Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme
<p>Abstract</p> <p>Background</p> <p>Depressive and anxiety disorders are a very common, serious and underdetected problem in homes for the elderly. Elderly persons in residential homes are at high risk for developing major depressive and anxiety disorders, and, therefo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2007-03-01
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| Series: | BMC Geriatrics |
| Online Access: | http://www.biomedcentral.com/1471-2318/7/6 |
| _version_ | 1818145553631936512 |
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| author | Beekman Aartjan TF van Schaik Digna JF Dozeman Els Stalman Wim AB Bosmans Judith E van Marwijk Harm WJ |
| author_facet | Beekman Aartjan TF van Schaik Digna JF Dozeman Els Stalman Wim AB Bosmans Judith E van Marwijk Harm WJ |
| author_sort | Beekman Aartjan TF |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Depressive and anxiety disorders are a very common, serious and underdetected problem in homes for the elderly. Elderly persons in residential homes are at high risk for developing major depressive and anxiety disorders, and, therefore, deserve attention with regard to prevention.</p> <p>Methods/Design</p> <p>This protocol describes a randomised trial on the feasibility and (cost) effectiveness of a stepped-care programme for prevention of depressive and anxiety disorders in homes for the elderly. The main outcome measure is the incidence of depressive and anxiety disorder in one year with a two years follow up. Secondary outcomes are symptoms of depression and anxiety, quality of life, direct health care costs and satisfaction with treatment.</p> <p>Discussion</p> <p>The number of studies examining the effects of preventive interventions on the incidence of mental disorders in the elderly population is very small. However, indicated prevention by means of a stepped-care programme seems to be an important option for decreasing the burden of illness for residents and their caregivers. This study contributes to the body of knowledge in this field. Positive effects may contribute to further use and development of tailored, (cost-) effective and easy to use interventions in a preventive stepped-care programme.</p> <p>Trial Registration</p> <p>The Dutch Cochrane Centre, ISRCTN27540731</p> |
| first_indexed | 2024-12-11T12:05:17Z |
| format | Article |
| id | doaj.art-731648eeee934c76a2a4113a2404633b |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-11T12:05:17Z |
| publishDate | 2007-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-731648eeee934c76a2a4113a2404633b2022-12-22T01:07:57ZengBMCBMC Geriatrics1471-23182007-03-0171610.1186/1471-2318-7-6Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programmeBeekman Aartjan TFvan Schaik Digna JFDozeman ElsStalman Wim ABBosmans Judith Evan Marwijk Harm WJ<p>Abstract</p> <p>Background</p> <p>Depressive and anxiety disorders are a very common, serious and underdetected problem in homes for the elderly. Elderly persons in residential homes are at high risk for developing major depressive and anxiety disorders, and, therefore, deserve attention with regard to prevention.</p> <p>Methods/Design</p> <p>This protocol describes a randomised trial on the feasibility and (cost) effectiveness of a stepped-care programme for prevention of depressive and anxiety disorders in homes for the elderly. The main outcome measure is the incidence of depressive and anxiety disorder in one year with a two years follow up. Secondary outcomes are symptoms of depression and anxiety, quality of life, direct health care costs and satisfaction with treatment.</p> <p>Discussion</p> <p>The number of studies examining the effects of preventive interventions on the incidence of mental disorders in the elderly population is very small. However, indicated prevention by means of a stepped-care programme seems to be an important option for decreasing the burden of illness for residents and their caregivers. This study contributes to the body of knowledge in this field. Positive effects may contribute to further use and development of tailored, (cost-) effective and easy to use interventions in a preventive stepped-care programme.</p> <p>Trial Registration</p> <p>The Dutch Cochrane Centre, ISRCTN27540731</p>http://www.biomedcentral.com/1471-2318/7/6 |
| spellingShingle | Beekman Aartjan TF van Schaik Digna JF Dozeman Els Stalman Wim AB Bosmans Judith E van Marwijk Harm WJ Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme BMC Geriatrics |
| title | Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme |
| title_full | Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme |
| title_fullStr | Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme |
| title_full_unstemmed | Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme |
| title_short | Depression and anxiety, an Indicated Prevention (DIP) protocol in homes for the elderly: feasibility and (cost) effectiveness of a stepped care programme |
| title_sort | depression and anxiety an indicated prevention dip protocol in homes for the elderly feasibility and cost effectiveness of a stepped care programme |
| url | http://www.biomedcentral.com/1471-2318/7/6 |
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