angststoornissen en symptomen down (depression) fear fright (anxiety) low spirits vision loss visual disability (visual impairment)
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. Particip
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Informed consent of the participants - Participants must be visually impaired and entered one of the three low vision rehabilitation centres. - Participants must be 50 years or older. - Participants must be able to speak Dutch. - Participants must have subthreshold depression and/or anxiety, measured with a CES-D and HADS-A score.
Exclusion criteria
Exclusion criteria: - Participants with severely impaired cognitive functioning will be excluded. This will be detected with the 'six-item screener' (a short version of the MMSE) at baseline. - Participants with a DSM-IV psychiatric disorder will be excluded. This will be measured by the Mini (Mini International Neuropsychiatric Interview). - Psychotic or suicidal participants.
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: - Subthreshold depression and/or anxiety symptoms. - Vision and health-related quality of life and adaptation to vision loss. - Process-evaluation outcomes. - Cost measurement and valuation. Secundary independent variables are: - 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.). | — |
Countries
Netherlands
Outcome results
None listed