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Randomized Controlled Trial
. 2022 Mar 11;19(6):3306.
doi: 10.3390/ijerph19063306.

The Effectiveness of the Integrated Care Model among Community-Dwelling Older Adults with Depression: A Quasi-Randomized Controlled Trial

Su-Jung Liao  1 , Shu-Mei Chao  1 , Yu-Wen Fang  1 , Jiin-Ru Rong  2 , Chia-Jou Hsieh  3
Affiliations
Randomized Controlled Trial

The Effectiveness of the Integrated Care Model among Community-Dwelling Older Adults with Depression: A Quasi-Randomized Controlled Trial

Su-Jung Liao et al. Int J Environ Res Public Health. .

Abstract

Depression is the second-leading cause of disability among older patients worldwide. This study examined the effectiveness of the Integrated Care Model (ICM) intervention in decreasing depression, suicide ideation, and psychological symptoms and improving life satisfaction among old patients with depression living in communities. The participants were allocated to either the intervention (n = 67) or control group (n = 76) from July 2018 to November 2018. All participants received the usual geriatric care for three months in eastern Taiwan. Additionally, participants in the intervention group were treated according to the ICM, including the assessment and management of health problems, improvements in spiritual and mental wellbeing, helping with activities of daily life and mobility, providing social welfare resources, and prevention of elder abuse. The patients in the experimental group showed significant improvement in the group-by-time effect on the Center for Epidemiologic Studies Depression Scale, the Brief Symptom Rating Scale, suicide ideation measures, and the Life Satisfaction Index over 18 weeks. The ICM should be included in routine geriatric care and adopted in hospitals, long-term care facilities, and communities.

Keywords: community; depression; integrated care model; old patients; quasi-randomized controlled trial.

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Conflict of interest statement

The authors declare no conflict of interest in reporting this study.

Figures

Figure 1
Figure 1
The flowchart of the research design and allocation of participants.
Figure 2
Figure 2
The trends for the Center for Epidemiologic Studies Depression, Brief Symptom Rating Scale, suicide ideation, and Life Satisfaction Index.
See this image and copyright information in PMC

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