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

McMaster University

Status: Completed

Conditions: Depressive Symptoms

Treatments: Other: Nurse-Led Mental Health Promotion Intervention

Study type: Observational

Funder types: Other

Identifiers

NCT01407926

PHE-101531

06510 (Other Grant/Funding Number)

Details and patient eligibility

About

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.

Enrollment: 142 patients

Sex: All

Ages: 70+ years old

Volunteers: No Healthy Volunteers

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

Trial design

142 participants in 1 patient group

Nurse-Led Mental Health Promotion Group

Description:

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

Treatment:

Other: Nurse-Led Mental Health Promotion Intervention