Act In case of Depression: The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol

BMC Psychiatry

Raymond TCM Koopmans³  Els Derksen³  Myrra JFJ Vernooij-Dassen⁴  Eddy M Adang²  Ruslan Leontjevas³  Steven Teerenstra²  Martin Smalbrugge¹  Debby L Gerritsen³ 

[1] Department of Nursing Home Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands;Department of Epidemiology, Biostatistics, and HTA, Radboud University Nijmegen Medical Centre, the Netherlands;Department of Primary and Community Care, Center for Family Medicine, Geriatric Care and Public health, Radboud University Nijmegen Medical Centre, the Netherlands;Kalorama Foundation, Beek-Ubbergen, the Netherlands

Others  :  1124545
DOI  :  10.1186/1471-244X-11-91

 received in 2011-04-13, accepted in 2011-05-20,  发布年份 2011

【 摘 要 】

Background

The aim of this study is evaluating the (cost-) effectiveness of a multidisciplinary, evidence based care program to improve the management of depression in nursing home residents of somatic and dementia special care units. The care program is an evidence based standardization of the management of depression, including standardized use of measurement instruments and diagnostical methods, and protocolized psychosocial, psychological and pharmacological treatment.

Methods/Design

In a 19-month longitudinal controlled study using a stepped wedge design, 14 somatic and 14 dementia special care units will implement the care program. All residents who give informed consent on the participating units will be included. Primary outcomes are the frequency of depression on the units and quality of life of residents on the units. The effect of the care program will be estimated using multilevel regression analysis. Secondary outcomes include accuracy of depression-detection in usual care, prevalence of depression-diagnosis in the intervention group, and response to treatment of depressed residents. An economic evaluation from a health care perspective will also be carried out.

Discussion

The care program is expected to be effective in reducing the frequency of depression and in increasing the quality of life of residents. The study will further provide insight in the cost-effectiveness of the care program.

Trial registration

Netherlands Trial Register (NTR): NTR1477

【 授权许可】

   
2011 Gerritsen et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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