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Open Access 01-12-2008 | Study protocol

(Cost)effectiveness of life review for Older Adults: Design of a randomized controlled trial

Authors: Anne Margriet Pot, Anne-Sophie Melenhorst, Simone Onrust, Ernst T Bohlmeijer

Published in: BMC Public Health | Issue 1/2008

Abstract

Background

Depression in older adults is a serious health problem with a poor prognosis. There is a need for indicated preventive psychological interventions for older adults, that show to be promising in preventing depressive disorders.

Methods/design

This manuscript describes the design of a study evaluating 'Looking for Meaning', a newly developed prevention course for older adults with depressive symptoms, based on life-review. Both clinical and economic effectiveness are evaluated in a pragmatic randomized controlled trial. The control condition of this 12-session preventive intervention is a 20-minute video movie. The primary outcome is symptoms of depression at post-treatment and follow-up (6 months after post-treatment). Secondary outcomes are symptoms of anxiety, satisfaction with life, mastery, reminiscence styles, quality of life, and health care costs. An additional result of this study is the insight into the working elements of the course, provided by the qualitative study. The qualitative data, mainly based on 20 open-ended interviews with participants, are to be analyzed with an emphasis on newly emerging insight.

Discussion

This study will add to the existing scientific knowledge in several ways, especially by also including an economic evaluation and a qualitative study to gain insight into the working mechanisms of the course, both rather new in the field of life review. Positive results of this study will make an evidence-based intervention to improve public health among older people available.

Trial registration

Current Controlled Trials Ltd, ISRCTN66645855

Licht-Strunk E, Windt van der DA, van Marwijk HW, de Haan M, Beekman AT: The prognosis of depression in older patients in general practice and the community. A systematic review. Fam Pract. 2007, 24: 168-180. 10.1093/fampra/cml071.CrossRefPubMed

Beekman ATF, Copeland JR, Prince MJ: Review of community prevalence of depression in later life. Br J Psychiatry. 1999, 174: 307-311.CrossRefPubMed

Smit F, Ederveen A, Cuijpers P, Deeg D, Beekman ATF: Opportunities for cost-effective prevention of late-life depression: An epidemiological approach. Arch Gen Psychiatry. 2006, 63: 290-296. 10.1001/archpsyc.63.3.290.CrossRefPubMed

Mrazek PJ, Haggerty RJ: Reducing risks for mental disorders: Frontiers for preventive intervention research. 1994, Washington DC, National Academy Press

Cuijpers P, Smit F, van Straaten A: Psychological treatments of subthreshold depression: a meta-analytic review. Acta Psychiatr Scand. 2007, 115: 434-441. 10.1111/j.1600-0447.2007.00998.x.CrossRefPubMed

Cuijpers P: A psycho-educational approach to the treatment of depression; a meta-analysis of Lewinsohn's 'Coping with Depression' course. Beh Ther. 1998, 29: 521-533. 10.1016/S0005-7894(98)80047-6.CrossRef

Wilson KC, Mottram PG, Vassilas CA: Psychotherapeutic treatments for older depressed people. Cochrane Database Syst Rev. 2008, CD004853-1

Miller MD: Using interpersonal therapy (IPT) with older adults today and tomorrow: a review of the literature and new developments. Curr Psychiatr Rep. 2008, 10: 16-22. 10.1007/s11920-008-0005-6.CrossRef

Bohlmeijer E, Smit F, Cuijpers P: Effects of reminiscence and life review on late-life depression: a meta-analysis. Int J Ger Psychiatry. 2003, 18: 1088-1094. 10.1002/gps.1018.CrossRef

10.

Bohlmeijer ET, Roemer M, Cuijpers P, Smit F: The effects of life-review on psychological well-being in older adults: a meta-analysis. Aging Ment Health. 2007, 11: 291-300. 10.1080/13607860600963547.CrossRefPubMed

11.

Butler RN: The life-review: An interpretation of reminiscence in the aged. Psychiatry. 1963, 26: 65-76.PubMed

12.

Fry PS: Structured and unstructured reminiscence training and depression in the elderly. Clin Gerontologist. 1983, 1: 15-37. 10.1300/J018v01n03_06.CrossRef

13.

Watt LM, Cappeliez P: Integrative and instrumental reminiscence therapies for depression in older adults: intervention strategies and treatment effectiveness. Aging Ment Health. 2000, 4: 166-177. 10.1080/13607860050008691.CrossRef

14.

Haight BK, Coleman P, Lord K: The Linchpins of a successful life review: Structure evaluation, and individuality. The art and science of reminiscing: Theory, research, methods, and applications. Edited by: Haight BK, Webster JD. 1995, Washington DC: Taylor & Frances, 179-192.

15.

Webster JD: Construction and Validation of the reminiscence Functions Scale. J Gerontol. 1993, 48 (5): P256-262.CrossRefPubMed

16.

Wong PT, Watt LM: What types of reminiscence are associated with successful aging?. Psych Aging. 1991, 6: 272-279. 10.1037/0882-7974.6.2.272.CrossRef

17.

Franssen J, Bohlmeijer E: Op zoek naar zin, een cursus rond het eigen levensverhaal voor ouderen met depressieve klachten. [Looking for meaning, a course on the own life-story for older adults with depressive symptoms.]. 2003, Utrecht, Trimbos-instituut

18.

Bohlmeijer E, Valenkamp M, Westerhof G, Smit F, Cuijpers P: Creative reminiscence as an early intervention for depression: results of a pilot project. Aging Ment Health. 2005, 9: 302-304. 10.1080/13607860500089567.CrossRefPubMed

19.

Radloff LS: The CES-D scale: a self-report depression scale for research in the general population. J Applied Psychol Measurement. 1977, 1: 385-401. 10.1177/014662167700100306.CrossRef

20.

Radloff LS, Teri L: Use of the CES-D with older adults. Clin Gerontol. 1986, 5: 119-36. 10.1300/J018v05n01_06.CrossRef

21.

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E: The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998, 59: 22-33.PubMed

22.

Lipsey MW, Wilson DB: The efficacy of psychological, educational, and behavioral treatment. Am Psychologist. 1993, 48: 1181-1209. 10.1037/0003-066X.48.12.1181.CrossRef

23.

Parnassia psycho-medisch centrum: 'De kunst van het ouder worden'. Videofilm en handleiding ['The Art of Growing Older'. Movie and manual]. 2003, Den Haag, Parnassia psycho-medisch centrum

24.

Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983, 67: 361-370. 10.1111/j.1600-0447.1983.tb09716.x.CrossRefPubMed

25.

Priebe S, Huxley P, Knight S, Evans S: Application and results of the Manchester Short Assessment of quality of life (MANSA). Int J Soc Psychiatry. 1999, 45: 7-12. 10.1177/002076409904500102.CrossRefPubMed

26.

Pearlin LI, Schooler C: The structure of coping. J Health Soc Behav. 1978, 19: 2-21. 10.2307/2136319.CrossRefPubMed

27.

Brooks R: EuroQol: the current state of play. Health Policy. 1996, 37: 53-72. 10.1016/0168-8510(96)00822-6.CrossRefPubMed

28.

Euroqol group: EuroQol-a new facility for the measurement of health-related quality of life. Health Policy. 1990, 16: 199-208. 10.1016/0168-8510(90)90421-9.CrossRef

29.

Lamers LM, Stalmeier PFM, McDonnell J, Krabbe PFM, van Busschbach JJ: Kwaliteit van leven meten in economische evaluaties: het Nederlands EQ-5D-tarief. [Measuring the quality of life in economic evaluations: the Dutch EQ-5D tariff]. Ned Tijdschr Geneeskd. 2005, 149: 1574-1578.PubMed

30.

Hakkaart-van Rooijen L, van Straten A, Doner M, Tiemens B: Trimbos/iMTA questionnaire for costs associated with psychiatric illness (TIC-P). 2002, Rotterdam: Erasmus University

31.

StataCorp: Stata Statistical Software: Release 9.1. 2005, College Station, Texas: Stata Corporation

32.

Cohen J: Statistical Power Analysis for the Behavioural Sciences. Edited by: Hillsdale NJ. 2005, Lawrence Erlbaum Associates, 2

33.

Kelle U: Introduction: An overview of computer-aided methods in qualitative research. Computer-Aided Qualitative Data Analysis: Theory, methods and practice. Edited by: Kelle U. 1995, London, Sage, 1-17.

34.

Kelle U: Theory Building in Qualitative Research and Computer Programs for the Management of Textual Data. Soc Res Online. 1997, 2 (2):

35.

Richards T, Richards L: Using Computers in Qualitative Research. Handbook of Qualitative Research. Edited by: Denzin N, Lincoln Y. 1995, Thousand Oaks, Sage

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/8/211/prepub

Title: (Cost)effectiveness of life review for Older Adults: Design of a randomized controlled trial
Authors: Anne Margriet Pot
Anne-Sophie Melenhorst
Simone Onrust
Ernst T Bohlmeijer
Publication date: 01-12-2008
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-8-211

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

(Cost)effectiveness of life review for Older Adults: Design of a randomized controlled trial

Abstract

Background

Methods/design

Discussion

Trial registration

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods/design

Discussion

Trial registration

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