Personal characteristics and depression-related attitudes of older adults and participation in stages of implementation of a multi-site effectiveness trial (PRISM-E).
Personal characteristics and depression-related attitudes of older adults and participation in stages of implementation of a multi-site effectiveness trial (PRISM-E).
复制标题
老年人的个人特征和抑郁相关态度以及参与多中心有效性试验（PRISM-E）的实施阶段。
DOI：
10.1002/gps.1386
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发表时间：
2005
影响因子：
4
通讯作者：
Zubritsky,Cynthia
中科院分区：
文献类型：
--
作者：
Wittink,MarshaN;Oslin,David;Knott,KathrynA;Coyne,JamesC;Gallo,JosephJ;Zubritsky,Cynthia
背景没有研究评估的态度抑郁症及其治疗和参与的每一步招募和实施的有效性试验。我们的目的是确定老年人对抑郁症的个人特征和态度与参与老年人药物滥用和精神健康初级保健研究（PRISM-E）的每个步骤之间的关联从PRISM-E中的所有潜在参与者获得有关抑郁症及其治疗的个人特征和态度的信息。更有可能完成基线访谈，但不太可能与进行干预的心理健康专业人员会面。对服药的态度与干预措施的吸收显着相关，但与招募的早期阶段无关。如果愿意服用抑郁症药物，但不赞成等待抑郁症好转，则更有可能去精神卫生专业人员那里接受抑郁症治疗[比值比（OR）= 3.16，95%置信区间（CI）= 1.48-6.75]，自行解决（OR = 5.18，95%CI = 1.69-15.85），或与牧师、牧师或拉比交谈结论社会支持和其他个人特征可能是最适合制定招聘策略的因素，但在招募和实施的后续步骤中，可能需要更多地关注对抗抑郁药物的具体态度。版权所有© 2005年约翰威利父子有限公司。
BackgroundNo study has assessed attitudes about depression and its treatment and participation at each step of recruitment and implementation of an effectiveness trial. Our purpose was to determine the association between personal characteristics and attitudes of older adults about depression with participation at each step of the Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM‐E) treatment effectiveness trial.MethodsInformation on personal characteristics and attitudes regarding depression and its treatment were obtained from all potential participants in PRISM‐E.ResultsPersons who reported better social support were more likely to complete a baseline interview, but were less likely to meet with the mental health professional carrying out the intervention. Attitudes about taking medicines were significantly associated with uptake of the intervention, but not with earlier phases of recruitment. Persons were much more likely to have a visit with the mental health professional for treatment of depression if they were willing to take medicine for depression but did not endorse waiting for the depression to get better [odds ratio (OR) = 3.16, 95% confidence interval (CI) = 1.48–6.75], working it out on one's own (OR = 5.18, 95% CI = 1.69–15.85), or talking to a minister, priest, or rabbi (OR = 2.01, 95% CI = 1.02–3.96).ConclusionSocial support and other personal characteristics may be the most appropriate for tailoring recruitment strategies, but later steps in the recruitment and implementation may require more attention to specific attitudes towards antidepressant medications. Copyright © 2005 John Wiley & Sons, Ltd.