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BMC Psychiatry
Published in: BMC Psychiatry 1/2011

Open Access 01-12-2011 | Study protocol

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

Authors: Debby L Gerritsen, Martin Smalbrugge, Steven Teerenstra, Ruslan Leontjevas, Eddy M Adang, Myrra JFJ Vernooij-Dassen, Els Derksen, Raymond TCM Koopmans

Published in: BMC Psychiatry | Issue 1/2011

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Abstract

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
Appendix
Available only for authorised users
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Metadata
Title
Act In case of Depression: The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol
Authors
Debby L Gerritsen
Martin Smalbrugge
Steven Teerenstra
Ruslan Leontjevas
Eddy M Adang
Myrra JFJ Vernooij-Dassen
Els Derksen
Raymond TCM Koopmans
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2011
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-11-91

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