Nurse-Led Interprofessional Mental Health Promotion Intervention for Older Home Care Clients

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

142 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-05-31

Study Completion Date

2013-06-30

Brief Summary

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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.

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Detailed Description

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Conditions

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Depressive Symptoms

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Nurse-Led Mental Health Promotion Group

Interprofessional nurse-led strategy involving regular home visits over 6 months by an RN and PSW. The RN will conduct a comprehensive health assessment and screen clients for risk factors for depression and other chronic conditions, implement health promotion strategies to address this risk factors and enhance health, review their medications, conduct in-home exercise , refer clients to other health services

Nurse-Led Mental Health Promotion Intervention

Intervention Type OTHER

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.

Interventions

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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.

Intervention Type OTHER

Eligibility Criteria

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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

Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No