| |
Centre for Policy on Ageing | |
 | |
|
| A model for intervention research in late-life depression | | Author(s) | George S Alexopoulos, Martha L Bruce |
| Journal title | International Journal of Geriatric Psychiatry, vol 24, no 12, December 2009 |
| Pages | pp 1325-1334 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Depression ; Psychiatric treatment ; Research Reviews. |
| Annotation | The objective of this study was to serve as a conceptual map of the role of new interventions designed to reduce the burden of late-life depression. The authors identified three needs to be addressed by intervention research: (1) the need for novel interventions given that the existing treatments leave many older adults depressed and disabled; (2) the need for procedures enabling community-based agencies to offer interventions of known efficacy with fidelity; and (3) the need to increase access of depressed older adults to care. Their model orders novel interventions according to their role in serving depressed older adults and according to their position in the efficacy, effectiveness, implementation, and dissemination testing continuum. The authors describe three interventions designed by their institute to exemplify intervention research at different level of the model. A common element is that each intervention personalises care both at the level of the individuals served and the level of community agencies providing care. To this end, each intervention is designed to accommodate the strengths and limitations of both patients and agencies and introduces changes in the patients' environment and community agencies needed in order to assimilate the new intervention. The authors suggest that this model provides conceptual guidance on how to shorten the testing cycle and bring urgently needed novel treatments and implementation approaches to the community. While replication studies are important, it is proposed that most of the support should be directed to those projects that take rational risks, and after adequate preliminary evidence, make the next step along the testing continuum. (KJ/RH). |
| Accession Number | CPA-100109220 A |
| Classmark | ENR: LP: 3A:6KC |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|