Clinical trial NCT01407926: Nurse-Led Interprofessional Mental Health Promotion Intervention for Older Home Care Clients
Official title: The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among Older Home Care Clients
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Depressive Symptoms
Keywords: Depression
Aging
Clinical Effectiveness
Home Care
Nurse-Led
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
name: Ontario Ministry of Health and Long Term Care
First posted: 2011-08-02
Enrollment: 142
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Older home care clients receiving personal support services through a home care program in Southern Ontario

Brief 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.


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

Primary outcomes:
measure: Centre for Epidemiological Studies in Depression Scale
timeFrame: Baseline to 12 months
Secondary outcomes:
measure: Generalized Anxiety Disorder Screener
timeFrame: Baseline and 12 months
measure: SF-12 Physical Composite Index
timeFrame: 12 months minus Baseline value
measure: SF-12 Physical Functioning Index
timeFrame: Baseline and 12 months
measure: SF-12 Role Limitation Physical Index
timeFrame: Baseline and 12 months
measure: SF-12 Pain Index Score
timeFrame: Baseline and 12 months
measure: SF-12 General Health Index
timeFrame: Baseline and 12 months
measure: SF-12 Mental Health Composite Index
timeFrame: Baseline and 12 months
measure: SF-12 Vitality Index Score
timeFrame: Baseline and 12 months
measure: SF-12 Social Functioning Index
timeFrame: Baseline and 12 months
measure: SF-12 Role Limitation Emotional Index
timeFrame: Baseline and 12 months
measure: SF-12 Mental Health Index
timeFrame: Baseline and 12 months
Other outcomes:
Locations:
city: Hamilton
country: Canada
facility: McMaster University, School of Nursing
state: Ontario
Study officials:
affiliation: McMaster University, School of Nursing
name: Maureen F Markle-Reid, RN, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Markle-Reid M, McAiney C, Forbes D, Thabane L, Gibson M, Browne G, Hoch JS, Peirce T, Busing B. An interprofessional nurse-led mental health promotion intervention for older home care clients with depressive symptoms. BMC Geriatr. 2014 May 10;14:62. doi: 10.1186/1471-2318-14-62.
citation: Markle-Reid MF, McAiney C, Forbes D, Thabane L, Gibson M, Hoch JS, Browne G, Peirce T, Busing B. Reducing depression in older home care clients: design of a prospective study of a nurse-led interprofessional mental health promotion intervention. BMC Geriatr. 2011 Aug 25;11:50. doi: 10.1186/1471-2318-11-50.