Clinical effectiveness of integrating depression care management into medicare home health: the Depression CAREPATH Randomized trial.

ABSTRACT:

Importance

Among older home health care patients, depression is highly prevalent, is often inadequately treated, and contributes to hospitalization and other poor outcomes. Feasible and effective interventions are needed to reduce this burden of depression.

Objective

To determine whether, among older Medicare Home Health recipients who screen positive for depression, patients of nurses receiving randomization to an intervention have greater improvement in depressive symptoms during 1 year than patients receiving enhanced usual care.

Design, setting, and participants

This cluster randomized effectiveness trial conducted at 6 home health care agencies nationwide assigned nurse teams to an intervention (12 teams) or to enhanced usual care (9 teams). Between January 13, 2

SUBMITTER: Bruce ML 

PROVIDER: S-EPMC4516039 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature