Contact information
Type
Scientific
Primary contact
Mr Mark Haddad
ORCID ID
Contact details
Health Services Research Department
Institute of Psychiatry PO30
De Crespigny Park
Denmark Hill
London
SE5 8AF
United Kingdom
+44 (0)20 7848 0139
m.haddad@iop.kcl.ac.uk
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
G84/6075
Study information
Scientific title
An exploratory randomised trial of the effectiveness of a training intervention delivered to staff of a district nursing service in improving the knowledge and detection of common mental disorders in a mixed adult and older adult caseload
Acronym
Study hypothesis
To ascertain whether a training programme delivered to district nurses and associated health workers can produce significant and sustained improvements in their abilities to detect cases of clinically significant psychological disorder in their patients.
Ethics approval
Not provided at time of registration
Study design
Randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Not specified
Trial type
Screening
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Mental and Behavioural Disorders
Intervention
A training package comprising seven sessions will be developed based upon evidence-based clinical practice guidelines and existing teaching resources. This will be delivered utilising varied learning approaches, predominantly interactive educational workshops such as those involving small group discussion or case studies, to a randomly allocated group of staff.
In a second phase one year later, the training intervention will be delivered to the prior control group.
Intervention type
Other
Phase
Not Specified
Drug names
Primary outcome measure
Changes in measures of case recognition utilising standard properties of diagnostic instruments will be compared between intervention and control groups pre- and post-intervention, and at 12 months. Included patients will complete Hospital Anxiety Depression Scale (Zigmond & Snaith, 1983)
those over 65 will additionally complete the Short Geriatric Depression Scale (15) (Sheik & Yesavage, 1986). Staff will concurrently complete a five-point measure of presence and severity of mental disorder for their patients. Staff knowledge and attitudes will be measured at baseline and at three and 12 month intervals using an adapted version of the Depression Attitude Questionnaire (Botega, Blizard, Wilkinson, Mann, 1992), and multiple choice questions based upon World Health Organisation (WHO) primary care mental health literature.
Secondary outcome measures
Not provided at time of registration
Overall trial start date
30/09/2002
Overall trial end date
29/09/2005
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. All consenting state qualified nursing staff will be included, home care staff (levels I & II) will be randomly selected
2. Patients on their caseloads aged over 18, who provide consent, will be included
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
115 staff, 900 patients
Participant exclusion criteria
For patients, diagnoses of: severe mental illness; current substance misuse disorder; moderate or severe organic brain disorder.
Recruitment start date
30/09/2002
Recruitment end date
29/09/2005
Locations
Countries of recruitment
United Kingdom
Trial participating centre
Health Services Research Department
London
SE5 8AF
United Kingdom
Sponsor information
Organisation
Medical Research Council (MRC) (UK)
Sponsor details
20 Park Crescent
London
W1B 1AL
United Kingdom
+44 (0)20 7636 5422
clinical.trial@headoffice.mrc.ac.uk
Sponsor type
Research council
Website
Funders
Funder type
Research council
Funder name
Medical Research Council (MRC) (UK)
Alternative name(s)
MRC
Funding Body Type
government organisation
Funding Body Subtype
National government
Location
United Kingdom
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list