A Trial on the Effectiveness of Screening and Brief Problem-Solving Therapy (PST) for Elderly Patients With Psychological Problems
The aim of this study was to determine whether screening followed by brief PSC provided by primary care doctors could improve the quality of life of elderly patients with unrecognized psychological problems in primary care. The following hypotheses were tested:
- Elderly patients screened positive of psychological problems had poorer health-related quality of life (HRQOL) than those who were screened negative.
- Primary care doctors could be trained to provide brief PST.
- Brief PST by a trained primary care doctor could improve the HRQOL of the elderly who were screened positive for psychological problems.
|Undiagnosed Psychological Problems||Behavioral: problem-solving therapy Behavioral: Video-viewing|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||A Randomised Controlled Trail on the Effectiveness of Screening and Brief Counselling (Problem-Solving Therapy) for Elderly Patients With Psychological Problems in Primary Care.|
- Health-related quality of life scores [ Time Frame: 6, 12, 26 and 52 weeks ]
- Hospital Anxiety & Depression Scale scores [ Time Frame: 6, 12, 26 and 52 weeks ]
|Study Start Date:||November 2002|
|Study Completion Date:||June 2006|
|Primary Completion Date:||December 2005 (Final data collection date for primary outcome measure)|
Experimental: problem-solving therapy
Three sessions of brief problem-solving counselling at week 1, 3 and 5 by a family doctor.
Behavioral: problem-solving therapy
Three sessions of problem-solving therapy at week 1, 3 and 5.
Placebo Comparator: viewing video
Three sessions of health education viewing video in groups of 3 to 5 people
Three sessions of viewing health educational videos.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00863031
|Two General Outpatient Clinics|
|Hong Kong, Hong Kong|
|Principal Investigator:||Cindy L.K. Lam, MD||Family Medicine Unit, Faculty of Medicine, HKU|