Nurse-Led Interprofessional Mental Health Promotion Intervention for Older Home Care Clients
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Purpose
Objective: The objective of this study is to evaluate the feasibility, acceptability and effectiveness of a 6-month nurse-led, interprofessional mental health promotion intervention aimed at older home care clients with depressive symptoms using personal support services.
Methods/Design: This one-group pre-test post-test study aims to recruit a total of 250 long-stay (> 60 days) home care clients, 70 years or older, with depressive symptoms who are receiving personal support services through a home care program in Ontario, Canada. The nurse-led intervention is a multi-faceted 6-month program led by a Registered Nurse that involves regular home visits, monthly case conferences, and evidence-based assessment and management of depression using an interprofessional approach. The primary outcome is the change in severity of depressive symptoms from baseline to 6 months using the Centre for Epidemiological Studies in Depression Scale. Secondary outcomes include changes in the prevalence of depressive symptoms and anxiety, health-related quality of life, cognitive function, and the rate and appropriateness of depression treatment from baseline to 12 months. Changes in the costs of use of health services will be assessed from a societal perspective.
| Condition | Intervention |
|---|---|
|
Depressive Symptoms |
Other: Nurse-Led Mental Health Promotion Intervention |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among Older Home Care Clients |
- Centre for Epidemiological Studies in Depression Scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Generalized Anxiety Disorder Screener [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- SF-12 [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Health and Social Services Utilization Inventory [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Standardized Mini-Mental State Examination [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 250 |
| Study Start Date: | May 2010 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| Nurse-Led Mental Health Promotion Group |
Other: Nurse-Led Mental Health Promotion Intervention
The nurse-led intervention is a multi-faceted 6-month program led by a Registered Nurse that involves regular home visits, monthly case conferences, and evidence-based assessment and management of depression using an interprofessional approach.
|
Eligibility| Ages Eligible for Study: | 70 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Older home care clients receiving personal support services through a home care program in Southern Ontario
Inclusion Criteria:
- long-stay (> 60 days) home care clients
- 70 years or older
- newly referred to and receiving PSS through the CCAC
- living in the community (not in a long-term care home)
- mentally competent to give informed consent (or with a substitute decision-maker available)
- competent in English (or with an interpreter available)
- screens positive for depressive symptoms
Exclusion Criteria:
- receiving palliative care services
- not competent in English and no interpreter available
- not mentally competent to give informed consent and no substitute decision-maker available
Contacts and Locations| Canada, Ontario | |
| McMaster University, School of Nursing | |
| Hamilton, Ontario, Canada, L8N 3Z5 | |
| Principal Investigator: | Maureen F Markle-Reid, RN, PhD | McMaster University, School of Nursing |
More Information
No publications provided by McMaster University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Dr. Maureen Markle-Reid, McMaster University, School of Nursing |
| ClinicalTrials.gov Identifier: | NCT01407926 History of Changes |
| Other Study ID Numbers: | PHE-101531, 06510 |
| Study First Received: | August 1, 2011 |
| Last Updated: | August 1, 2011 |
| Health Authority: | Canada: Canadian Institutes of Health Research |
Keywords provided by McMaster University:
|
Depression Aging Clinical Effectiveness Home Care Nurse-Led |
Additional relevant MeSH terms:
|
Depression Behavioral Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013