Integrated depression management: a proposed trial of a new model of care in a low vision rehabilitation setting

Rees, Gwyneth, Mellor, David, Holloway, Edith E., Sturrock, Bonnie A., Hegel, Mark T., Casten, Robin, Xie, Jing, Finkelstein, Eric, Lamoureux, Ecosse and Keeffe, Jill E 2013, Integrated depression management: a proposed trial of a new model of care in a low vision rehabilitation setting, Ophthalmic epidemiology, vol. 20, no. 5, pp. 321-329.

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Title Integrated depression management: a proposed trial of a new model of care in a low vision rehabilitation setting
Author(s) Rees, Gwyneth
Mellor, David
Holloway, Edith E.
Sturrock, Bonnie A.
Hegel, Mark T.
Casten, Robin
Xie, Jing
Finkelstein, Eric
Lamoureux, Ecosse
Keeffe, Jill E
Journal name Ophthalmic epidemiology
Volume number 20
Issue number 5
Start page 321
End page 329
Total pages 9
Publisher Informa Healthcare
Place of publication London, England
Publication date 2013-10
ISSN 0928-6586
Keyword(s) depression
low vision rehabilitation
problem solving therapy
visual impairment
Summary Purpose:
Depression is a common problem among people with visual impairment and contributes to functional decline. This article presents a study protocol to evaluate a new model of care for those patients with depressive symptoms in which psychological treatment is integrated into low vision rehabilitation services. Low vision staff will be trained to deliver "problem solving therapy for primary care" (PST-PC), an effective psychological treatment developed specifically for delivery by non-mental health care staff. PST-PC is delivered in 8 weekly telephone sessions of 30-45 minutes duration and 4 monthly maintenance sessions. We predict this new integrated model of care will significantly reduce depressive symptoms and improve the quality of life for people with visual impairment.

Methods and Design:
A randomized controlled trial of PST-PC will be implemented nationally across low vision rehabilitation services provided by Vision Australia. Clients who screen positive for depressive symptoms and meet study criteria will be randomized to receive PST-PC or usual care, consisting of a referral to their general practitioner for more detailed assessment and treatment. Outcome measures include depressive symptoms and behaviors, quality of life, coping and psychological adjustment to visual impairment. Masked assessments will take place pre- and post-intervention as well as at 6- and 12-month follow-up.

Conclusion:
We anticipate that this innovative service delivery model will lead to sustained improvements in clients' quality of life in a cost effective manner and provide an innovative service delivery model suitable for other health care areas in which depression is co-morbid.
Language eng
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Informa Healthcare
Persistent URL http://hdl.handle.net/10536/DRO/DU:30056684

Document type: Journal Article
Collections: School of Psychology
School of Health Sciences
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Created: Thu, 10 Oct 2013, 09:22:24 EST by Jane Moschetti

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