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Prevention of anxiety and depression in the elderly.


- candidate number1715
- NTR NumberNTR418
- ISRCTNISRCTN26474556
- Date ISRCTN created20-dec-2005
- date ISRCTN requested18-nov-2005
- Date Registered NTR22-sep-2005
- Secondary IDsN/A 
- Public TitlePrevention of anxiety and depression in the elderly.
- Scientific TitleA study to test the feasibility and effects of a generic stepped care approach for community elderly with symptoms of subtreshold anxiety and/or depression.
- ACRONYMPIKO-D
- hypothesisThe stepped care approach will lead to a significantly reduced incidence of clinical anxiety and depression in two years and will reduce symptoms level compared to usual care.
- Healt Condition(s) or Problem(s) studiedDepression, Anxiety
- Inclusion criteriaPersons 75 years of age and over living in the community Centre for Epidemiological Studies Depression (CES-D) score of 16 or higher.
- Exclusion criteriaMeeting criteria for major depression and/or clinical anxiety. Insufficient mastery of the Dutch language. Unwilling or unable to give informed consent.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 15-sep-2004
- planned closingdate15-sep-2007
- Target number of participants170
- InterventionsStepped care programme:
1. Symptom monitoring every three months (CES-D);
2. Leaflet and selfhelp book coached by homecare nurse;
3. Problem solving treatment by community psychiatric nurses (CPN);
4. Suggestion to discuss medication with general practitioner (GP).
- Primary outcomeIncidence of clinical anxiety and/or major depression in two years (Mini International Neuropsychiatric Interview, MINI).
- Secondary outcome1. Reduction of self-reported anxiety and/or depressive symptoms as measured with the CES-D, the Hospital Anxiety Depression Scale (HADS-A);
2. Improvement of quality of life (SF-36) Mortality.
- TimepointsN/A
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIES P.J. Veer-Tazelaar, van 't
- CONTACT for SCIENTIFIC QUERIESMD. H.W.J. Marwijk, van
- Sponsor/Initiator VU University Medical Center, EMGO-Institute
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryAim is to evaluate the effects versus usual care of a generic stepped care programme to reduce the incidence of anxiety and depression in the elderly living in the community to be used by home care nurses.
- Main changes (audit trail)
- RECORD22-sep-2005 - 5-jan-2010


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