Nurse-Led Interprofessional Mental Health Promotion Intervention for Older Home Care Clients
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.
|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 ]
- Generalized Anxiety Disorder Screener [ Time Frame: 12 months ]
- SF-12 [ Time Frame: 12 months ]
- Health and Social Services Utilization Inventory [ Time Frame: 12 months ]
- Standardized Mini-Mental State Examination [ Time Frame: 12 months ]
|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)|
|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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01407926
|McMaster University, School of Nursing|
|Hamilton, Ontario, Canada, L8N 3Z5|
|Principal Investigator:||Maureen F Markle-Reid, RN, PhD||McMaster University, School of Nursing|