Adherence to a Depression Self-Care Intervention among Primary Care Patients with Chronic Physical Conditions: A Randomised Controlled Trial

Autor/inn/en	McCusker, Jane; Cole, Martin G.; Yaffe, Mark; Strumpf, Erin; Sewitch, Maida; Sussman, Tamara; Ciampi, Antonio; Lavoie, Kim; Belzile, Eric
Titel	Adherence to a Depression Self-Care Intervention among Primary Care Patients with Chronic Physical Conditions: A Randomised Controlled Trial
Quelle	In: Health Education Journal, 75 (2016) 7, S.767-779 (13 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0017-8969
DOI	10.1177/0017896915622515
Schlagwörter	Intervention; Depression (Psychology); Cognitive Restructuring; Behavior Modification; Severity (of Disability); Telecommunications; Diaries; Primary Health Care; Patients; Multimedia Materials; Audiovisual Aids; Physical Health; Comorbidity; Instructional Materials; Gender Differences; Outcomes of Treatment; Measures (Individuals); Daily Living Skills; Foreign Countries; Symptoms (Individual Disorders); Interviews; Canada + Suchen Sie Ihr Suchwort? Behaviour modification; Verhaltensänderung; Schweregrad; Telekommunikationstechnik; Diary; Tagebuch; Gesundheitsvorsorge; Patient; Audiovisuelles Medium; Gesundheitszustand; Lehrmaterial; Lehrmittel; Unterrichtsmedien; Geschlechterkonflikt; Messdaten; Alltagsfertigkeit; Ausland; Psychiatrische Symptomatik; Interviewing; Interviewtechnik; Kanada
Abstract	Objective: Among primary care patients with chronic physical conditions and comorbid depressive symptoms, to assess (1) the effect of lay telephone coaching on adherence to a psycho-educational intervention for depression, (2) demographic characteristics that predict adherence and (3) the association between adherence and 6-month outcomes. Design: Single blind randomised pragmatic trial of a lay telephone-supported depression self-care intervention compared to an unsupported intervention. Methods: All patients received a multimedia toolkit of paper and audiovisual materials on depression that provided education on depression and on self-care for depression. Core tools included a cognitive-behavioural therapy (CBT)-based workbook and a mood monitoring notebook, with opportunities for written exercises and notes, and a video. Intervention group patients were additionally offered telephone coaching. Self-reported use of the materials was assessed at 3 and 6 months post-randomisation; 6-month outcomes were patient satisfaction and change from baseline in depression severity. Results: In all, 223 patients were randomised; 165 (74.0%) completed follow-up. Coached versus uncoached patients reported significantly greater use of the workbook, but not of other tools. Men used more audiovisual tools; women used more paper tools. Self-reported completion of written exercises and a greater number of coach contacts were associated with greater satisfaction, but not with improvement in depression. Conclusion: Telephone coaching can increase adherence to CBT-based tools for depression self-care; however, use of these tools may not improve depression outcomes. Many patients are capable of self-directed use of self-care educational materials. Sex differences in patterns of tool use may be helpful in the targeting of tools. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01