A Trial on the Effectiveness of Screening and Brief Problem-Solving Therapy (PST) for Elderly Patients With Psychological Problems
A Randomised Controlled Trail on the Effectiveness of Screening and Brief Counselling (Problem-Solving Therapy) for Elderly Patients With Psychological Problems in Primary Care.
1 other identifier
interventional
299
1 country
1
Brief Summary
The aim of this study was to determine whether screening followed by brief PSC provided by primary care doctors could improve the quality of life of elderly patients with unrecognized psychological problems in primary care. The following hypotheses were tested:
- 1.Elderly patients screened positive of psychological problems had poorer health-related quality of life (HRQOL) than those who were screened negative.
- 2.Primary care doctors could be trained to provide brief PST.
- 3.Brief PST by a trained primary care doctor could improve the HRQOL of the elderly who were screened positive for psychological problems.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2002
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2006
CompletedFirst Submitted
Initial submission to the registry
March 15, 2009
CompletedFirst Posted
Study publicly available on registry
March 17, 2009
CompletedMarch 17, 2009
March 1, 2009
3.1 years
March 15, 2009
March 16, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Health-related quality of life scores
6, 12, 26 and 52 weeks
Secondary Outcomes (1)
Hospital Anxiety & Depression Scale scores
6, 12, 26 and 52 weeks
Study Arms (2)
problem-solving therapy
EXPERIMENTALThree sessions of brief problem-solving counselling at week 1, 3 and 5 by a family doctor.
viewing video
PLACEBO COMPARATORThree sessions of health education viewing video in groups of 3 to 5 people
Interventions
Three sessions of problem-solving therapy at week 1, 3 and 5.
Eligibility Criteria
You may qualify if:
- Aged 60 or above
- not known to have any psychological problem
- HADS Depression score 6 or above, or Anxiety Score 3 or above
- Written consent to study
You may not qualify if:
- known psychological disease diagnosed by a registered doctor
- history of taking any psychotropic drug prescribed by a registered doctor within the last year;
- suicidal plan or strong suicidal thought;
- psychotic symptom;
- impairment in cognitive function; or
- communication problem.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Two General Outpatient Clinics
Hong Kong, Hong Kong
Related Publications (1)
Lam C.L.K., Lee P.W.H., Fong D.Y.T. and Lam T.P., A randomised controlled trial on the effectiveness of screening and brief problem-solving counselling for elderly patients with undiagnosed psychological problems in primary care., Hong Kong Medical Journal. HK Academy of Medicine Press, 2008, 14: 31-35.
RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cindy L.K. Lam, MD
Family Medicine Unit, Faculty of Medicine, HKU
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 15, 2009
First Posted
March 17, 2009
Study Start
November 1, 2002
Primary Completion
December 1, 2005
Study Completion
June 1, 2006
Last Updated
March 17, 2009
Record last verified: 2009-03