Evaluation of an Adapted Collaborative Care Model for Older Adult Depression Severity Reduction and Quality of Life Improvement.

Autor: Bench VR; Department of Acute & Tertiary Care, University of Pittsburgh, School of Nursing , Pittsburgh, PA, USA., Beach M; Department of Acute & Tertiary Care, University of Pittsburgh, School of Nursing , Pittsburgh, PA, USA., Ren D; Department of Health & Community Systems, University of Pittsburgh, School of Nursing , Pittsburgh, PA, USA.
Jazyk: angličtina
Zdroj: Journal of evidence-based social work (2019) [J Evid Based Soc Work (2019)] 2020 Sep-Oct; Vol. 17 (5), pp. 527-537. Date of Electronic Publication: 2020 Jun 23.
DOI: 10.1080/26408066.2020.1768193
Abstrakt: Purpose: The purpose of this clinical study was to evaluate the efficacy of a collaborative care model in the reduction of depression severity and the improvement of quality of life (QOL) of older adults.
Methods: Individual participant encounters were conducted approximately every 2 weeks over 4 months with nineteen participants. Average participant age was 73 years. A pre-experimental single pretest-posttest group was conducted in which the Patient Health Questionnaire 9 (PHQ-9) and Quality of Life Assessment (QOLA) scores respectively measured depression severity and QOL of participants.
Results: The average PHQ-9 score (0-27; higher indicates worse depression) decreased from 14 pre-intervention to 8.3 post-intervention ( p < .001), while the average QOLA score (0-10; higher indicates better QOL) increased from 5.7 pre-intervention to 6.5 post-intervention ( p = .342).
Conclusion: The adapted collaborative care model provided an affordable, effective method of older adult depression management within the contexts of this clinical study.
Databáze: MEDLINE