angstsymptomen diabetic retinopathy down (depression) fear fright (anxiety) low spirits macular degeneration retinal diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria are: (A) patients should have at least mild symptoms of depression and/or anxiety (score of 5 or higher on the Patient Health Questionnaire (PHQ)-9, and/or score of 3 or higher on the Hospital Anxiety and Depression Scale * Anxiety (HADS-A)); (B) patients should be able to speak the Dutch language adequately; and (C) patients should have access to the Internet.
Exclusion criteria
Exclusion criteria: Exclusion criteria are: (A) patients are cognitively impaired, which is assessed by telephone with the six-item Mini Mental State Examination (score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depression symptomatology is measured with the PHQ-9 questionnaire (containing 9 questions on a 4-point Likert scale, with total scores ranging from 0 to 27, with higher scores indicating higher symptoms of depression). Anxiety symptomatology is measured with the HADS-A questionnaire (containing 7 questions on a 4-point Likert scale, with total scores ranging from 0 to 21, with higher scores indicating more anxiety symptoms). Both questionnaires are widely used and validated in a visually impaired sample. | — |
Secondary
| Measure | Time frame |
|---|---|
| Adaptation to vision loss is measured with the Adaptation to Vision Loss (AVL) scale (with nine questions on a 4-point Likert scale, with total scores ranging from 0 to 27, with higher scores indicating better acceptance). Compliance is operationalized by patients rating their effort and social workers rating patients* compliance to the intervention, based on a 10-point scale (0=no effort/compliance to 10=full effort/compliance). Patient satisfaction is measured with the Dutch Mental Healthcare (MH) thermometer of satisfaction: a widely used 20-item questionnaire providing information on patients* satisfaction on provided information, relationship with the social worker, and results of the treatment. | — |
Countries
The Netherlands