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Trial registered on ANZCTR
Registration number
ACTRN12607000647437
Ethics application status
Approved
Date submitted
17/12/2007
Date registered
20/12/2007
Date last updated
20/12/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised, controlled evaluation of the ‘beyondblue depression training program for aged care staff’: Impact on the delivery of health care services for older people with depression
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Scientific title
A randomised, controlled evaluation of the ‘beyondblue depression training program for aged care staff’: Impact on the delivery of health care services for older people with depression
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Depression
2649
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Condition category
Condition code
Mental Health
2764
2764
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is a training programme for care staff in the precognition and detection of depression. Personal carers in residential facilities and direct carers in community services will participate in five 1.5 hour training sessions over 5 weeks that provide information on the nature and prevalence of depression amongst the elderly, symtoms and comorbidities. They will be taught to use a simple checklist of depression symtomatology, how to communicate with older depressed people, how to respond to depression, and how to facilitate referral of depressed people to appropriate services. Registered Nurses (residential) and Case managers (community) will particpate in these four sessions and two further 2 hours sessions focused on the use of standardised instruments to assess for depression, and liaison with General Practitioners.
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Intervention code [1]
2384
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Diagnosis / Prognosis
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Intervention code [2]
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Early detection / Screening
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Comparator / control treatment
No training
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Control group
Active
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Outcomes
Primary outcome [1]
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Improved self-efficacy in relation to caring for older people with depression as assessed by the Self-Efficacy in Working with Late-Life Depression Scale;
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Assessment method [1]
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Timepoint [1]
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Assessed at pre- and post-intervention, and 6 months follow-up
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Primary outcome [2]
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Improved detection rates of depression among their care recipients and a higher number of referrals to medical services
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Assessment method [2]
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Timepoint [2]
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Assessed at pre- and post-intervention, and 6 months follow-up
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Secondary outcome [1]
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Improved knowledge of late-life depression and more positive attitudes to the care of older people with depression, as measured by Knowledge of Late-Life Depression Scale and the Attitudes to Depression Questionnaire
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Assessment method [1]
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Timepoint [1]
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Assessed at pre- and post-intervention, and 6 months follow-up
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Secondary outcome [2]
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Improved care practices as assessed by Scale of Nursing Performance, and by directly comparing carers' assessments of the levels of depression among a sample of 10 care recipients from each residential service with assessments made by a Clinical Psychologist who will use the Structured Clinical Interview Schedule for Axis I Disorders
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Assessment method [2]
6136
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Timepoint [2]
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Six month follow up
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Eligibility
Key inclusion criteria
Care staff and care managers in community based aged care services and low level care residential facilities speak English
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Care staff who do not speak English
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Four low-level care residential facilities and four community aged care services, drawn from Benetas and Uniting Aged Care aged care services, will take part in this study. Services will be randomly allocated to either (a) the training group, who receive the ‘beyondblue depression training program for aged care staff’ (two residential and two community services), or (b) the wait list control group (n = 80 staff; two residential and two community services). Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation will take place by coin-tossing
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
160
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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3125
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Depression Initiative - Beyondblue
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Address [1]
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PO Box 6100
Hawthorn West VIC 3122
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Deakin Univesrity
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Address
Deakin University
221 Burwood Highway
Burwood VIC 3125
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Eastern Health
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Address [1]
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Locked Bag No. 1
Post Office
Forest Hill VIC 3131
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Country [1]
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Australia
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Other collaborator category [1]
110
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Charities/Societies/Foundations
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Name [1]
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Benetas
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Address [1]
110
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789 Toorak Road
Hawthorn East VIC 3123
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Country [1]
110
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Australia
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Other collaborator category [2]
111
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Charities/Societies/Foundations
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Name [2]
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Uniting Aged Care Victoria and Tasmania
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Address [2]
111
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Level 6
130 Little Collins Street
Melbourne VIC 3000
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Country [2]
111
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Deakin University Human Research Ethics Committe
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Ethics committee address [1]
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Resaerch Services Deakin University 221 Burwood Highway Burwood VIC
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
4835
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Approval date [1]
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01/09/2006
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Ethics approval number [1]
4835
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EC 215-2006
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Summary
Brief summary
The objective of our research program is to improve pathways to care for frail older people with depression. The aim of this project is to demonstrate the efficacy of the ‘beyondblue depression training program for aged care staff’, through a randomised controlled study across community and residential aged care services. The specific hypotheses that will be tested are that, when compared with a wait-list control group that receives no training, aged care staff: (i) will demonstrate improved knowledge of late-life depression and more positive attitudes to the care of older people with depression, (ii) will demonstrate improved detection rates of depression among their care recipients and a higher number of referrals to medical services, (iii) will report improved self-efficacy in relation to caring for older people with depression, perceive fewer barriers to the provision of such care, and demonstrate improved care practices.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Associate Professor David Mellor
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Address
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School of Psychology
Deakin University
Burwood VIC 3125
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Country
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Australia
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Phone
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+61 3 92443742
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Fax
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+61 3 92446858
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Marita McCabe
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Address
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School of Psychology
Deakin University
Burwood VIC 3125
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Country
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Australia
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Phone
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+61 3 92446856
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Fax
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+61 3 92446858
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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