Recruiting participants for interventions to prevent the onset of depressive disorders: Possibile ways to increase participation rates

Cuijpers, Pim; van Straten, Annemieke; Warmerdam, Lisanne; van Rooy, Marie José
January 2010
BMC Health Services Research;2010, Vol. 10, p181
Academic Journal
Background: Although indicated prevention of depression is available for about 80% of the Dutch population at little or no cost, only a small proportion of those with subthreshold depression make use of these services. Methods: A narrative review is conducted of the Dutch preventive services in mental health care, also addressing the problem of low participation rates. We describe possible causes of these low participation rates, which may be related to the participants themselves, the service system, and the communication to the public, and we put forward possible solutions to this problem. Results: There are three main groups of reasons why the participation rates are low: reasons within the participants (e.g., not considering themselves as being at risk; thinking the interventions are not effective; or being unwilling to participate because of the stigma associated with depression); reasons within the health care system; and reasons associated with the communication about the preventive services. Possible solutions to increasing the participation rate include organizing mass media campaigns, developing internet-based preventive interventions, adapting preventive interventions to the needs of specific subpopulations, positioning the services in primary care, integrating the interventions in community-wide interventions, and systematically screening high-risk groups for potential participants. Discussion: Prevention could play an important role in public mental health in reducing the enormous burden of depression. However, before this can be realized more research is needed to explore why participation rates are low and how these rates can be improved.


Related Articles

  • Mental health literacy and attitudes in a Swedish community sample - investigating the role of personal experience of mental health care. Dahlberg, Karin M.; Waern, Margda; Runeson, Bo // BMC Public Health;2008, Vol. 8 Issue 1, p8 

    Background: Mental ill health is a common condition in the general population, yet only about half of those with a mental disorder have treatment contact. Personal experience may affect attitudes, which in turn influence the help-seeking process. This study investigated differences in mental...

  • Utilization of Mental Health Services and Risk of 12-month Problematic Alcohol Use. Encrenaz, Gaëlle; Kovess-Masféty, Viviane; Sapinho, David; Chee, Christine Chan; Messiah, Antoine // American Journal of Health Behavior;Jul/Aug2007, Vol. 31 Issue 4, p392 

    Objective: To examine whether mental health service utilization modifies the association between lifetime anxiety or depressive disorders (ADD) and risk of 12-month problematic alcohol use. Methods: Randomly selected members (n=6518) of a mutual health-insurance company were evaluated for...

  • PATIENT SURVEY SHOWS COMBINED THERAPY RESULTS BETTER.  // Psychiatric Annals;Nov2004, Vol. 34 Issue 11, p816 

    The article focuses on a new analysis which reveals that patients with anxiety and depression symptoms fare better when they undergo both pharmacotherapy and psychotherapy treatment in combination. Patients who use both medications and at least 13 sessions of talk therapy had the highest outcome...

  • Influence of Patients’ Requests for Direct-to-Consumer Advertised Antidepressants: A Randomized Controlled Trial. Kravitz, Richard L.; Epstein, Ronald M.; Feldman, Mitchell D.; Franz, Carol E.; Azari, Rahman; Wilkes, Michael S.; Hinton, Ladson; Franks, Peter // JAMA: Journal of the American Medical Association;4/27/2005, Vol. 293 Issue 16, p1995 

    Context: Direct-to-consumer (DTC) advertising of prescription drugs in the United States is both ubiquitous and controversial. Critics charge that it leads to overprescribing, while proponents counter that it helps avert underuse of effective treatments, especially for conditions that are poorly...

  • An insider's guide to depression. McKall, Kay // BMJ: British Medical Journal (International Edition);10/27/2001, Vol. 323 Issue 7319, p1011 

    Relates the author's experience as a doctor with depression. Lessons she learned about treating depressed patients after being one herself; Description of how it feels to be depressed, including a lack of motivation and interest; How to medically treat a depressed person.

  • Interventions that Improve the Quality of Depression Care. Harpole, Linda H // JGIM: Journal of General Internal Medicine;Dec2000, Vol. 15 Issue 12, p894 

    In this study, the authors hypothesized that depression severity would predict outcome, and patients were thus stratified by depression severity prior to randomization. As they anticipated, intervention patients in the lower severity group were significantly more likely to improve over time. The...

  • BALANCED ON THE HORNS OF A DILEMMA: OBSERVATIONS ON WORK WITH CHRONIC DEPRESSION. Sarasohn, M. Kim // Clinical Social Work Journal;Summer2004, Vol. 32 Issue 2, p171 

    There are patients who present in treatment with depression that is chronic and unmoving over many years. This article proposes that this type of patient is attached to and defensively uses the symptom in a way that may be described as narcissistic. The amelioration of the symptom is experienced...

  • Depression in primary care: the knowledge, attitudes and practice of general practitioners in Benin City, Nigeria. James, B. O.; Jenkins, R.; Lawani, A. O.; Omoaregba, J. O. // South African Family Practice;Feb/Mar2012, Vol. 54 Issue 1, p55 

    Background: Depression contributes significantly to the global burden of disease in developing countries. Poor case detection and inadequate numbers of mental health staff have been associated with increased morbidity among individuals with depression presenting to primary care. In Nigeria, as...

  • How to get help for your troubled patients. Myers, Michael F. // Medical Economics;04/09/2001, Vol. 78 Issue 7, p87 

    Addresses problems of physicians in dealing with depressed patients. Tips in diagnosing depression; Roles of different mental health care providers in dealing with mental health problems.


Read the Article


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

Try another library?
Sign out of this library

Other Topics