Depression in older adults. Mental and Behavioural Disorders
Conditions
Interventions
Interventions will include a psychosocial intervention (intervention group) and enhanced usual care (control group).
“Enhanced” usual care
This comprises improved reco
• Collaborative care: the CHW will work collaboratively with all other members from their FHT to deliver the intervention
• Stepped care: the intensity of care management is tailored according to needs. Those who need more receive more and vice versa.
The FHT will decide if the participant needs further s
Sponsors
Universidade de Sao Paulo
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Individuals 60 years or older registered with the selected FHTs will be screened following a randomly ordered list of names 2. Only those with a 9-item Patient Health Questionnaire (PHQ-9) score 10 or above, a threshold for depression, will be eligible for inclusion in the study
Exclusion criteria
Exclusion criteria: 1. Partner or another person that lives in the same household has already been included in the study 2. Acute suicidal risk in response to the PHQ-9 and the additional suicidal risk questionnaire 3. Completely deaf 4. Unable to communicate (non-native speaker, cognitive impairment and psychotic symptoms) 5. Unable to engage in the trial for the period of 12 months (terminal illness, partner with terminal illness, plans to move out to another area)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of depression recovery (PHQ-9<10) at 8 months follow-up in the intervention compared to the control group. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Proportion with depression recovery (PHQ-9<10) at 12 months will assess the maintenance of any earlier clinical gains. The following additional secondary measures will be completed at 8 and 12 months and compared between the two arms: 2. European Quality of Life five-dimensional questionnaire, Five-level version (EQ-5D-5L) 3. ICEpop CAPability measure for Older people (ICECAP-O) 4. Behavioural Activation for Depression Scale (BADS) 5. Stressful life events (SLE); General Anxiety Disorder-7 (GAD-7) 6. Lubben Social Network Scale-6 (LSNS-6) 7. Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) 8. Loneliness Scale (3-item UCLA) 9. We will assess the cost-effectiveness of the intervention at 12 months. | — |
Countries
Brazil
Contacts
Public ContactMarcia Scazufca
Outcome results
None listed