Depressive Symptoms Clinical Trial
Official title:
The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among 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.
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