Evidence map›Paper›PMID 29514682›Full record

ArticleTrials2018

A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: The NOTEPAD study Protocol.

Heather Burroughs, Bernadette Bartlam, Mo Ray, Tom Kingstone, Tom Shepherd, Reuben Ogollah, Janine Proctor, Waquas Waheed, Peter Bower, Peter Bullock and 5 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

15 authors.

Heather BurroughsResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Bernadette BartlamResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Mo RayDepartment School of Health and Social Care, Lincoln University, Lincoln, UK.
Tom KingstoneResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Tom ShepherdResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Reuben OgollahResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Janine ProctorResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Waquas WaheedNational Institute of Health Research School for Primary Care Research, Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Peter BowerNational Institute of Health Research School for Primary Care Research, Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Peter BullockNational Institute of Health Research School for Primary Care Research, Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Karina LovellDivision of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, M13 9PL, Manchester, UK.
Simon GilbodyDepartment of Health Sciences, University of York, Heslington, York, YO10 5DD, UK.
Della BaileyDepartment of Health Sciences, University of York, Heslington, York, YO10 5DD, UK.
Stephanie Butler-WhalleyResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Carolyn Chew-GrahamResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK. c.a.chew-graham@keele.ac.uk.

Funding

Department of Health HS&DR/13/54/34National Institute for Health Research 13/54/34
6 · The paper itself

Abstract

backgroundAnxiety and depression are common among older people, with up to 20% reporting such symptoms, and the prevalence increases with co-morbid chronic physical health problems. Access to treatment for anxiety and depression in this population is poor due to a combination of factors at the level of patient, practitioner and healthcare system. There is evidence to suggest that older people with anxiety and/or depression may benefit both from one-to-one interventions and group social or educational activities, which reduce loneliness, are participatory and offer some activity. Non-traditional providers (support workers) working within third-sector (voluntary) organisations are a valuable source of expertise within the community but are under-utilised by primary care practitioners. Such a resource could increase access to care, and be less stigmatising and more acceptable for older people.

methodsThe study is in three phases and this paper describes the protocol for phase III, which will evaluate the feasibility of recruiting general practices and patients into the study, and determine whether support workers can deliver the intervention to older people with sufficient fidelity and whether this approach is acceptable to patients, general practitioners and the third-sector providers. Phase III of the NOTEPAD study is a randomised controlled trial (RCT) that is individually randomised. It recruited participants from approximately six general practices in the UK. In total, 100 participants aged 65 years and over who score 10 or more on PHQ9 or GAD7 for anxiety or depression will be recruited and randomised to the intervention or usual general practice care. A mixed methods approach will be used and follow-up will be conducted 12 weeks post-randomisation. DISCUSSION: This study will inform the design and methods of a future full-scale RCT.

trial registrationISRCTN, ID: ISRCTN16318986 . Registered 10 November 2016. The ISRCTN registration is in line with the World Health Organization Trial Registration Data Set. The present paper represents the original version of the protocol. Any changes to the protocol will be communicated to ISRCTN.

Indexed as

Community Mental Health ServicesHealth Services for the AgedPsychosocial Support SystemsSocial WorkersAffectAgedAge FactorsAgingAnxietyCognitive Behavioral TherapyDepressionFeasibility StudiesFemaleHumansLonelinessMaleAnxietyCommunityDepressionOlder peoplePsychosocial interventionThird sector

Identifiers

PMID29514682
PMCPMC5842638

What OpenQuestion holds

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Registered trials

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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.