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Project Direct: Pilot Study of A Collaborative Intervention for Depressed Seniors

Publication: Canadian Journal of Community Mental Health
29 January 2009

Abstract

This pilot study assessed the feasibility of a randomized controlled trial of an intervention for major depression among seniors in Canadian family practice. The intervention involved care by a family physician augmented by a Depression Care Practitioner, the latter working under the supervision of a psychiatrist. Treatments included family doctors' prescriptions of antidepressants according to an evidence-based study algorithm and/or brief problem-solving therapy. Eligible patients aged 60+ were identified in a 2-step screening process: 68 patients from 29 Montreal family practices were randomized, and 66 completed the 2-month follow-up. Results support the feasibility of a multisite trial of this intervention.

Résumé

Cette étude pilote a évalué la faisabilité d'un essai contrôlé avec assignation aléatoire des participants et participantes portant sur une intervention pour la dépression majeure chez les aînés et aînées conduite en médecine familiale au Canada. L'intervention consistait en soins fournis par le médecin de famille avec en plus ceux d'une clinicienne ou un clinicien spécialisé en soins pour la dépression, ce dernier étant supervisé par un psychiatre. Les traitements incluaient la prescription d'antidépresseurs par le médecin de famille selon un algorithme basé sur des données probantes et/ou une thérapie brève de résolution de problème (Problem-Solving Therapy). Les patientes et patients âgés de 60 ans et plus ont été identifiés par un dépistage à 2 étapes: 68 patientes et patients en provenance de 29 centres de médecine familiale à Montréal ont été choisis au hasard, et 66 d'entre eux ont complété le suivi à 2 mois. Les résultats appuient la faisabilité d'un essai clinique de cette intervention impliquant plusieurs sites.

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Information & Authors

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Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 27Number 2September 2008
Pages: 201 - 218

History

Version of record online: 29 January 2009

Authors

Affiliations

Jane McCusker
Department of Clinical Epidemiology and Community Studies, St. Mary’s Hospital Centre, and Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec
Martin Cole
Department of Psychiatry, St. Mary's Hospital and McGill University, Montreal, Quebec
Mark Yaffe
Department of Family Medicine, St. Mary's Hospital and McGill University, Montreal, Quebec
Philippe Cappeliez
School of Psychology, University of Ottawa, Ontario
Martin Dawes
Department of Family Medicine, McGill University, Montreal, Quebec
Maida Sewitch
Department of Medicine, McGill University, and Department of Clinical Epidemiology and Community Studies, St. Mary's Hospital, Montreal, Quebec
Antonio Ciampi
Department of Clinical Epidemiology and Community Studies, St. Mary’s Hospital Centre, and Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec
Eric Latimer
Douglas Hospital Research Centre, and Department of Psychiatry, McGill University, Montreal, Quebec

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