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Logo of bmcpsycBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Psychiatry
BMC Psychiatry. 2011; 11: 91.
Published online May 20, 2011. doi:  10.1186/1471-244X-11-91
PMCID: PMC3123630
Act In case of Depression: The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol
Debby L Gerritsen,corresponding author1 Martin Smalbrugge,2 Steven Teerenstra,3 Ruslan Leontjevas,1 Eddy M Adang,3 Myrra JFJ Vernooij-Dassen,1,4,5 Els Derksen,1 and Raymond TCM Koopmans1
1Department of Primary and Community Care, Center for Family Medicine, Geriatric Care and Public health, Radboud University Nijmegen Medical Centre, the Netherlands
2Department of Nursing Home Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
3Department of Epidemiology, Biostatistics, and HTA, Radboud University Nijmegen Medical Centre, the Netherlands
4Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, the Netherlands
5Kalorama Foundation, Beek-Ubbergen, the Netherlands
corresponding authorCorresponding author.
Debby L Gerritsen: d.gerritsen/at/; Martin Smalbrugge: m.smalbrugge/at/; Steven Teerenstra: s.teerenstra/at/; Ruslan Leontjevas: r.leontjevas/at/; Eddy M Adang: e.adang/at/; Myrra JFJ Vernooij-Dassen: m.vernooij-dassen/at/; Els Derksen: e.derksen/at/; Raymond TCM Koopmans: r.koopmans/at/
Received April 13, 2011; Accepted May 20, 2011.
The aim of this study is evaluating the (cost-) effectiveness of a multidisciplinary, evidence based care program to improve the management of depression in nursing home residents of somatic and dementia special care units. The care program is an evidence based standardization of the management of depression, including standardized use of measurement instruments and diagnostical methods, and protocolized psychosocial, psychological and pharmacological treatment.
In a 19-month longitudinal controlled study using a stepped wedge design, 14 somatic and 14 dementia special care units will implement the care program. All residents who give informed consent on the participating units will be included. Primary outcomes are the frequency of depression on the units and quality of life of residents on the units. The effect of the care program will be estimated using multilevel regression analysis. Secondary outcomes include accuracy of depression-detection in usual care, prevalence of depression-diagnosis in the intervention group, and response to treatment of depressed residents. An economic evaluation from a health care perspective will also be carried out.
The care program is expected to be effective in reducing the frequency of depression and in increasing the quality of life of residents. The study will further provide insight in the cost-effectiveness of the care program.
Trial registration
Netherlands Trial Register (NTR): NTR1477
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