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Prevention of psychological problems in older widowed persons by means of a visiting service: A randomized trial.


- candidate number1156
- NTR NumberNTR95
- ISRCTNISRCTN17508307
- Date ISRCTN created12-sep-2005
- date ISRCTN requested18-aug-2005
- Date Registered NTR28-jul-2005
- Secondary IDsZON-MW 63-224 
- Public TitlePrevention of psychological problems in older widowed persons by means of a visiting service: A randomized trial.
- Scientific TitlePrevention of psychological problems in older widowed persons by means of a visiting service: A randomized trial.
- ACRONYMN/A
- hypothesisContact with fellow-sufferers, as offered by visiting services to widowed persons with little social support, would show superior effects in improving mental health, quality of life and reducing financial costs to society, compared by a control condition.
- Healt Condition(s) or Problem(s) studiedPsychological problems
- Inclusion criteria1. Widow/widower;
2. Aged 55 years or older;
3. Has lost his/her partner through death 6-12 months earlier;
4. Feels lonely according to the 'Lonelisness Scale';
5. No mental disorder according to the MINI.
- Exclusion criteriaWhen not met the five inclusion criteria mentioned above, people are excluded.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-nov-2002
- planned closingdate1-mei-2007
- Target number of participants350
- InterventionsExperimental: visiting service.In the visiting service, recently widowed persons are offered to hold supportive one-to-one talks with trained fellow-sufferers. The objective is to provide social support. The volunteers make maximally 10 home visits, spread out over a one-year period.
Control condition: respondents in the control condition are offered a brochure about the prevention of depression. These respondents are free to seek help elsewhere on their own initiative.
- Primary outcome1. Mental health;
2. Cost-effectiveness.
- Secondary outcome1. Quality of life;
2. Grief process;
3. Mastery;
4. Loneliness.
- TimepointsN/A
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESDrs. S. Onrunst
- CONTACT for SCIENTIFIC QUERIESDr. G. Willemse
- Sponsor/Initiator Trimbos-institute - Netherlands Institute of Mental Health and Addiction
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryThe loss of the partner through death is a major risk factor for developing serious psychological problems. A promising intervention aimed at preventing psychological problems in older widowed persons are visiting services, developed in the USA (Widow-for-Widow program). This trial is aimed at establishing whether this program is also effective in the Netherlands. Respondents are assigned at random to the experimental group (visiting service) or to a control group (no visiting service; brochure about the prevention of depression) and examined at the start of the intervention, after six months, 1 year and 2 years. Outcome measures are mental health, cost-effectiveness, quality of life, loneliness and process of grief.
- Main changes (audit trail)
- RECORD28-jul-2005 - 29-nov-2009


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