Managing depression in home health care: a randomized clinical trial.
Managing depression in home health care: a randomized clinical trial.
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DOI：
10.1300/j027v26n03_05
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发表时间：
2007-01-01
影响因子：
1.4
通讯作者：
Xie, Bin
中科院分区：
文献类型：
--
作者：
Ell, Kathleen;Unutzer, Jurgen;Xie, Bin
进行了一项前瞻性随机试验，以检验常规护理提供者在常规条件下实施家庭保健质量改进干预措施的有效性、可行性和实施程度。共有 311 名老年人被随机分配到强化常规护理 (EUC) 组，其中包括常规抑郁症筛查和针对老年人抑郁症护理管理的员工培训，或干预组 (INT)，其中包括抗抑郁药物和/或心理治疗加 EUC。使用 PHQ-9 和抑郁症护理管理质量改进来实施常规筛查方案在不同的家庭医疗保健组织中是可行的，并且可以在 INT 组中获得持续更好（但不具有统计学意义）的抑郁症结果。
A prospective randomized trial was conducted to examine the effectiveness, feasibility, and degree of implementation of home health care quality improvement interventions when implemented under usual conditions by usual care providers. A total of 311 older adults were randomized to enhanced usual care (EUC) that included routine depression screening and staff training in depression care management for older adults or to the intervention group (INT) that included antidepressants and/or psychotherapy treatment plus EUC. Implementing a routine screening protocol using the PHQ-9 and depression care management quality improvements is feasible in diverse home health care organizations and results in consistently better (but not statistically significant) depression outcomes in the INT group.