Screening for Depression Among Older Adults Referred to Home Care Services: A Single-Item Depression Screener Versus the Geriatric Depression Scale

McCormack, Brandi; Boldy, Duncan; Lewin, Gill; McCormack, Gavin R.

doi:10.1177/1084822309360380

Cited by 13 publications

(4 citation statements)

References 42 publications

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“…For self-rated depression, as in several other studies [ 3 , 9 , 77 ], a single-item measure was used. Previous research about the reliability and validity of single-item depression measures has found that results can vary between different contexts and populations [ 91 ]. However, there has been relatively little research on these measures in the general adult population.…”

Section: Discussionmentioning

confidence: 99%

Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow

et al. 2016

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BackgroundDepression is a major health problem worldwide, especially among women. The condition has been related to a number of factors, such as alcohol consumption, economic situation and, more recently, to social capital. However, there have been relatively few studies about the social capital-depression relationship in Eastern Europe. This paper aims to fill this gap by examining the association between different forms of social capital and self-rated depression in Moscow. Differences between men and women will also be examined, with a special focus on women.MethodsData was obtained from the Moscow Health Survey, which was conducted in 2004 with 1190 Muscovites aged 18 years or above. For depression, a single-item self-reported measure was used. Social capital was operationalised through five questions about different forms of social relations. Logistic regression analysis was undertaken to estimate the association between social capital and self-rated depression, separately for men and women.ResultsMore women (48 %) than men (36 %) reported that they had felt depressed during the last year. An association was found between social capital and reported depression only among women. Women who were divorced or widowed or who had little contact with relatives had higher odds of reporting depression than those with more family contact. Women who regularly engaged with people from different age groups outside of their families were also more likely to report depression than those with less regular contact.ConclusionsSocial capital can be a mixed blessing for women. Different forms of social relations can lead to different health outcomes, both positive and negative. Although the family is important for women’s mental health in Moscow, extra-familial relations across age groups can be mentally distressing. This suggests that even though social capital can be a valuable resource for mental health, some of its forms can be mentally deleterious to maintain, especially for women. More research is needed on both sides to social capital. A special focus should be placed on bridging social relations among women in order to better understand the complex association between social capital and depression in Russia and elsewhere.

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Section: Discussionmentioning

confidence: 99%

Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow

et al. 2016

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“…This absence of stimulation can have negative consequences. For example, a third of community-dwelling older persons report feeling lonely and nearly half screen for depression (Cohen-Mansfield & Frank 2008, McCormack et al 2011. Over 60% of community-dwelling persons with dementia show behavioural symptoms, such as agitation, aggression, psychosis, anxiety and depression (Lyketsos et al 2000).…”

Section: Introductionmentioning

confidence: 99%

Development of two measures of client engagement for use in home aged care

Baker

Harrison

Low

2015

Health Soc Care Community

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The aim of the study was to develop and validate measures of client engagement in aged homecare. The Homecare Measure of Engagement-Staff questionnaire (HoME-S) is a self-complete measure of six dimensions of client engagement: client acceptance, attention, attitude, appropriateness, engagement duration and passivity. The Homecare Measure of Engagement-Client/Family report (HoME-CF) is a researcher-rated interview which obtains client and/or family perspectives regarding frequency and valence of conversational and recreational engagement during care worker visits. Care workers (n = 84) completed the HoME-S and a measure of relationship bond with client. Researchers interviewed clients (n = 164) and/or their family (n = 117) and completed the HoME-CF, and measures of agitation, dysphoria, apathy and cognitive functioning. The HoME-S and HoME-CF demonstrated good test-retest and inter-rater reliability, and showed significant negative correlations with apathy, agitation and non-English-speaking background. Controlling for client and care service characteristics, a stronger care worker-client relationship bond and English-speaking background were independently associated with higher HoME-S scores, and apathy was independently associated with higher HoME-CF scores. In conclusion, the HoME-S and HoME-CF are psychometrically sound engagement measures for use in homecare. Clients who are apathetic or from non-English-speaking backgrounds may be less responsive to traditional care worker engagement strategies. Engagement may be augmented in clients who have stronger relationships with their care workers.

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“…Home care recipients’ ratings of their opportunities for activities were significantly lower than residents in nursing homes [ 11 ]. Forty-two per cent of Australians referred to home care screened positive for depression [ 12 ], and similarly 43% of American home care clients met DSM-IV criteria for depression [ 13 ]. Sixty per cent of community dwelling persons with dementia have behavioural disturbances [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Study protocol: translating and implementing psychosocial interventions in aged home care the lifestyle engagement activity program (LEAP) for life

et al. 2013

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BackgroundTailored psychosocial activity-based interventions have been shown to improve mood, behaviour and quality of life for nursing home residents. Occupational therapist delivered activity programs have shown benefits when delivered in home care settings for people with dementia. The primary aim of this study is to evaluate the effect of LEAP (Lifestyle Engagement Activity Program) for Life, a training and practice change program on the engagement of home care clients by care workers. Secondary aims are to evaluate the impact of the program on changes in client mood and behaviour.Methods/designThe 12 month LEAP program has three components: 1) engaging site management and care staff in the program; 2) employing a LEAP champion one day a week to support program activities; 3) delivering an evidence-based training program to care staff. Specifically, case managers will be trained and supported to set meaningful social or recreational goals with clients and incorporate these into care plans. Care workers will be trained in and encouraged to practise good communication, promote client independence and choice, and tailor meaningful activities using Montessori principles, reminiscence, music, physical activity and play. LEAP Champions will be given information about theories of organisational change and trained in interpersonal skills required for their role. LEAP will be evaluated in five home care sites including two that service ethnic minority groups. A quasi experimental design will be used with evaluation data collected four times: 6-months prior to program commencement; at the start of the program; and then after 6 and 12 months. Mixed effect models will enable comparison of change in outcomes for the periods before and during the program. The primary outcome measure is client engagement. Secondary outcomes for clients are satisfaction with care, dysphoria/depression, loneliness, apathy and agitation; and work satisfaction for care workers. A process evaluation will also be undertaken.DiscussionLEAP for Life may prove a cost-effective way to improve client engagement and other outcomes in the community setting.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12612001064897.

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Screening for Depression Among Older Adults Referred to Home Care Services: A Single-Item Depression Screener Versus the Geriatric Depression Scale

Cited by 13 publications

References 42 publications

Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow

Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow

Development of two measures of client engagement for use in home aged care

Study protocol: translating and implementing psychosocial interventions in aged home care the lifestyle engagement activity program (LEAP) for life

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