Evaluation of Recruitment Strategies for Home-Living Vulnerable Older Adults With Depression: Findings From a Randomized Controlled Psychotherapy Trial
| Autor: | Eva-Marie Kessler, Fee Hoppmann, Paul Gellert, Julie Lorraine O'Sullivan, Christina Tegeler |
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| Rok vydání: | 2022 |
| Předmět: |
First contact
education.field_of_study Psychotherapist Referral Depression business.industry Population Anxiety Confidence interval law.invention Psychotherapy Psychiatry and Mental health Randomized controlled trial law Humans Medicine Geriatrics and Gerontology medicine.symptom education business Referral and Consultation Inclusion (education) Depression (differential diagnoses) Aged |
| Zdroj: | The American Journal of Geriatric Psychiatry. 30:462-474 |
| ISSN: | 1064-7481 |
| DOI: | 10.1016/j.jagp.2021.07.020 |
| Popis: | OBJECTIVE Vulnerable older adults, such as physically impaired or care-dependent individuals, are vastly underrepresented in psychotherapy research. Improving their inclusion in randomized controlled trials is necessary to determine the effectiveness of psychotherapy in this population. This study is the first to systematically evaluate strategies to recruit home-living vulnerable older adults with clinically significant depression into a large randomized controlled psychotherapy trial. Potential participants were approached directly (self-referral) or via cooperation with gatekeepers (gatekeeper-referral). METHODS Successful recruitment strategies and the person initiating the first contact with the study team were recorded. Recruitment strategies were compared with respect to the number of inquiries and inclusion rates, study personnel's time investment, and participant characteristics (sociodemographics, functional and cognitive status, depression and anxiety scores). RESULTS Most of the N = 197 participants were included via gatekeeper-referral (80.5%, 95% confidence interval = [74.9, 86.1]), but time investment for gatekeeper-referrals was five times higher than for self-referral by media reports. Clinical psychologists and medical practitioners referred the largest proportion of participants (32.3% each) and referral by medical practitioners led to highest inclusion rates (55.6%; χ²(3) = 8.964, p |
| Databáze: | OpenAIRE |
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