Design and sample characteristics of the PRISM-E multisite randomized trial to improve behavioral health care for the elderly
Design and sample characteristics of the PRISM-E multisite randomized trial to improve behavioral health care for the elderly
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DOI:
10.1177/0898264303260390
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发表时间:
2004-02-01
影响因子:
2.8
通讯作者:
Ware, JH
中科院分区:
文献类型:
--
作者:
Levkoff, SE;Chen, HT;Ware, JH
Objective: To describe the design of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRlSM-E) study and baseline characteristics of the randomized primary care patients with mental health problems and at-risk alcohol use. Method: Adults aged 65 and older were screened at primary care clinics from 10 study sites throughout the United States. Those diagnosed for depression, anxiety, and/or at-risk alcohol consumption were randomized to either integrated or enhanced referral care. Results: Of the 23,828 participants, 14% had a positive assessment for depressive and/or anxiety disorders, and 6% had at-risk alcohol consumption diagnoses. Among patients with mental health diagnoses, there was a higher preponderance of younger ages, women, and ethnic minorities. Among patients with at-risk drinking, there was a higher preponderance of younger ages, Whites, and men. Discussion: These findings indicate the need for screening in primary care and for engaging older adults in treatment.