkorte titel
Aandoening
Depressive and anxiety disorders
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Incidence of depressive and/or anxiety disorders in residents after one year as compared to usual care.
Achtergrond van het onderzoek
Indicated prevention aims to counter the onset of a disorder in those who already have symptoms. In Dutch homes for the elderly depressive and anxiety disorders are very common and have enormous impact on well-being and daily functioning. Several evidence based interventions are available for different levels of symptoms, but are not widely praticed in ususal care. This project aims to evaluate the effects and costs of a multicomponent, demand led stepped care programme for indicated prevention of depression and anxiety compared to usual care in homes for the elderly.
Doel van het onderzoek
An indicated, stepped care prevention programme is feasible in homes for the elderly in Amsterdam and reduces the incidence of major disorders of depression and anxiety with 15% compared to care as usual. Total costst of health care use will be lower in the intervention groep as compared to "care as usual".
Onderzoeksproduct en/of interventie
A stepped care programme consisting watchfull waiting, biblio-therapy, Life review/PST and consultation of a mental health specialist as compared to usual care.
Publiek
antwoordnummer 2941
E. Dozeman
van den Boechorststraat 7,
1081 BT Amsterdam
Amsterdam 1000 SN
The Netherlands
+31 (0)20 4449678
els.dozeman@vumc.nl
Wetenschappelijk
antwoordnummer 2941
E. Dozeman
van den Boechorststraat 7,
1081 BT Amsterdam
Amsterdam 1000 SN
The Netherlands
+31 (0)20 4449678
els.dozeman@vumc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. residents of homes for the elderly in Amsterdam;
2. aged 75 year and older;
3. scoring for symptoms of depression and anxiety on the screening measurement (CES-D);
4. capable of informed consent;
5. sufficiant understanding of the dutch language.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Residents meeting criteria for major depression and/or clinical anxiety according to the MINI;
2. suffer cognitive impairment according to the MMSE are excluded.
Opzet
Deelname
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Andere (mogelijk minder actuele) registraties in dit register
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL725 |
| NTR-old | NTR735 |
| Ander register | : N/A |
| ISRCTN | ISRCTN27540731 |