(Cost)effectiveness of life review for older adults: design of a randomized controlled trial

Pot, Anne Margriet; Melenhorst, Anne-Sophie; Onrust, Simone; Bohlmeijer, Ernst T.
January 2008
BMC Public Health;2008, Vol. 8, p211
Academic Journal
Background: Depression in older adults is a serious health problem with a poor prognosis. There is a need for indicated preventive psychological interventions for older adults, that show to be promising in preventing depressive disorders. Methods/design: This manuscript describes the design of a study evaluating 'Looking for Meaning', a newly developed prevention course for older adults with depressive symptoms, based on life-review. Both clinical and economic effectiveness are evaluated in a pragmatic randomized controlled trial. The control condition of this 12-session preventive intervention is a 20-minute video movie. The primary outcome is symptoms of depression at post-treatment and follow-up (6 months after post-treatment). Secondary outcomes are symptoms of anxiety, satisfaction with life, mastery, reminiscence styles, quality of life, and health care costs. An additional result of this study is the insight into the working elements of the course, provided by the qualitative study. The qualitative data, mainly based on 20 open-ended interviews with participants, are to be analyzed with an emphasis on newly emerging insight. Discussion: This study will add to the existing scientific knowledge in several ways, especially by also including an economic evaluation and a qualitative study to gain insight into the working mechanisms of the course, both rather new in the field of life review. Positive results of this study will make an evidence-based intervention to improve public health among older people available. Trial registration: Current Controlled Trials Ltd, ISRCTN66645855


Related Articles

  • Incorporating religion and spirituality to improve care for anxiety and depression in older adults. Phillips, Laura L.; Paukert, Amber L.; Stanley, Melinda A.; Kunik, Mark E. // Geriatrics;Aug2009, Vol. 64 Issue 8, p15 

    Recent research has suggested that religion/ spirituality may be linked to improved physical and emotional health, although the patient's motivation and method of using religious/spiritual beliefs appear to be a key factor in obtaining benefit. Studies have shown that there is a high level of...

  • The Costs Associated With Antidepressant Use in Depression and Anxiety in Community-Living Older Adults. Vasiliadis, Helen-Maria; Latimer, Eric; Dionne, Pierre-Alexandre; Préville, Michel // Canadian Journal of Psychiatry;Apr2013, Vol. 58 Issue 4, p201 

    Objective: To determine the costs associated with antidepressant (AD) use by depression and anxiety status in a public-managed health care system. Methods: Data were obtained from a population-based health survey of 1869 older adults. Depression and anxiety were based on the Diagnostic and...

  • Management of anxiety and depression in elderly persons.  // American Family Physician;4/1/1996, Vol. 53 Issue 5, p1861 

    Focuses on guidelines for the diagnosis and management of anxiety and depression in an aged population. Causes of anxiety; Reasons why anxiety seems to be less in older people; Listing of drugs to treat anxiety; Guidelines for the treatment of depression; Assistance of drug usage especially...

  • Combination therapy best for preventing depression relapse.  // Geriatrics;Apr99, Vol. 54 Issue 4, p15 

    Focuses on a study on the effectiveness of the combination of medication and psychotherapy on preventing major depression in older persons. Participants of the study; Comparison among patients treated with the combined therapy, with nortriptyline alone, with psychotherapy and placebo and with...

  • Temporal and Reciprocal Relationship Between IADL/ADL Disability and Depressive Symptoms in Late Life. Ormel, Johan; Rijsdijk, Frühling V.; Sullivan, Mark; van Sonderen, Eric; Kempen, Gertrudis I.J.M. // Journals of Gerontology Series B: Psychological Sciences & Socia;Jul2002, Vol. 57B Issue 4, p338 

    Examines the association between functional disability and depressive symptoms in older people. Analysis of the reciprocal effects between depressive symptoms and functional disability; Link between disability and depressive symptoms; Treatment for improving the quality of life of elderly.

  • Recurrent Subthreshold Depression in Type 2 Diabetes: An Important Risk Factor for Poor Health Outcomes. Schmitz, Norbert; Gariépy, Geneviève; Smith, Kimberley J.; Clyde, Matthew; Malla, Ashok; Boyer, Richard; Strychar, Irene; Lesage, Alain; JianLi Wang // Diabetes Care;Apr2014, Vol. 37 Issue 4, p970 

    OBJECTIVE To evaluate the association between recurrent subthreshold depressive episodes and functioning in a prospective community sample of people with type 2 diabetes. RESEARCH DESIGN AND METHODS A prospective community study in Quebec, Canada, was carried out between 2008 and 2013 (n =...

  • DEPRESSION AND QUALITY OF LIFE IN OLDER ADULTS WITH INTERMITTENT CLAUDICATION. Montgomery, P. S.; Gardner, A.W .; Abbott, P. A.; Hochberg, M. C. // Gerontologist;Oct1996 Supplement, Vol. 36 Issue 1, p298 

    Depression, physical disability, and quality of life (Q of L) were measured using the Centers for Epidemiological Studies Depression Scale [CES-D], Jette's Functional Status Questionnaire, and Patrick's Q of L, in 63 patients with an age of 67.9 � 4.9 yrs (61 men, 30 caucasians, and 37...

  • Predicting the transition from acute to persistent low back pain. Melloh, M.; Elfering, A.; Egli Presland, C.; Röder, C.; Hendrick, P.; Darlow, B.; Theis, J.-C. // Occupational Medicine;Mar2011, Vol. 61 Issue 2, p127 

    Background Most people experience low back pain (LBP) at least once in their lifetime. Only a minority of them go on to develop persistent LBP. However, the socioeconomic costs of persistent LBP significantly exceed the costs of the initial acute LBP episode.Aims To identify factors that...

  • Anxious elders deserve careful diagnosing, most appropriate interventions.  // Brown University Long-Term Care Quality Letter;5/29/95, Vol. 7 Issue 10, p5 

    Reports on assessment and treatment of anxiety in the elderly. Presence of medical illness that mimic anxiety symptoms; Reluctance to seek help from a mental health provider; Prevalence of anxiety disorders; Existence of late life anxiety.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics