Overview

This trial is active, not recruiting.

Condition depressive symptoms
Treatment nurse-led mental health promotion intervention
Sponsor McMaster University
Collaborator Canadian Institutes of Health Research (CIHR)
Start date May 2010
End date June 2012
Trial size 250 participants
Trial identifier NCT01407926, 06510, PHE-101531

Summary

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model cohort
Time perspective prospective
Arm
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.

Primary Outcomes

Measure
Centre for Epidemiological Studies in Depression Scale
time frame: 12 months

Secondary Outcomes

Measure
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

Eligibility Criteria

Male or female participants at least 70 years old.

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

Additional Information

Official title The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among Older Home Care Clients
Principal investigator Maureen F Markle-Reid, RN, PhD
Trial information was received from ClinicalTrials.gov and was last updated in August 2011.
Information provided to ClinicalTrials.gov by McMaster University.