Depression Mental and Behavioural Disorders Depressive episode, unspecified
Conditions
Interventions
We plan to undertake an exploratory cluster randomised controlled trial in primary care to evaluate a psychosocial intervention for patients with COPD. The intervention is at the level of the practice
Sponsors
Manchester Mental Health & Social Care Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All patients must have chronic obstructive pulmonary disease 2. All patients must be 18 years or over and be able to read and write 3. We will use MMHSCT Linkworkers where appropriate so that patients, who do not have a good command of English, can still participate in the project 4. The COPD liaison workers will be able to access Link workers for any patients identified in the GP practice to be eligible for their service 5. Male or female participants
Exclusion criteria
Exclusion criteria: 1. People below the age of 18 years 2. People with learning disabilities, dementia or brain damage 3. Patients who lack capacity to consent in research 4. People who are deemed to be too physically unwell by their GP to participate in the research 5. People who are considered at risk of suicide such that referral to mental health crisis services are warranted or admission to an inpatient psychiatric bed.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Use of unscheduled care | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Use of scheduled care 2. Health status (EQ5D; The EuroQoL Group 1990) 3. Severity of COPD (Eisner et al. 2005) 4. Quality of life (Chronic Respiratory Questionnaire; Williams et al. 2001) 5. Hospital Anxiety and Depression Scale (Zigmond and Snaith 1983) 6. Qualitative study to explore the acceptability of the training and support offered to practices (primary care staff) and patients' experiences of the psychosocial intervention and care from their practice. Primary and secondary outcomes measured at baseline and 12 months | — |
Countries
United Kingdom
Outcome results
None listed