Publication

Behavioural activation by mental health nurses for late-life depression in primary care: A randomized controlled trial

Janssen, N., Huibers, M. J. H., Lucassen, P., Voshaars, R. O., van Marwijk, H., Bosmans, J., Pijnappels, M., Spijker, J. & Hendriks, G-J., 26-Jun-2017, In : BMC Psychiatry. 17, 11 p., 230.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Janssen, N., Huibers, M. J. H., Lucassen, P., Voshaars, R. O., van Marwijk, H., Bosmans, J., Pijnappels, M., Spijker, J., & Hendriks, G-J. (2017). Behavioural activation by mental health nurses for late-life depression in primary care: A randomized controlled trial. BMC Psychiatry, 17, [230]. https://doi.org/10.1186/s12888-017-1388-x

Author

Janssen, Noortje ; Huibers, Marcus J. H. ; Lucassen, Peter ; Voshaars, Richard Oude ; van Marwijk, Harm ; Bosmans, Judith ; Pijnappels, Mirjam ; Spijker, Jan ; Hendriks, Gert-Jan. / Behavioural activation by mental health nurses for late-life depression in primary care : A randomized controlled trial. In: BMC Psychiatry. 2017 ; Vol. 17.

Harvard

Janssen, N, Huibers, MJH, Lucassen, P, Voshaars, RO, van Marwijk, H, Bosmans, J, Pijnappels, M, Spijker, J & Hendriks, G-J 2017, 'Behavioural activation by mental health nurses for late-life depression in primary care: A randomized controlled trial', BMC Psychiatry, vol. 17, 230. https://doi.org/10.1186/s12888-017-1388-x

Standard

Behavioural activation by mental health nurses for late-life depression in primary care : A randomized controlled trial. / Janssen, Noortje; Huibers, Marcus J. H.; Lucassen, Peter; Voshaars, Richard Oude; van Marwijk, Harm; Bosmans, Judith; Pijnappels, Mirjam; Spijker, Jan; Hendriks, Gert-Jan.

In: BMC Psychiatry, Vol. 17, 230, 26.06.2017.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Janssen N, Huibers MJH, Lucassen P, Voshaars RO, van Marwijk H, Bosmans J et al. Behavioural activation by mental health nurses for late-life depression in primary care: A randomized controlled trial. BMC Psychiatry. 2017 Jun 26;17. 230. https://doi.org/10.1186/s12888-017-1388-x


BibTeX

@article{72552b5708ef498489f9f4d6d7dfb13e,
title = "Behavioural activation by mental health nurses for late-life depression in primary care: A randomized controlled trial",
abstract = "Background: Depressive symptoms are common in older adults. The effectiveness of pharmacological treatments and the availability of psychological treatments in primary care are limited. A behavioural approach to depression treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation (BA) protocols are less complicated and more easy to train than other psychological therapies, making them very suitable for delivery by less specialised therapists. The recent introduction of the mental health nurse in primary care centres in the Netherlands has created major opportunities for improving the accessibility of psychological treatments for late-life depression in primary care. BA may thus address the needs of older patients while improving treatment outcome and lowering costs. The primary objective of this study is to compare the effectiveness and cost-effectiveness of BA in comparison with treatment as usual (TAU) for late-life depression in Dutch primary care. A secondary goal is to explore several potential mechanisms of change, as well as predictors and moderators of treatment outcome of BA for late-life depression.Methods/design: Cluster-randomised controlled multicentre trial with two parallel groups: a) behavioural activation, and b) treatment as usual, conducted in primary care centres with a follow-up of 52 weeks. The main inclusion criterion is a PHQ-9 score > 9. Patients are excluded from the trial in case of severe mental illness that requires specialized treatment, high suicide risk, drug and/or alcohol abuse, prior psychotherapy, change in dosage or type of prescribed antidepressants in the previous 12 weeks, or moderate to severe cognitive impairment. The intervention consists of 8 weekly 30-min BA sessions delivered by a trained mental health nurse.Discussion: We expect BA to be an effective and cost-effective treatment for late-life depression compared to TAU. BA delivered by mental health nurses could increase the availability and accessibility of non-pharmacological treatments for late-life depression in primary care.",
keywords = "Behavioural activation, Late-life depression, Primary care, Older adults, Depressive symptoms, INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW, OLDER-ADULTS, CLINICAL-TRIALS, PSYCHOMETRIC PROPERTIES, MAJOR DEPRESSION, DUTCH TARIFF, DSM-IV, PSYCHOTHERAPY, METAANALYSIS, SYMPTOMS",
author = "Noortje Janssen and Huibers, {Marcus J. H.} and Peter Lucassen and Voshaars, {Richard Oude} and {van Marwijk}, Harm and Judith Bosmans and Mirjam Pijnappels and Jan Spijker and Gert-Jan Hendriks",
year = "2017",
month = jun,
day = "26",
doi = "10.1186/s12888-017-1388-x",
language = "English",
volume = "17",
journal = "BMC Psychiatry",
issn = "1471-244X",
publisher = "BMC",

}

RIS

TY - JOUR

T1 - Behavioural activation by mental health nurses for late-life depression in primary care

T2 - A randomized controlled trial

AU - Janssen, Noortje

AU - Huibers, Marcus J. H.

AU - Lucassen, Peter

AU - Voshaars, Richard Oude

AU - van Marwijk, Harm

AU - Bosmans, Judith

AU - Pijnappels, Mirjam

AU - Spijker, Jan

AU - Hendriks, Gert-Jan

PY - 2017/6/26

Y1 - 2017/6/26

N2 - Background: Depressive symptoms are common in older adults. The effectiveness of pharmacological treatments and the availability of psychological treatments in primary care are limited. A behavioural approach to depression treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation (BA) protocols are less complicated and more easy to train than other psychological therapies, making them very suitable for delivery by less specialised therapists. The recent introduction of the mental health nurse in primary care centres in the Netherlands has created major opportunities for improving the accessibility of psychological treatments for late-life depression in primary care. BA may thus address the needs of older patients while improving treatment outcome and lowering costs. The primary objective of this study is to compare the effectiveness and cost-effectiveness of BA in comparison with treatment as usual (TAU) for late-life depression in Dutch primary care. A secondary goal is to explore several potential mechanisms of change, as well as predictors and moderators of treatment outcome of BA for late-life depression.Methods/design: Cluster-randomised controlled multicentre trial with two parallel groups: a) behavioural activation, and b) treatment as usual, conducted in primary care centres with a follow-up of 52 weeks. The main inclusion criterion is a PHQ-9 score > 9. Patients are excluded from the trial in case of severe mental illness that requires specialized treatment, high suicide risk, drug and/or alcohol abuse, prior psychotherapy, change in dosage or type of prescribed antidepressants in the previous 12 weeks, or moderate to severe cognitive impairment. The intervention consists of 8 weekly 30-min BA sessions delivered by a trained mental health nurse.Discussion: We expect BA to be an effective and cost-effective treatment for late-life depression compared to TAU. BA delivered by mental health nurses could increase the availability and accessibility of non-pharmacological treatments for late-life depression in primary care.

AB - Background: Depressive symptoms are common in older adults. The effectiveness of pharmacological treatments and the availability of psychological treatments in primary care are limited. A behavioural approach to depression treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation (BA) protocols are less complicated and more easy to train than other psychological therapies, making them very suitable for delivery by less specialised therapists. The recent introduction of the mental health nurse in primary care centres in the Netherlands has created major opportunities for improving the accessibility of psychological treatments for late-life depression in primary care. BA may thus address the needs of older patients while improving treatment outcome and lowering costs. The primary objective of this study is to compare the effectiveness and cost-effectiveness of BA in comparison with treatment as usual (TAU) for late-life depression in Dutch primary care. A secondary goal is to explore several potential mechanisms of change, as well as predictors and moderators of treatment outcome of BA for late-life depression.Methods/design: Cluster-randomised controlled multicentre trial with two parallel groups: a) behavioural activation, and b) treatment as usual, conducted in primary care centres with a follow-up of 52 weeks. The main inclusion criterion is a PHQ-9 score > 9. Patients are excluded from the trial in case of severe mental illness that requires specialized treatment, high suicide risk, drug and/or alcohol abuse, prior psychotherapy, change in dosage or type of prescribed antidepressants in the previous 12 weeks, or moderate to severe cognitive impairment. The intervention consists of 8 weekly 30-min BA sessions delivered by a trained mental health nurse.Discussion: We expect BA to be an effective and cost-effective treatment for late-life depression compared to TAU. BA delivered by mental health nurses could increase the availability and accessibility of non-pharmacological treatments for late-life depression in primary care.

KW - Behavioural activation

KW - Late-life depression

KW - Primary care

KW - Older adults

KW - Depressive symptoms

KW - INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW

KW - OLDER-ADULTS

KW - CLINICAL-TRIALS

KW - PSYCHOMETRIC PROPERTIES

KW - MAJOR DEPRESSION

KW - DUTCH TARIFF

KW - DSM-IV

KW - PSYCHOTHERAPY

KW - METAANALYSIS

KW - SYMPTOMS

U2 - 10.1186/s12888-017-1388-x

DO - 10.1186/s12888-017-1388-x

M3 - Article

C2 - 28651589

VL - 17

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

M1 - 230

ER -

ID: 47256253