Evidence map›Paper›PMID 21867539›Full record

Trial reportBMC geriatrics2011

Reducing depression in older home care clients: design of a prospective study of a nurse-led interprofessional mental health promotion intervention.

Maureen F Markle-Reid, Carrie McAiney, Dorothy Forbes, Lehana Thabane, Maggie Gibson, Jeffrey S Hoch, Gina Browne, Thomas Peirce, Barbara Busing

2 registry-linked trialsOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in BMC geriatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01407926 completednot on this map

The Effects of a Nurse-Led Interprofessional Mental Health Promotion Intervention Among Older Home Care Clients

TypeobservationalSponsorMcMaster UniversityRan2010 to 2013Enrolled142ConditionsDepressive SymptomsArmsNurse-Led Mental Health Promotion Intervention
NCT03157999 nacompletednot on this mapstarted 2017, after this paper: background citation

A Pragmatic Effectiveness-implementation Trial to Evaluate a Hospital-to-home Transitional Care Intervention Compared to Usual Care for Older Adults With Multiple Chronic Conditions and Depression

TypeinterventionalSponsorMcMaster UniversityRan2017 to 2020Enrolled127ConditionsComorbidity, Depressive SymptomsArmsIntervention group (CAST)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Maureen F Markle-ReidSchool of Nursing, McMaster University, Hamilton, Ontario, Canada. mreid@mcmaster.ca
Carrie McAiney
Dorothy Forbes
Lehana Thabane
Maggie Gibson
Jeffrey S Hoch
Gina Browne
Thomas Peirce
Barbara Busing
McMaster University · CAHome and Community Care Support Services · CAParkwood Institute · CAUniversity of Alberta · CAUniversity of Toronto · CA

Funding

CIHR 101531CIHR PHE-101531
6 · The paper itself

Abstract

backgroundVery little research has been conducted in the area of depression among older home care clients using personal support services. These older adults are particularly vulnerable to depression because of decreased cognition, comorbid chronic conditions, functional limitations, lack of social support, and reduced access to health services. To date, research has focused on collaborative, nurse-led depression care programs among older adults in primary care settings. Optimal management of depression among older home care clients is not currently known. The objective of this study is to evaluate the feasibility, acceptability and effectiveness of a 6-month nurse-led, interprofessional mental health promotion intervention aimed at older home care clients with depressive symptoms using personal support services. METHODS/

designThis one-group pre-test post-test study aims to recruit a total of 250 long-stay (> 60 days) home care clients, 70 years or older, with depressive symptoms who are receiving personal support services through a home care program in Ontario, Canada. The nurse-led intervention is a multi-faceted 6-month program led by a Registered Nurse that involves regular home visits, monthly case conferences, and evidence-based assessment and management of depression using an interprofessional approach. The primary outcome is the change in severity of depressive symptoms from baseline to 6 months using the Centre for Epidemiological Studies in Depression Scale. Secondary outcomes include changes in the prevalence of depressive symptoms and anxiety, health-related quality of life, cognitive function, and the rate and appropriateness of depression treatment from baseline to 12 months. Changes in the costs of use of health services will be assessed from a societal perspective. Descriptive and qualitative data will be collected to examine the feasibility and acceptability of the intervention and identify barriers and facilitators to implementation. DISCUSSION: Data collection began in May 2010 and is expected to be completed by July 2012. A collaborative nurse-led strategy may provide a feasible, acceptable and effective means for improving the health of older home care clients by improving the prevention, recognition, and management of depression in this vulnerable population. The challenges involved in designing a practical, transferable and sustainable nurse-led intervention in home care are also discussed.

trial registrationClinicalTrials.gov: NCT01407926.

Indexed as

Home Care ServicesInterprofessional RelationsMental HealthNursing ServicesAgedAged, 80 and overDepressionFollow-Up StudiesHealth PromotionHumansProspective StudiesResearch Design

Identifiers

PMID21867539
PMCPMC3184267
OpenAlexW2042874316

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.