Age-related Macular Degeneration, Depression
Conditions
Keywords
depression, age-related macular degeneration, self-care, self-help
Brief summary
The purpose of this trial is to determine the short-term effect of a self-care intervention on depression in patients with age-related macular degeneration or diabetic retinopathy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical diagnosis of wet or dry AMD or diabetic retinopathy * age 50 years and older * at least mild depressive symptoms (a score of 5 or more on the PHQ-9) * no legal blindness (visual acuity better than 20/200 in better eye).
Exclusion criteria
* the current use of cognitive behavioural therapy * suicidal intent * ocular surgery during the study period (intravitreal anti-VEGF injections will be allowed, e.g. Lucentis) * cognitive impairment * inability to speak and understand French or English * profound hearing impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in depressive symptoms | Baseline and 8 weeks | Depressive symptoms will be measured by the PHQ-9, a validated 9 item instrument. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in severity of anxiety symptoms | Baseline and 8 weeks | The GAD-7 can be used to establish probable diagnoses of generalized anxiety disorder as well as grade its severity (mild, moderate and severe). |
| Change in self-efficacy | Baseline and 8 weeks | Self-efficacy will be measured with a 4-item scale, adapted from a validated diabetes self-care self-efficacy scale. Scores range from 0-12. |
| Change in life space | Baseline and 8 weeks | The Life Space Assessment asks about the spatial extent in which the participant has traveled over the last month. Scores range from 0-100. |
Countries
Canada