The evaluation of a careprogram to increase the detection and treatment of depression in nursing homes

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON24608

Enrollment

560

Registered

2008-10-03

Start date

2009-06-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

depression

Interventions

The multifaceted and multidisciplinary careprogram ‘Doen bij Depressie’ [Act in case of depression] starts with a training program for nursing staff on how to identify symptoms of depression using an

Eligibility

Inclusion criteria

Inclusion criteria: 1. All patients from 14 somatic and 14 dementia units of Dutch nursing homes

Exclusion criteria

Exclusion criteria: None

Design outcomes

Primary

Measure	Time frame
1. Frequency of depression: the percentage of patients with depression on a unit Somatic units: - Geriatric Depression Scale (GDS)(Yesavage et al., 1983) In this study we use the 8-item GDS-NH version of Jongenelis et al. (2007), which was made by deleting GDS-items that are not applicable to most NH patients. Dementia units: - Cornell Scale for Depression in Dementia (CSDD)(Alexopoulos et al., 1988) 2. Quality of life Somatic units: - EQ-5D (EuroQol group, 1999). Dementia units: - EQ-5D proxy version (Jönsson et al., 2006)	—

Measure

Time frame

1. Frequency of depression: the percentage of patients with depression on a unit Somatic units: - Geriatric Depression Scale (GDS)(Yesavage et al., 1983) In this study we use the 8-item GDS-NH version of Jongenelis et al. (2007), which was made by deleting GDS-items that are not applicable to most NH patients. Dementia units: - Cornell Scale for Depression in Dementia (CSDD)(Alexopoulos et al., 1988) 2. Quality of life Somatic units: - EQ-5D (EuroQol group, 1999). Dementia units: - EQ-5D proxy version (Jönsson et al., 2006)

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Secondary

Measure	Time frame
- Response to treatment of depressed patients, using the GDS (somatic) or Cornell (dementia units) scale. - Percentage accuracy of detection of depression in usual care, using the units’ patient files. - Diagnostic interview and physical exam by unit’s psychologist and physician, using DSM-IV depression criteria for somatic patients (APA, 1994), and Olin’s depression criteria for dementia patients (Olin et al., 2002). Additional measurements Cognition: Mini Mental State Examination (MMSE) (Folstein et al., 1975). Patient files will be checked for sociodemographic variables, mental health history (including prior depressive episode) and present condition (including a dementia diagnosis and possible treatment for depression) as known by the institution.	—

Measure

Time frame

- Response to treatment of depressed patients, using the GDS (somatic) or Cornell (dementia units) scale. - Percentage accuracy of detection of depression in usual care, using the units’ patient files. - Diagnostic interview and physical exam by unit’s psychologist and physician, using DSM-IV depression criteria for somatic patients (APA, 1994), and Olin’s depression criteria for dementia patients (Olin et al., 2002). Additional measurements Cognition: Mini Mental State Examination (MMSE) (Folstein et al., 1975). Patient files will be checked for sociodemographic variables, mental health history (including prior depressive episode) and present condition (including a dementia diagnosis and possible treatment for depression) as known by the institution.

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Contacts

Public ContactD.L. Gerritsen

UMC St. Radboud Afdeling verpleeghuisgeneeskunde Postbus 9101

d.gerritsen@vphg.umcn.nl

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)