Sub-threshold depression in people 65 years and older Mental and Behavioural Disorders Depressive episode
Conditions
Interventions
Eligible and consenting participants will be randomly allocated to one of two comparative arms.
This sub-study forms part of a larger funded project supported by the Department of Heal
Sponsors
University of York (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants will be identified in primary care. Our target population will be older people (aged 65 and above) who screen-positive for depression on a two question brief depression screen (sometimes referred to as the 'Whooley' questions after their initial validation study), but who on further assessment do not fulfil criteria for DSM-IV Major Depressive Disorder (MDD), and therefore have sub-threshold depression. Inclusion criteria: Aged 65+ years and with a read code for any one of the following: 1. Depression 2. Anti-depressant medication 3. Ischemic heart disease (IHD) 4. Diabetes 5. Chronic obstructive pulmonary disease (COPD) 6. Arthritis 7. Carer
Exclusion criteria
Exclusion criteria: 1. Not currently experiencing psychotic symptoms 2. No known alcohol dependency (as recorded on GP records) 3. No known significant cognitive impairment; unable to give informed consent (as recorded on GP records) 4. No known recent bereavement (as recorded on GP records) 5. No known terminal malignancy (as recorded on GP records)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient-reported depression severity (Patient Health Questionnaire 9 - PHQ-9) at 4 months and again at 12 months to examine any sustained impact of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health-related quality of life (physical and mental component of the SF-12) at 4 months and 12 months 2. Health-state utility (EQ-5D) at 4 months and 12 months | — |
Countries
United Kingdom
Outcome results
None listed