Development and evaluation of a psycho-social intervention for delivery by Support Workers from Age UK North Staffordshire, to support older people with anxiety and depression: A feasibility study.
PHE ePoster Library. Chew-Graham C. 09/10/18; 221154; 213
Prof. Carolyn Chew-Graham
Prof. Carolyn Chew-Graham
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Abstract
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Abstract BackgroundAnxiety and depression in older people may be under-diagnosed and under-treated, leading to poor health outcomes and increased use of care. Older people may not present to their GP because of the stigma they associate with mental health labels, and because treatments offered are not acceptable. MethodsA collaborative study with AgeUK North Staffordshire aiming to:Refine a psychosocial intervention for older people with anxiety and/or depression, based on the principles of Behavioural Activation (BA) and for delivery by Support Workers (SWs) in the third sector. Determine whether SWs can be trained to deliver this intervention.Conduct a feasibility study and process evaluation, including assessment of fidelity of the intervention, to provide data to inform a randomised trial.Sequential mixed methods in three phases, informed by Patient and Public Involvement and Engagement. ResultsRecruitment and retention of the SWs was possible. SWs delivered the intervention as intended. Those older people in the intervention arm of the study found the interaction with SWs acceptable, although sign-posting to groups was not felt to be needed by all. GPs in participating practices recognised the need for additional care for older people with anxiety and depression, but did not feel able to provide this. ConclusionThird sector SWs can be recruited and trained to deliver an intervention based on BA, to older people with anxiety and/or depression. The training and supervision model used was acceptable to SWs. The one-to-one intervention was acceptable to older people. External funding details NIHR Health Services and Delivery Research: 13/54/34
Abstract BackgroundAnxiety and depression in older people may be under-diagnosed and under-treated, leading to poor health outcomes and increased use of care. Older people may not present to their GP because of the stigma they associate with mental health labels, and because treatments offered are not acceptable. MethodsA collaborative study with AgeUK North Staffordshire aiming to:Refine a psychosocial intervention for older people with anxiety and/or depression, based on the principles of Behavioural Activation (BA) and for delivery by Support Workers (SWs) in the third sector. Determine whether SWs can be trained to deliver this intervention.Conduct a feasibility study and process evaluation, including assessment of fidelity of the intervention, to provide data to inform a randomised trial.Sequential mixed methods in three phases, informed by Patient and Public Involvement and Engagement. ResultsRecruitment and retention of the SWs was possible. SWs delivered the intervention as intended. Those older people in the intervention arm of the study found the interaction with SWs acceptable, although sign-posting to groups was not felt to be needed by all. GPs in participating practices recognised the need for additional care for older people with anxiety and depression, but did not feel able to provide this. ConclusionThird sector SWs can be recruited and trained to deliver an intervention based on BA, to older people with anxiety and/or depression. The training and supervision model used was acceptable to SWs. The one-to-one intervention was acceptable to older people. External funding details NIHR Health Services and Delivery Research: 13/54/34
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