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
ISRCTN | ISRCTN91170552 |
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DOI | https://doi.org/10.1186/ISRCTN91170552 |
Secondary identifying numbers | G84/6075 |
- Submission date
- 03/02/2003
- Registration date
- 03/02/2003
- Last edited
- 24/05/2016
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Mr Mark Haddad
Scientific
Scientific
Health Services Research Department
Institute of Psychiatry PO30
De Crespigny Park
Denmark Hill
London
SE5 8AF
United Kingdom
Phone | +44 (0)20 7848 0139 |
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m.haddad@iop.kcl.ac.uk |
Study information
Study design | Randomised controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Not specified |
Study type | Screening |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
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 |
Study objectives | 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(s) | Not provided at time of registration |
Health condition(s) or problem(s) studied | 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 |
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 study start date | 30/09/2002 |
Completion date | 29/09/2005 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | 115 staff, 900 patients |
Key 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 |
Key exclusion criteria | For patients, diagnoses of: severe mental illness; current substance misuse disorder; moderate or severe organic brain disorder. |
Date of first enrolment | 30/09/2002 |
Date of final enrolment | 29/09/2005 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Health Services Research Department
London
SE5 8AF
United Kingdom
SE5 8AF
United Kingdom
Sponsor information
Medical Research Council (MRC) (UK)
Research council
Research council
20 Park Crescent
London
W1B 1AL
United Kingdom
Phone | +44 (0)20 7636 5422 |
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clinical.trial@headoffice.mrc.ac.uk | |
Website | http://www.mrc.ac.uk |
Funders
Funder type
Research council
Medical Research Council (MRC) (UK)
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- Medical Research Council (United Kingdom), UK Medical Research Council, MRC
- Location
- United Kingdom
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Editorial Notes
24/05/2016: No publications found, verifying study status with principal investigator