N/A
Completed N=142
Nurse-Led Interprofessional Mental Health Promotion Intervention for Older Home Care Clients
Source: ClinicalTrials.gov NCT01407926 ↗Enrolled (actual)
142
Serious AEs
0.0%
Results posted
Jun 2019
Primary outcomePrimary: Centre for Epidemiological Studies in Depression Scale — -3.52 units on a scale
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Centre for Epidemiological Studies in Depression Scale |
-3.52 | — |
| SECONDARY Generalized Anxiety Disorder Screener |
-1.83 | — |
| SECONDARY SF-12 Physical Composite Index |
8.70 | — |
| SECONDARY SF-12 Physical Functioning Index |
6.88 | — |
| SECONDARY SF-12 Role Limitation Physical Index |
15.47 | — |
| SECONDARY SF-12 Pain Index Score |
5.94 | — |
| SECONDARY SF-12 General Health Index |
-0.25 | — |
| SECONDARY SF-12 Mental Health Composite Index |
8.96 | — |
| SECONDARY SF-12 Vitality Index Score |
8.75 | — |
| SECONDARY SF-12 Social Functioning Index |
4.38 | — |
| SECONDARY SF-12 Role Limitation Emotional Index |
10.31 | — |
| SECONDARY SF-12 Mental Health Index |
10.00 | — |
Eligibility Criteria
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
Data sourced from ClinicalTrials.gov (NCT01407926). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.