Pilot Study of a Statewide Initiative to Enhance Depression Care Among Older Home Care Patients

被引：3

作者：

Delaney, Colleen ^{[1
]}

Fortinsky, Richard ^{[2
]}

Mills, Dana ^{[2
]}

Doonan, Lorraine ^{[3
]}

Grimes, Rita ^{[4
]}

Rosenberg, Suzanne ^{[5
]}

Pearson, Terra-Lee ^{[6
]}

Bruce, Martha L. ^{[7
]}

机构：

[1] Univ Connecticut, Sch Nursing, 231 Glenbrook Rd,U 2026, Storrs, CT 06269 USA

[2] Univ Connecticut, Hlth Ctr, Farmington, CT USA

[3] LMD Legal Nurse Consultants LLC, Simsbury, CT USA

[4] Visiting Nurse & Hlth Serv Connecticut, Vernon, CT USA

[5] Continuum Care, New Haven, CT USA

[6] Masonic Partners, E Hartford, CT USA

[7] Weill Cornell Med Coll, New York, NY USA

来源：

HOME HEALTH CARE MANAGEMENT AND PRACTICE | 2013年 / 25卷 / 02期

关键词：

depression; older adults; home health care; research; mental health; evidence-based care;

D O I：

10.1177/1084822312465747

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Late-life depression is prevalent in home care. This pilot study, part of a statewide initiative to enhance depression care, evaluated the influence of a 2-hour depression screening and intervention workshop on home care professionals' knowledge, self-efficacy, and attitudes related to depression in older home care patients. A pretest, posttest design was used to evaluate the effects of the workshop with 280 home care professionals from 7 home care agencies. Following the depression workshop, participants' knowledge levels in evidence-based screening and care for depressed older adults was significantly increased, t(280) = 16.49, p <.001. A significant increase in confidence and attitude ratings were found (p <.001). Findings from this pilot study support broader dissemination throughout Connecticut home care agencies.

引用

页码：45 / 53

页数：9

共 30 条

[1] Diagnosis and Treatment of Depression in Older Community-Dwelling Adults: 1992-2005 [J].

Akincigil, Ayse ;

Olfson, Mark ;

Walkup, James T. ;

Siegel, Michele J. ;

Kalay, Ece ;

Amin, Shahla ;

Zurlo, Karen A. ;

Crystal, Stephen .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2011, 59 (06) :1042-1051

[2]

[Anonymous], 2010, OASIS C BEST PRACT M

[3] Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH behavior change consortium [J].

Bellg, AJ ;

Borrelli, B ;

Resnick, B ;

Hecht, J ;

Minicucci, DS ;

Ory, M ;

Ogedegbe, G ;

Orwig, D ;

Ernst, D ;

Czajkowski, S .

HEALTH PSYCHOLOGY, 2004, 23 (05) :443-451

[4] Training Nursing Staff to Recognize Depression in Home Healthcare [J].

Brown, Ellen L. ;

Raue, Patrick J. ;

Roos, Bernard A. ;

Sheeran, Thomas ;

Bruce, Martha L. .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2010, 58 (01) :122-128

[5] A randomized trial of depression assessment intervention in home health care [J].

Bruce, Martha L. ;

Brown, Ellen L. ;

Raue, Patrick J. ;

Mlodzianowski, Amy E. ;

Meyers, Barnett S. ;

Leon, Andrew C. ;

Heo, Moonseong ;

Byers, Amy L. ;

Greenberg, Rebecca L. ;

Rinder, Susan ;

Katt, Wendy ;

Nassisi, Pamela .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2007, 55 (11) :1793-1800

[6]

Bruce Martha L, 2011, Home Healthc Nurse, V29, P480, DOI 10.1097/NHH.0b013e318229d75b

[7]

Bruce Martha L, 2011, Home Healthc Nurse, V29, P416, DOI 10.1097/NHH.0b013e31821fe9f7

[8] Major depression in elderly home health care patients [J].

Bruce, ML ;

McAvay, GJ ;

Raue, PJ ;

Brown, EL ;

Meyers, BS ;

Keohane, DJ ;

Jagoda, DR ;

Weber, C .

AMERICAN JOURNAL OF PSYCHIATRY, 2002, 159 (08) :1367-1374

[9]

Bruce ML, 2012, PATIENT HLTH QUESTIO

[10] Training primary care nurses in late-life depression: knowledge, attitude and practice changes [J].

Butler, Mary Pat ;

Quayle, Ethel .

INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, 2007, 2 (01) :25-35

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