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Effectiveness of Screening and Counselling for Elderly With Psychological Problems

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00283270
First Posted: January 27, 2006
Last Update Posted: January 27, 2006
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
The Health Care and promotion Fund, the Governement of the Hong Kong SAR.
Information provided by:
The University of Hong Kong
  Purpose
The aim of the study is to test whether screening followed by brief problem-solving counselling in primary care could improve the quality of life of elderly patients with undiagnosed psychological problems. We hypothesize that undiagnosed psychological problems detectable by screening are common in the elderly and brief counselling could improve the quality of life of these patients.

Condition Intervention Phase
Mental Illness Behavioral: Brief counselling Behavioral: Behavior Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single
Primary Purpose: Treatment
Official Title: A Randomised Controlled Trial on the Effectiveness of Screening and Brief Counselling for Elderly Patients With Psychological Problems in Primary Care.

Further study details as provided by The University of Hong Kong:

Primary Outcome Measures:
  • Health-related quality of life scores
  • Hospital Anxiety and Depresssion scores

Secondary Outcome Measures:
  • Consultation rates

Estimated Enrollment: 450
Study Start Date: November 2002
Estimated Study Completion Date: August 2005
Detailed Description:

Objectives: The aim of the study is to test if screening followed by brief problem-solving counselling by primary care doctors can improve the health-related quality of life (HRQOL) of elderly patients with previously undiagnosed psychological problems. It will also find out the effects of undiagnosed psychological problems on HRQOL and consultation rates of elderly patients.

Design, Setting & Subjects: This is a prospective single-blinded randomised controlled trial on 450 patients aged 60 or above attending a Government General Outpatient Clinic in Hong Kong, who have been screened for psychological problems.

Methods: Elderly patients attending the General Outpatient Department of the Ap Lei Chau Clinic who are not known to have the diagnosis of psychological problems with the Hospital Anxiety & Depression Scale (HADS) were screened in order to recruit 300 subjects who are screened positive for undiagnosed psychological problems will be randomised into the counselling or no-counselling groups, and 150 subjects who are screened negative for psychological problems will be selected as normal controls

Interventions: The counselling group will receive brief problem-solving counselling from a trained primary care doctor in addition to their usual medical care; the no-counselling group will receive general health education and their usual medical care; and the normal control group will continue with their usual care only.

Main Outcome Measures: Health-related quality of life measured by the SF-36, the HADS scores and consultation rates. The baseline and changes in outcomes of the three groups will be compared at 0, 6, 12, 36 and 52 weeks after screening.

Conclusions: The results will provide evidence on whether screening followed by brief problem-solving counselling in primary care is effective in improving quality of life and reducing consultation rates for the elderly with undiagnosed psychological problems.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Aged 60 or above
  2. Attending the study primary care clinic
  3. No known diagnosis of psychological problem
  4. Written consent provided

Exclusion Criteria:

  1. Known psychological disease diagnosed by a registered practitioner
  2. Taking any psychotropic drug prescribed by a registered practitioner of Western medicine within the last year;
  3. Has suicidal plan or strong suicidal thought;
  4. Has psychotic symptom;
  5. any impairment in cognitive function; or
  6. any communication problem
  7. refuses to participate
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00283270


Sponsors and Collaborators
The University of Hong Kong
The Health Care and promotion Fund, the Governement of the Hong Kong SAR.
Investigators
Principal Investigator: Cindy L Lam, MD The University of Hong Kong
  More Information

ClinicalTrials.gov Identifier: NCT00283270     History of Changes
Other Study ID Numbers: RESCEP
HCPF 218016
First Submitted: January 26, 2006
First Posted: January 27, 2006
Last Update Posted: January 27, 2006
Last Verified: December 2005

Keywords provided by The University of Hong Kong:
Mental health
Screening
Elderly
Chinese
Problem-solving counselling

Additional relevant MeSH terms:
Mental Disorders