A Trial on the Effectiveness of Screening and Brief Problem-Solving Therapy (PST) for Elderly Patients With Psychological Problems

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

299 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-11-30

Study Completion Date

2006-06-30

Brief Summary

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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:

1. Elderly patients screened positive of psychological problems had poorer health-related quality of life (HRQOL) than those who were screened negative.
2. Primary care doctors could be trained to provide brief PST.
3. Brief PST by a trained primary care doctor could improve the HRQOL of the elderly who were screened positive for psychological problems.

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Detailed Description

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Design \& methods: A prospective single-blind randomised controlled trial (RCT) on 299 patients aged 60 or above without any known psychological diseases but screened positive for psychological problems by the Hospital Anxiety and Depression Scale (HADS). Subjects were randomised to problem-solving (PST) or video-viewing (placebo). All subjects continued with their usual care and were followed up by telephone at 6, 12, 26 and 52 weeks.Changes in SF-36 HRQOL scores, HADS scores and monthly consultation rates at 6, 12, 26 and 52 weeks within groups and between groups.

Conditions

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Undiagnosed Psychological Problems

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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problem-solving therapy

Three sessions of brief problem-solving counselling at week 1, 3 and 5 by a family doctor.

Group Type EXPERIMENTAL

problem-solving therapy

Intervention Type BEHAVIORAL

Three sessions of problem-solving therapy at week 1, 3 and 5.

viewing video

Three sessions of health education viewing video in groups of 3 to 5 people

Group Type PLACEBO_COMPARATOR

Video-viewing

Intervention Type BEHAVIORAL

Three sessions of viewing health educational videos.

Interventions

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problem-solving therapy

Three sessions of problem-solving therapy at week 1, 3 and 5.

Intervention Type BEHAVIORAL

Video-viewing

Three sessions of viewing health educational videos.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Aged 60 or above
* not known to have any psychological problem
* HADS Depression score 6 or above, or Anxiety Score 3 or above
* Written consent to study

Exclusion Criteria

* known psychological disease diagnosed by a registered doctor
* history of taking any psychotropic drug prescribed by a registered doctor within the last year;
* suicidal plan or strong suicidal thought;
* psychotic symptom;
* impairment in cognitive function; or
* communication problem.

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No