#408 The feasibility, acceptability and effects of an interprofessional nurse-led mental health promotion intervention in older home care clients with depressive symptoms

The event will start on: Sep 18, 01:00pm EDT
And will end on: Sep 18, 02:00pm EDT


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To join in: On September 18, 2014 Click here to download Access instructions and the back up Powerpoint Presentation

Depressive symptoms in older home care clients are highly prevalent, but poorly recognized and treated. The objectives of this study were to examine the feasibility and acceptability of a new 6-month interprofessional (IP) nurse-led mental health promotion intervention, and to explore its effects on reducing depressive symptoms in older home care clients (> 70 years) using personal support services. A one-group pre-test post-test study design was used. The intervention was a six-month evidence-based depression care management strategy led by a Registered Nurse (RN) that used an IP approach. Of the 142 study participants, 56% had depressive symptoms, and 38% of these participants had moderate to severe depressive symptoms. The findings provide initial evidence for the feasibility, acceptability and sustained effects of the intervention in reducing depressive symptoms and anxiety, improving health-related quality of life (HRQoL), and reducing use of hospitalization, ambulance services, and emergency room visits over the study period. Future research should evaluate its efficacy using a randomized clinical trial in different settings.

Who should attend?
Home care managers and practitioners, Researchers, and Mental health practitioners, and those interested in community-based care of older adults with chronic conditions

Advisor on tap:

MMRDr. Maureen Markle-Reid, RN, MScN, PhD
Associate Professor and Canada Research Chair
Aging, Chronic Disease and Health Promotion Interventions, School of Nursing
Scientific Director, Aging, Community and Health Research Unit
Associate Member, Clinical Epidemiology and Biostatistics
McMaster University, Faculty of Health Sciences

Biography
Dr. Maureen Markle-Reid is a tenured Associate Professor and a Canada Research Chair in Aging, Chronic Disease and Health Promotion Interventions in the School of Nursing, and the Scientific Director of the Aging, Community and Health Research Unit at McMaster University. She is also an Associate Member in the Department of Clinical Epidemiology and Biostatistics and an Associate Researcher in the Gilbrea Centre for Studies in Aging at McMaster. The goal of her research is to enhance the health-related quality of life of community-living older adults with multiple chronic conditions and their family caregivers. To accomplish this goal, she has led numerous interprofessional teams in studies involving the design, evaluation and translation of new and innovative health promotion interventions. Recent studies have focused on fall prevention, stroke rehabilitation, depression, diabetes, dementia and the uptake and spread of research evidence. Her research has been supported by over $7.5 million in multi-year peer-reviewed funding.

Related Resources
Markle-Reid, M., McAiney, C., Forbes, D., Thabane, L., Gibson, M., Browne, G., Peirce, T., Busing, B., & Hoch, J. (2014) An interprofessional nurse-led mental health promotion intervention for older home care clients with depressive symptoms. BMC Geriatrics, 14:62. doi: 10.1186/1471-2318-14-62. Open access article available on http://www.biomedcentral.com/1471-2318/14/62

Markle-Reid, M., McAiney, C., Forbes, D., Thabane, L., Gibson, M., Browne, G., Peirce, T., Busing, B., & Hoch, J. (2011). Reducing depression in older home care clients: Design of a prospective study of a nurse-led interprofessional mental health promotion intervention. BMC Geriatrics, 11, 50 doi:10.1186/1471-2318-11-50.

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