Effectiveness of a psychoeducation group intervention conducted by primary healthcare nurses in patients with depression and physical comorbidity : study protocol for a randomized, controlled trial
Autor: | Luis Miguel Martín López, Jacobo Mendioroz, Marc Casajuana-Closas, Quintí Foguet-Boreu, Maria Isabel Fernández-San-Martín, Roser Masa-Font, Antonia Raya Tena, Eva María Fernandez Linares, Cèlia Cols-Sagarra, Susana González Tejón, Jaume Martín Royo, Rocío Casañas, Glòria Sauch Valmaña |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Response to intervention medicine.medical_treatment Nurses Comorbidity law.invention Study Protocol 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial Quality of life law Psychoeducation Humans Medicine 030212 general & internal medicine Depression (differential diagnoses) Primary Care Nursing business.industry Depression lcsh:Public aspects of medicine 030503 health policy & services Health Policy Beck Depression Inventory lcsh:RA1-1270 Middle Aged medicine.disease Clinical trial Treatment Outcome Research Design Chronic physical illness Chronic Disease Psychotherapy Group Physical therapy Female 0305 other medical science business Primary healthcare |
Zdroj: | BMC Health Services Research, Vol 19, Iss 1, Pp 1-9 (2019) Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona BMC Health Services Research |
Popis: | Background Depressive disorders are the third leading cause of consultation in primary care, mainly in patients with chronic physical illnesses. Studies have shown the effectiveness of group psychoeducation in reducing symptoms in depressive individuals. Our primary aim is to evaluate the effectiveness of an intervention based on a psychoeducational program, carried out by primary care nurses, to improve the remission/response rate of depression in patients with chronic physical illness. Secondarily, to assess the cost-effectiveness of the intervention, its impact on improving control of the physical pathology and quality of life, and intervention feasibility. Methods/design A multicenter, randomized, clinical trial, with two groups and one-year follow-up evaluation. Economic evaluation study. Subjects We will assess 504 patients (252 in each group) aged > 50 years assigned to 25 primary healthcare centers (PHC) from Catalonia (urban, semi-urban, and rural). Participants suffer from major depression (Beck depression inventory: BDI-II 13–28) and at least one of the following: type 2 diabetes mellitus, chronic obstructive pulmonary disease, asthma, and/or ischemic cardiopathy. Patients with moderate/severe suicide risk or severe mental disorders are excluded. Participants will be distributed randomly into the intervention group (IG) and control (CG). Intervention The IG will participate in the psychoeducational intervention: 12 sessions of 90 min, once a week led by two Primary Care (PC) nurses. The sessions will consist of health education regarding chronic physical illness and depressive symptoms. Main measurements Clinical remission of depression and/or response to intervention (BDI-II). Secondary measurements Improvement in control of chronic diseases (blood test and physical parameters), drug compliance (Morinsky-Green test and number of containers returned), quality of life (EQ-5D), medical service utilization (appointments and hospital admissions due to complications), and feasibility of the intervention (satisfaction and compliance). Evaluations will be blinded, and conducted at baseline, post-intervention, and 12 months follow-up. Discussion Results could be informative for efforts to prevent depression in patients with a chronic physical illness. Trial registration NCT03243799 (registration date August 9, 2017) |
Databáze: | OpenAIRE |
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