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

The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2011 by McMaster University.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborators:
Canadian Institutes of Health Research (CIHR)
Ontario Ministry of Health and Long Term Care
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT01407926
First received: August 1, 2011
Last updated: NA
Last verified: August 2011
History: No changes posted
  Purpose

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.


Condition Intervention
Depressive Symptoms
Other: Nurse-Led Mental Health Promotion Intervention

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among Older Home Care Clients

Resource links provided by NLM:


Further study details as provided by McMaster University:

Primary Outcome Measures:
  • Centre for Epidemiological Studies in Depression Scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Generalized Anxiety Disorder Screener [ Time Frame: 12 months ] [ Designated as safety issue: No ]
  • SF-12 [ Time Frame: 12 months ] [ Designated as safety issue: No ]
  • Health and Social Services Utilization Inventory [ Time Frame: 12 months ] [ Designated as safety issue: No ]
  • Standardized Mini-Mental State Examination [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 250
Study Start Date: May 2010
Estimated Study Completion Date: June 2012
Estimated Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Nurse-Led Mental Health Promotion Group Other: 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.

  Eligibility

Ages Eligible for Study:   70 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Older home care clients receiving personal support services through a home care program in Southern Ontario

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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01407926

Locations
Canada, Ontario
McMaster University, School of Nursing
Hamilton, Ontario, Canada, L8N 3Z5
Sponsors and Collaborators
McMaster University
Canadian Institutes of Health Research (CIHR)
Ontario Ministry of Health and Long Term Care
Investigators
Principal Investigator: Maureen F Markle-Reid, RN, PhD McMaster University, School of Nursing
  More Information

No publications provided by McMaster University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Dr. Maureen Markle-Reid, McMaster University, School of Nursing
ClinicalTrials.gov Identifier: NCT01407926     History of Changes
Other Study ID Numbers: PHE-101531, 06510
Study First Received: August 1, 2011
Last Updated: August 1, 2011
Health Authority: Canada: Canadian Institutes of Health Research

Keywords provided by McMaster University:
Depression
Aging
Clinical Effectiveness
Home Care
Nurse-Led

Additional relevant MeSH terms:
Depression
Behavioral Symptoms

ClinicalTrials.gov processed this record on July 31, 2014