None listed
Conditions
Interventions
The participants will be randomly assigned to a treatment (stepped-care program) or a control group (usual care). The stepped-care programme consists of four steps which each last 3 months. Participan
2. A cognitive behaviour therapy–based bibliotherapy. Participants will receive a telephone call by a trained occupational therapist to explain the second step programme and to make an appointment for
3. Brief cognitive behaviour therapy – based problem-solving treatment (PST). Again, participants will receive information about the intervention by telephone. If the participant agrees, a trained psy
4. The last step is referral to professional treatment elsewhere, if required.
The intervention is developed and implemented in two Dutch and one Belgian rehabilitation centre for the visually impair
Sponsors
VU University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. Informed consent of the participants; 2. Participants must be visually impaired and entered one of the three low vision rehabilitation centres; 3. Participants must be 50 years or older; 4. Participants must be able to speak Dutch; 5. Participants must have subthreshold depression and/or anxiety, measured with a CES-D score (Center for Epidemiologic Studies Depression) and the HADS-A (Hospital Anxiety and Depression scale section A).
Exclusion criteria
Exclusion criteria: 1. Participants with severely impaired cognitive functioning, which will be detected with the 'six-item screener' (a shortened version of the MMSE (Mini-mental state examination) at baseline; 2. Participants with a DSM-IV psychiatric disorder, measured by the Mini (Mini International Neuropsychiatric Interview).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is the cumulative incidence of DSM-IV major depressive or anxiety disorder after 24 months as measured using the Mini International Neuropsychiatric Interview. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary dependent variables are: 1. Subthreshold depression and/or anxiety symptoms; 2. Vision and health-related quality of life and adaptation to vision loss; 3. Process-evaluation outcomes; 4. Cost measurement and valuation. Secundary independent variables are: 1. Socio-demographic and disease variables (age, gender, education, cognitive functioning, co-morbidity, care and low vision aids received in the past half year of the rehabilitation centres etc.). | — |
Contacts
Public ContactH.P.A. Aa, van der
De Boelelaan 1117
Outcome results
None listed