Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Act In case of Depression: The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol | Gerritsen et al. BMC Psychiatry 2011 11 91 http 1471-244X 11 91 BMC Psychiatry STUDY PROTOCOL Open Access Act In case of Depression The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol 1 2 3 1 3 Debby L Gerritsen Martin Smalbrugge Steven Teerenstra Ruslan Leontjevas Eddy M Adang Myrra JFJ Vernooij-Dassen1 4 5 Els Derksen1 and Raymond TCM Koopmans1 Abstract Background The aim of this study is evaluating the cost- effectiveness of a multidisciplinary evidence based care program to improve the management of depression in nursing home residents of somatic and dementia special care units. The care program is an evidence based standardization of the management of depression including standardized use of measurement instruments and diagnostical methods and protocolized psychosocial psychological and pharmacological treatment. Methods Design In a 19-month longitudinal controlled study using a stepped wedge design 14 somatic and 14 dementia special care units will implement the care program. All residents who give informed consent on the participating units will be included. Primary outcomes are the frequency of depression on the units and quality of life of residents on the units. The effect of the care program will be estimated using multilevel regression analysis. Secondary outcomes include accuracy of depression-detection in usual care prevalence of depression-diagnosis in the intervention group and response to treatment of depressed residents. An economic evaluation from a health care perspective will also be carried out. Discussion The care program is expected to be effective in reducing the frequency of depression and in increasing the quality of life of residents. The study will further provide insight in the cost-effectiveness of the care program. Trial registration Netherlands Trial Register NTR NTR1477 Background Depression is a common health problem in nursing home NH .
